PAEA Surgery EOR Exam 2025 – 400 Free Practice Questions to Pass the Exam

In persistent renal vascular disease, the most commonly noted abnormal physical examination finding is diastolic pressure elevation. This condition, often resulting from renal artery stenosis, typically causes a specific pattern of hypertension known as "resistant hypertension," which manifests primarily as an elevation in diastolic blood pressure.

When the renal arteries are narrowed, the kidneys perceive a decrease in blood flow and subsequently initiate the renin-angiotensin-aldosterone system (RAAS) response, leading to increased peripheral vascular resistance and often increased diastolic pressure. This makes diastolic hypertension a key finding in patients with renal vascular disease, as the kidneys play a central role in the regulation of blood pressure.

The other options, while they may occur in some populations or conditions, are not the principal features of persistent renal vascular disease. Systolic pressure elevation and peripheral edema might be observed in a variety of hypertensive states or fluid retention issues, but they do not specifically point to the vascular aspect or persistent nature of renal vascular disease. Rectal bleeding is unrelated to renal pathology and does not form part of the classic signs seen in renal vascular disease.