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 EMQ 21

 

   

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EMQ: 21

Causes of hypertension

a)     Phaeochromocytoma

b)      Polycystic kidneys

c)      Conn’s syndrome

d)      Polycythaemia rubra vera

e)      Renal artery stenosis

f)        Chronic glomerulonephritis

g)     Hyperparathyroidism

h)      Cushing’s syndrome

i)        Coarctation of the aorta

j)        Acromegaly

Match one of the causes of hypertension listed above to the appropriate clinical scenario given below:

1) A 25-year-old female is found to be hypertensive. On abdominal palpation there are ballotable masses in both flanks

2) A 56-year-old female, who is centrally obese, has a moon face and buffalo hump. Abdominal examination reveals multiple striae.

3) An 18-year-old male is found to be hypertensive. On examination of his pulse, there is radio-femoral delay and he has a systolic murmur at the base of the heart.

4) A 63-year old female presents with hypertension. On abdominal examination a bruit is heard in the upper abdomen.

5) A 63-year-old male is found to be hypertensive. He complains that his wedding ring is tight and he has had to buy bigger shoes.

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