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Pediatric Rounds Review Questions

Severe Hypertension in an Adolescent Girl

Shirley S. Chang, MD, Bobby J. Noghrey, DO, and Morris J. Schoeneman, MD

Dr. Chang is a pediatric nephrology attending and assistant professor of pediatrics, Dr. Noghrey is a fellow in pediatric nephrology and a clinical instructor, and Dr. Schoeneman is director of the Division of Pediatric Nephrology and professor of clinical pediatrics; all are at ChildrenŐs Hospital at Downstate and SUNY Downstate College of Medicine, Brooklyn, NY.

The questions below are based on the September 2005 Pediatric Rounds article, “Severe Hypertension in an Adolescent Girl”

Choose the single best answer for each question.


1. Hypertension in children is defined as average systolic or diastolic blood pressures greater than what percentile for age, gender, and height on at least 3 occasions?
  1. 80th percentile
  2. 85th percentile
  3. 90th percentile
  4. 95th percentile
  5. 99th percentile
Click here to compare your answer.

2. Hypertension in children is often due to an identifiable underlying cause. All of the following are common causes of hypertension in children younger than age 12 years EXCEPT

  1. Coarctation of aorta
  2. Essential hypertension
  3. Renal diseases (congenital and acquired)
  4. Renal artery stenosis
Click here to compare your answer.

3. What is the most common cause of renal artery stenosis resulting in severe hypertension in children?
  1. Vasculitis
  2. Atherosclerosis
  3. Fibromuscular dysplasia
  4. Emboli
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4. Which of the following is NOT a clinical clue for renovascular hypertension?

  1. Abrupt onset of hypertension before age 30 years or after age 50
  2. Severe or resistant hypertension on 3 or more antihypertensive medications
  3. Greater than 1.5 cm difference in kidney size on sonography
  4. Angiotensin-converting enzyme inhibitor-induced azotemia
  5. Blood pressures in the legs higher than those in the arms
Click here to compare your answer.


5. Takayasu’s arteritis is a chronic inflammatory arteritis affecting what size vessels?

  1. Large
  2. Medium
  3. Small
Click here to compare your answer.

 

Click here to read “Severe Hypertension in an Adolescent Girl”
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Check our archive to test your knowledge in other pediatric cases:

Pediatric Rounds Review Questions Archives


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