support the site ⋅ become a member ⋅ unscramble the egg
free120  nbme24  nbme23  nbme22  nbme21  nbme20  nbme19  nbme18  nbme17  nbme16  nbme15  nbme13 

NBME 24 Answers

nbme24/Block 2/Question#29 (40.9 difficulty score)
A 65-year-old woman with well-controlled type ...

Login to comment/vote.

unscramble the site ⋅ become a member ($36/month)

issheoorlAsecrt si teh MTSO mnocom ucase fo aelnr eayrrt nt.s.htsiwe.ois uarulmrsiofbc ipadasyls bgein teh SENCOD toms commno sauec ee(nv htguho ti si nttpmegi to csoohe thsi oitopn cdienigonsr teh ttnasep'i o.hpramcdge)i

xxabi  Is there a situation where you would pick fibromuscular dysplasia over atherosclerosis if given both options? Thanks for your help! +5  
baconpies  Atherosclerosis affects PROXIMAL 1/3 of renal artery Fibromuscular dysplasia affects DISTAL 2/3 of renal artery +34  
gonyyong  Why is there ↓ size in both kidneys? This threw me off +2  
kateinwonderland  @gonyyong : Maybe because narrowed renal a. d/t atherosclerosis led to renal hypoperfusion and decrease in size? +1  
drdre  Fibromuscular dysplasia occurs in young females according to Sattar Pg 67, 2018. +6  
davidw  Normally you will see Fibromuscular dysplasia in a young female 18-35 with high or resistant hypertension. She is older has a history type II DM predispose you to vascular disease and normal to moderate elevation in BP +5  
suckitnbme  @gonyyong there's bilateral renal artery stenosis. The decrease in size of both kidneys should be from atrophy due to lack of renal blood flow. +2  
tyrionwill  1 year ago, she did not present any physical or Lab abnormalities. This means she must not suffer fibromuscular dysplasia, otherwise she must have presented renal abnormalities for a long long time, or even before DM-2. +  

unscramble the site ⋅ become a member ($36/month)

yM osnagnrie saw /13058 BP lvrtaieyel lnoma..r in rilsbcuufrmao ylssapdia I liebeve it loduw be igrehh edu to iscanere in irreenHn. hx of itabdsee + low igonebolmh aegm(ad ot raenl iutaupberrl aceallr)ipis aosl ueshpd me rtswoad st.lseisheraroco

sloa erp F09A21 9--8tg2p&; lu"suayl eesn ni mowne of ni-igabechrld "gea htsi tp was 56

Main causes of renal artery stenosis:

  1. Atherosclerotic plaques—proximal 1/3 of renal artery, usually in older males, smokers.

  2. Fibromuscular dysplasia—distal 2/3 of renal artery or segmental branches, usually young or middle-aged females.

Pathoma Ch 1, of 3.

Slowly developing ischemia (ie atherosclerosis) leads to atrophy whereas, acute ischemia (ie renal artery embolus) results in injury.

usmlecrasherss  i picked fibromuscular dysplasia and have zero regret, i just did not pay attention toward the word of proximal.... +2  

Up to 80 percent of aortic aneurysms are caused by "hardening of the arteries" (atherosclerosis). Atherosclerosis can develop when cholesterol and fat build up inside the arteries. ... Elevated blood pressure through the aorta can then cause the aortic wall to expand and bulge.

Also, FA 2019 pg300 says complications of atherosclerosis includes aneurysm

almondbreeze  I was dumb and went for marfan.. +1  
llamastep1  Wrong question lol +2