Welcome. My name is Devine. This is episode 529 of the Devine Intervention

Podcasts. In today's podcast we're going to be continuing the series on the

Step 2 seeki free 120. This is the 2024, one, the one that's on the website right now.

And this is going to be part 10. We've done 70 questions so far in the series.

So we're going to go ahead and pick up from where we stopped.

So let's get right into it. So question 71, a 22 year old man comes to the office for a health maintenance examination.

He feels well and has not noticed any health issues.

He is in the US Army.

Two months ago, he returned from a 10-month deployment to southwest Asia, during which

he started smoking one pack of cigarette stealing.

The patient says he is happy to be home and has been celebrating with his friends and family.

He has been consuming an average of six beers daily since returning to the United States.

He has no history of major medical illness. He does not use any medications or other substances.

His mother has type 2 diabetes mellitus. The patient is 180 centimeters, that's 5 for 11 inches tall and weighs 72 kilograms. That's 160 pounds.

There's BMI is 22 kilograms per meter squared. His first blood pressure reading is

156 over 95 millimeters of mercury. Repeat reading is 160 over 92 millimeters of mercury. Mercury. He says he remembers his blood pressure being normal when he had he checked in the past.

Physical examination discloses no other abnormalities.

Which other following is the most likely cause of this patient's increased blood pressure.

Option A says cigarette smoking. Option B says

essential hypertension. Option C says excessive alcohol use. Option D says

few chromocytoma. option E says renal artery stenosis

So what factor that's present in the Q-stem tells you that this tells you why this person is

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