Audio Qbank – Q129 – A 54M with HTN

 

A 54-year-old man comes to the physician for a routine health maintenance examination. Two weeks ago, his blood pressure was 159/102. Today, his BP is 160/100. His HbA1c is 6.6%. He is commenced on captopril. Following the administration, there is a marked increase in serum renin. What’s the most likely diagnosis in this patient?

 

  Aldosteronoma
  Diabetic glomerulonephropathy
  Fibromuscular dysplasia
  Renal artery stenosis
  Reninoma

 

Cut-to-the-chase Answer (1:06):
HY USMLE Answer (5:19):