A 70-Year-Old Man Comes to the Office Due to Increasing

A 70-year-old man comes to the office due to increasing headaches, nausea, and vomiting.  The patient has never had these symptoms before.  Medical history is significant for a transient ischemic attack that led to a right carotid endarterectomy 5 years ago.  He has no other medical conditions, and his only medications are aspirin and atorvastatin.  The patient smoked a pack of cigarettes a day for 20 years but quit 20 years ago.  Blood pressure is 220/120 mm Hg and pulse is 70/min.  Neurologic examination shows no focal lesions.  Bilateral abdominal bruits are present.  Blood testing in this patient would most likely show which of the following?

A) A
B) B
C) C
D) D
E) E
F) F
G) G
H) H

Correct Answer:

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