Creatinine goes up after adding Lisinopril! - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 10-16-2011
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 515
Threads: 88
Thanked 507 Times in 232 Posts
Reputation: 517
Drug Creatinine goes up after adding Lisinopril!

A 70-year-old white hypertensive male, controlled on a once-daily combination pill containing atenolol and hydrochlorothiazide, presents with a rise in his blood pressure to 180/110. You add lisinopril, and his creatinine rises from 1.0 to 1.8. What do you suspect?
A. Nonadherence
B. Hypertensive nephrosclerosis
C. Hyperaldosteronism
D. Atherosclerotic renal artery stenosis
E. Pheochromocytoma
Reply With Quote Quick reply to this message



  #2  
Old 10-16-2011
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 55
Threads: 3
Thanked 59 Times in 21 Posts
Reputation: 69
Default

Its renal artery stenosis ..
Reply With Quote Quick reply to this message
  #3  
Old 10-16-2011
USMLE Forums Veteran
 
Steps History: Step 1 Only
Posts: 239
Threads: 3
Thanked 48 Times in 37 Posts
Reputation: 58
Default

D. Atherosclerotic renal artery stenosis
__________________
I'm Predictable In The Unpredictable Future !
Reply With Quote Quick reply to this message
 
  #4  
Old 10-17-2011
USMLE Forums Scout
 
Steps History: Not yet
Posts: 15
Threads: 0
Thanked 0 Times in 0 Posts
Reputation: 10
Default

B. Hypertensive nephrosclerosis
__________________
The greatest glory is not in never falling, but in rising everytime we fall !
Reply With Quote Quick reply to this message
  #5  
Old 10-17-2011
jaimin's Avatar
USMLE Forums Veteran
 
Steps History: 1+CK+CS+3
Posts: 264
Threads: 15
Thanked 98 Times in 56 Posts
Reputation: 108
Default

C. Hyperaldosteronism
Reply With Quote Quick reply to this message
  #6  
Old 10-17-2011
Ace3's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 735
Threads: 89
Thanked 289 Times in 191 Posts
Reputation: 301
Default

D. Atherosclerotic renal artery stenosis
Reply With Quote Quick reply to this message
  #7  
Old 10-17-2011
drnrpatel's Avatar
Guest
 
Steps History: 1+CK+CS
Posts: 441
Threads: 153
Thanked 396 Times in 211 Posts
Reputation: 419
Default

By reducing angiotensin II levels, ACE inhibitors may reduce GFR. They can induce or exacerbate renal impairment in patients with renal artery stenosis.
Reply With Quote Quick reply to this message
  #8  
Old 10-17-2011
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 515
Threads: 88
Thanked 507 Times in 232 Posts
Reputation: 517
Default

Guys you are right. The correct answer is:
D. Atherosclerotic renal artery stenosis
Reply With Quote Quick reply to this message



Reply

Tags
Cardiology-, Nephrology-, Step-2-Questions

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
creatinine clearance (CrCl) of 17 mL/min khushboo USMLE Step 1 Forum 4 11-19-2011 11:46 PM
Triamterene Plus Lisinopril! ricko335 USMLE Step 1 Forum 6 07-20-2011 01:21 PM
what can u determine with creatinine INCOGNITO USMLE Step 1 Forum 5 07-03-2011 09:35 PM
Not adding new but rather forgetting the old! nicki USMLE Step 1 Forum 5 02-18-2011 04:48 PM
Adding Notes onto FA!! meka USMLE Step 1 Forum 2 12-15-2010 03:37 PM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)