A 20 year old female presents with a blood pressure of 160/110 mm Hg. Clinical examination reveals a bruit in both flanks. Which of the following statement about this patient is not true?
20 year old female presenting with high BP and abdominal bruit on both flanks possibly point to a diagnosis of renal aery stenosis secondary to fibromuscular dysplasia. All the choices given are almost correct, among the choices given 'c' would be a better choice. Because it is usually bilateral and not nearly always bilateral. Ref: Harrison's 18/e p2375, 17/e p1811-1812
Enalapril may deteriorate renal function
Most definitive diagnostic procedure is contrast enhanced angiography
Condition is nearly always bilateral
Surgical intervention may be used
All India exam