USMLE Step 1 Quiz
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CARDIOVASCULAR SYSTEM
Question 1 of 20
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A 50-year-old man with chronic hypertension is started on an ACE inhibitor. Three days later his serum creatinine rises from 1.1 mg/dL to 2.4 mg/dL. Blood pressure is 142/88 mm Hg, and physical examination reveals an abdominal bruit to the right of the midline. Which of the following mechanisms best explains the decline in renal function after initiating therapy?
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