Study Questions: Chapter 09

Chapter 9: Renovascular Disease

CHRISTOPHER J. COOPER, MD; WILLIAM R. COLYER, MD

Case Study: Chapter 9

* A 35-year-old female undergoes an evaluation for drug-resistant hypertension, and on duplex ultrasound is found to have high velocities (systolic 386 cm/sec) in the distal right renal artery and a 4-cm aneurysm in the renal hilum.

Which of the following is the most likely cause?

* In patients presenting with renal artery stenosis who undergo invasive angiography, which of the following adjunctive strategies has been associated with an improvement in blood pressure control after revascularization?
* Several randomized trials of renal artery revascularization have compared medical therapy against either balloon angioplasty or endovascular stenting. Which of the following statements is true?
* When used in patients with renal artery stenosis, which of the following statements concerning angiotensin-converting enzyme (ACE) inhibitors and angiotensin receptor blockers (ARBs) is correct?
* Which of the following statements is correct regarding surgical revascularization of the renal artery?