A 70-Year-Old Man Comes to the Office for Follow-Up of Hypertension

question 124

Multiple Choice

A 70-year-old man comes to the office for follow-up of hypertension.  He has been taking amlodipine but his recent home blood pressure readings have been elevated.  The patient has a long smoking history and, despite many attempts at quitting, continues to smoke cigarettes.  Blood pressure is 140/90 mm Hg and pulse is 76/min.  Examination shows a bruit on auscultation of the abdomen.  Further evaluation reveals bilateral renal artery stenosis.  After initial discussion, the patient is started on daily lisinopril therapy.  The patient is advised to return to the clinic in a few days.  The close follow-up is recommended due to which of the following anticipated effects in this patient's kidney function?

• A)A
• B)B
• C)C
• D)D

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Definitions:

More Expensive

The condition of having a higher price or cost compared to other items or services.

Goodwill

The intangible asset that arises when a business is acquired for more than the fair value of its net assets, representing reputational value.

High Degree of Public Visibility

A situation or status in which an individual, organization, or event is highly noticeable or exposed to the public eye, often scrutinized by media and the public.

Right to Appeal

A legal principle that allows an individual or entity to request a higher court to review the decision of a lower court.