Medical Council of Canada MCCQE Part 1 Exam MCCQE Question # 5 Topic 1 Discussion

Medical Council of Canada MCCQE Part 1 Exam MCCQE Question # 5 Topic 1 Discussion

MCCQE Exam Topic 1 Question 5 Discussion:
Question #: 5
Topic #: 1

A 6-year-old girl is found to have a blood pressure of 130/75 mm Hg. She was born prematurely at 32 weeks' gestation and required ventilation. There is a family history of hypertension in 3 grandparents. Clinical examination reveals a grade 1/6 mid-systolic murmur, no renal bruits, and femoral pulses are difficult to feel. Which one of the following is the most likely diagnosis?


A.

Ventricular septal defect


B.

Reflux nephropathy


C.

Renal artery thrombosis


D.

Essential hypertension


E.

Aortic coarctation


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