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Renal artery stenosis — RACP Written MCQ

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HardNephrologyRenal artery stenosisRACP Written

A 71-year-old man has resistant hypertension and recurrent flash pulmonary oedema. Creatinine rises by 45% after starting an ACE inhibitor. Abdominal bruit is present. What is the most appropriate investigation?

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Correct answer: D — Renal artery imaging with CT or MR angiography

Resistant hypertension, flash pulmonary oedema and ACE-inhibitor related creatinine rise suggest renovascular disease; renal artery imaging is appropriate.

Reference: Therapeutic Guidelines: Kidney and Urinary; Kidney Health Australia principles