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  #1  
Old 08-03-2011
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Default Cause of death

A 43-year-old man goes to his physician for a routine check of his health status. He is found to have a blood pressure of 150/95 mm Hg. His urinalysis shows pH 6.5, specific gravity 1.015, no glucose, blood, or protein, and no casts. His serum creatinine is 1.4 mg/dL. If he is not treated, which of the following conditions will most likely cause his death?

A Intracerebral hemorrhage (stroke)

B Aortic aneurysm rupture

C Congestive heart failure

D Chronic renal failure

E Intracranial aneurysm rupture
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Old 08-03-2011
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Originally Posted by usmle2011 View Post
A 43-year-old man goes to his physician for a routine check of his health status. He is found to have a blood pressure of 150/95 mm Hg. His urinalysis shows pH 6.5, specific gravity 1.015, no glucose, blood, or protein, and no casts. His serum creatinine is 1.4 mg/dL. If he is not treated, which of the following conditions will most likely cause his death?

A Intracerebral hemorrhage (stroke)

B Aortic aneurysm rupture

C Congestive heart failure

D Chronic renal failure

E Intracranial aneurysm rupture
confused between stroke n ccf
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  #3  
Old 08-03-2011
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Chronic Renal Failure?
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Old 08-03-2011
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Originally Posted by usmle2011 View Post
A 43-year-old man goes to his physician for a routine check of his health status. He is found to have a blood pressure of 150/95 mm Hg. His urinalysis shows pH 6.5, specific gravity 1.015, no glucose, blood, or protein, and no casts. His serum creatinine is 1.4 mg/dL. If he is not treated, which of the following conditions will most likely cause his death?

A Intracerebral hemorrhage (stroke)

B Aortic aneurysm rupture

C Congestive heart failure

D Chronic renal failure

E Intracranial aneurysm rupture
43 y/o male with hypertension .... Congestive heart failure!
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  #5  
Old 08-04-2011
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eeeeeeeeeeeeeeeeeee?
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Old 08-04-2011
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Quote:
Originally Posted by usmle2011 View Post
A 43-year-old man goes to his physician for a routine check of his health status. He is found to have a blood pressure of 150/95 mm Hg. His urinalysis shows pH 6.5, specific gravity 1.015, no glucose, blood, or protein, and no casts. His serum creatinine is 1.4 mg/dL. If he is not treated, which of the following conditions will most likely cause his death?

A Intracerebral hemorrhage (stroke)

B Aortic aneurysm rupture

C Congestive heart failure

D Chronic renal failure

E Intracranial aneurysm rupture
intarcranial aneurysmal rupture..its seemss like APKD...
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  #7  
Old 08-04-2011
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i'm thinking a or b
a maybe?
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Old 08-04-2011
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E Intracranial aneurysm rupture
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  #9  
Old 08-04-2011
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Default Explanation

(A) Incorrect. This is a distinct possibility, but it is not the most common cause of death in hypertensive patients.

(B) Incorrect. Hypertension promotes atherosclerosis. The likelihood for rupture of an aortic aneurysm is based more on the size of the aneurysm (>6 to 7 cm).

(C) CORRECT. Hypertension leads to cardiac enlargement, then dilation, and eventual failure. This is the most common outcome with untreated hypertension.

(D) Incorrect. Although hypertensive patients can develop end-stage renal disease, it is not as likely to be the cause of death as heart failure.

(E) Incorrect. Hypertension may contribute to rupture, but the presence of the aneurysm itself presents a risk, and no more than 1% of the population has such an aneurysm.
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