Renal Artery Stenosis Clinical Features and Treatment
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Questions and Answers

What is the significance of the structure labelled 2 in the image?

  • The inferior mesenteric artery is responsible for the renal artery stenosis.
  • The inferior mesenteric artery is involved in the diagnostic angiography procedure.
  • The inferior mesenteric artery supplies blood to the abdominal aorta.
  • The inferior mesenteric artery hooking over the isthmus can arrest the ascent of the kidneys. (correct)

In a hypertensive patient, when would you consider performing renal angiography to assess for the presence of renal artery stenosis?

  • Only in young patients with hypertension.
  • In patients with bruits, refractory or progressive hypertension. (correct)
  • When the urine output is less than 0.3 ml/kg/hr for 24 hours.
  • When the serum creatinine increases by 26.5 μmol/L within 48 hours.

According to the RIFLE criteria, what is the definition of the 'Risk' stage of acute kidney injury?

  • A 3-fold increase in serum creatinine or a GFR reduction of 75%, or urine output less than 0.3 ml/kg/hr for 24 hours, or anuria for 12 hours.
  • A 1.5-fold increase in serum creatinine or a GFR reduction of 25%, or urine output less than 0.5 ml/kg/hr for 6 hours. (correct)
  • A 2-fold increase in serum creatinine or a GFR reduction of 50%, or urine output less than 0.5 ml/kg/hr for 12 hours.
  • Complete loss of kidney function requiring dialysis for more than 4 weeks.

According to the RIFLE criteria, what is the definition of the 'Failure' stage of acute kidney injury?

<p>A 3-fold increase in serum creatinine or a GFR reduction of 75%, or urine output less than 0.3 ml/kg/hr for 24 hours, or anuria for 12 hours. (D)</p> Signup and view all the answers

What is the definition of 'End-stage kidney disease' according to the RIFLE criteria?

<p>Complete loss of kidney function for more than 3 months. (C)</p> Signup and view all the answers

What are microscopic cylindrical structures produced by the kidney and present in urine in certain conditions?

<p>Urinary casts. (A)</p> Signup and view all the answers

What is the main cause of renal artery stenosis?

<p>Atherosclerosis (D)</p> Signup and view all the answers

Which diagnostic test is required to localize renal artery stenosis?

<p>Arteriography (A)</p> Signup and view all the answers

What is the recommended treatment for renal artery stenosis if anti-hypertensive medications fail?

<p>Angioplasty with or without stenting (A)</p> Signup and view all the answers

What is the typical appearance of fibromuscular dysplasia on renal angiography?

<p>Irregular narrowing with a 'string of beads' appearance (B)</p> Signup and view all the answers

Which of the following is NOT a feature of horseshoe kidney?

<p>Increased risk of renal artery stenosis (A)</p> Signup and view all the answers

What is the cure rate for renal artery stenosis after surgical revascularization?

<p>70-80% (C)</p> Signup and view all the answers

What is the most common cause of renal artery stenosis?

<p>Atherosclerosis (B)</p> Signup and view all the answers

What is the primary consequence of renal artery stenosis?

<p>Renovascular hypertension (B)</p> Signup and view all the answers

Which of the following is NOT a typical pathological finding in an ischemic kidney due to renal artery stenosis?

<p>Hypercellular glomeruli (A)</p> Signup and view all the answers

Which anatomical structure is described as having an 'isthmus' in the provided text?

<p>Horseshoe kidney (A)</p> Signup and view all the answers

What is the term used to describe the complete absence of a kidney?

<p>Renal agenesis (A)</p> Signup and view all the answers

Which imaging modality would be most useful in diagnosing renal artery stenosis?

<p>Catheter angiography (B)</p> Signup and view all the answers

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