PAEA Surgery End Of Rotation (EOR) Practice Exam

Disable ads (and more) with a membership for a one time $2.99 payment

Prepare for the PAEA Surgery EOR Exam. Test your knowledge with flashcards and multiple choice questions, with hints and detailed explanations. Gear up for your surgical rotation success!

Each practice test/flash card set has 50 randomly selected questions from a bank of over 500. You'll get a new set of questions each time!

Practice this question and more.


What is usually the only abnormal physical examination finding in persistent renal vascular disease?

  1. Systolic pressure elevation

  2. Rectal bleeding

  3. Diastolic pressure elevation

  4. Peripheral edema

The correct answer is: Diastolic pressure elevation

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.