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Retired NBME Step 2 CK Form 8 Answers

step2ck_form8/Block 4/Question#26 (reveal difficulty score)
A 37-year-old woman comes to the physician ...
Renovascular hypertension ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: cardio

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submitted by โˆ—step_prep3(25)
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  • Young woman with hypertension, headaches and a renal arteriography showing an 80% obstructive lesion, most consistent with fibromuscular dysplasia leading to renal artery stenosis
  • Key idea: Although fibromuscular dysplasia most commonly leads to resistant hypertension due to renal artery involvement, cerebrovascular fibromuscular dysplasia also a common presentation (headache, tinnitus, dizziness, TIA, amaurosis fugax, etc.)

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