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A 57-year-old man has had blood pressure measurements in the range of 160/95 to 180/110 mm Hg for many years. He has taken no medications. A renal scan reveals kidneys of normal size for age. These findings with benign nephrosclerosis are most likely to occur with which of the following vascular changes:



A. Hyaline arteriolosclerosis
B. Monckeberg s medial calcific sclerosis
C. Complex calcified atherosclerosis
D. Arterial mural thrombosis
E. Hyperplastic arteriolosclerosis
Asked by Christopher, Last updated: Dec 18, 2019

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John Smith

John Smith

Answered Sep 09, 2016

Hyaline arteriolosclerosis -(a) correct. hyaline arteriolosclerosis is a feature of long-standing hypertension and is part of benign nephrosclerosis which may go on for many years with no complications. the small arterioles are thickened.(e) incorrect. hyperplastic arteriolosclerosis is usually seen in the kidneys when there is severe hypertension.(c) incorrect. coronary artery disease is caused by atherosclerosis that can be accelerated by hypertension. atheromatous plaques occur in medium to...Read More
 

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