Vascular surgery: renal artery stenosis: practice question

A General Surgery question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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General Surgery · Vascular surgery: renal artery stenosis

Sample item

A 28-year-old woman has new severe hypertension with an abdominal bruit. Angiography shows a string-of-beads appearance in the renal arteries. What is the preferred treatment?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Percutaneous transluminal angioplasty

Fibromuscular dysplasia causes beaded stenoses in young women and produces renovascular hypertension. Balloon angioplasty without routine stenting gives excellent results. In atherosclerotic renal artery stenosis in older patients, medical therapy is usually favoured.

Option by option

  • A. Renal stenting in all cases

    Stenting is reserved for failure or dissection.

  • B. Percutaneous transluminal angioplasty (correct)

    Correct. Angioplasty is the treatment of choice in FMD.

  • C. Lifelong ACE inhibitor alone

    ACE inhibitors can precipitate renal failure in bilateral stenosis.

  • D. Immediate nephrectomy

    Nephrectomy is not needed.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More General Surgery questions

Questions about this General Surgery question

What is the answer to this General Surgery question?

The best answer is B, Percutaneous transluminal angioplasty. Fibromuscular dysplasia causes beaded stenoses in young women and produces renovascular hypertension.

Why is "Renal stenting in all cases" not the answer?

Stenting is reserved for failure or dissection.

Why is "Lifelong ACE inhibitor alone" not the answer?

ACE inhibitors can precipitate renal failure in bilateral stenosis.

Why is "Immediate nephrectomy" not the answer?

Nephrectomy is not needed.

What concept does this question test?

It tests Vascular surgery: renal artery stenosis in General Surgery. Balloon angioplasty without routine stenting gives excellent results. In atherosclerotic renal artery stenosis in older patients, medical therapy is usually favoured.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Vascular surgery: renal artery stenosis?

Learn classic signs and eponyms alongside what they diagnose. Then use the flashcards and the other General Surgery questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.