QuestionSBA
QuestionChoice
Renal artery stenosis is caused by atherosclerosis. It is often seen in older people and can worsen over time, often resulting in hypertension and kidney damage. This patient is too young for renal artery stenosis to be the likely diagnosis.
10003587
b
Renal artery stenosis
QuestionChoice
This is a typical presentation of coarctation of the aorta. It can present in adulthood as well as in infancy. The notching of the ribs is not seen in young children but is seen in adults due to the formation of collateral vessels.
10003586
a
Coarctation of the aorta
QuestionChoice
This is not the typical presentation of Ehlers-Danlos syndrome. Common findings in Ehlers-Danlos syndrome include hyperelasticity of the skin, and hypermobility of joints which are prone to sprains, dislocation and subluxation. Rare symptoms include easy bruising and aneurysms.
10003589
d
Ehlers-Danlos syndrome
QuestionChoice
Asthma usually develops in childhood, but can also present for the first time in adults. However, this patient does not have any of the typical features of asthma.
10003590
e
Asthma
QuestionChoice
This individual is very tall, as are most patients with Marfan's syndrome. But none of the other physical findings associated with Marfan syndrome are mentioned in the history, such as ectopia lentis (upward dislocated lens), arachnodactyly, loose joints, wingspan to arm ratio >1.05, pectus excavatum or aortic dissection/dilation.
10003588
c
Marfan's syndrome
Concept
Chapter
2693
4179
Aortic coarctation
Topic
134
Cardiology
13264
A 25-year-old man presents to his GP complaining of shortness of breath. He is found to have a radio-femoral delay, and rib notching is noticed on a CXR. His blood pressure is raised. His pulmonary exam is normal.

His height and weight are measured and are 196cm and 92 kg respectively.

What is the most likely diagnosis in this patient?
a