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KONCPT NEET SS

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Which is not a redflag sign of renovascular
hyperternsion?
• A. Paradoxic worsening of hypertension with the use of diuretics
• B. Onset of hypertension at 45yrs of age
• C. Refractory HT with grade III/IV hypertensive retinopathy
• D. evidence of cholesterol embolization

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Identify the false statement
• A. One-Kidney, One-Clip Model is volume hypertensive model
• B Two-Kidney,One-Clip Model is a renin dependent model
• C TOC in One-Kidney, One-Clip Model is ACE inhibitors
• D. TOC in Two-Kidney,One-Clip Model is ARBs

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Identify the false statement
• A. MRA delineates lesions involving the distal, intrarenal arteries
• B. DSA is the gold standard for diagnosing renovascular disease
• C. Duplex USG predict the patients who will have an improvement in
their BP
• D. CTA is contraindicated if sr creat >1.7

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Identify the false statement
• A. “string of beads” appearance on angio occujrs exclusively in medial
fibroplasia
• B. Perimedial fibroplasia is known as Girlie disease
• C. Intimal fibroplasia is associated with dissection
• D. Perimedial fibroplasia progresses to renal occlusion and loss of
renal function

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Identify the false statement
• A. RVR ratio has good predictive value in those with bilateral disease
• B. MRA gives both anatomical detail and functional significance of the
renovascular lesion
• C. pressure gradient (>10 to 15 mm Hg) across a renal artery lesion
may predict a reduction in BP with revascularization
• D. RVR helps to lateralise the diseased kidney

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The rate-limiting step in the RAAS is

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Identify the false statement
• A. PTRA with stenting for atherosclerotic disease
• B. PTRA without stenting for fibromuscular dysplasia
• C. Sr creatinine >4mg/dl is an absolute indication for revascularization
• D. Surgical intervention is indicated if concomitant aneurysmal or
occlusive aortic disease is present

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Investigation of choice if there is a high
suspicion of RVH
• A. MRA
• B. DSA
• c. DuplexUSG
• D. CTA

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IOC in azotemia
• A. MRA
• B. DSA
• c. DuplexUSG
• D. CTA

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