Hypertension on step 1

Added: 2026-06-03

[00:00:00]hypertension, what is step one going to test you on? They're going to test you on how the peripheral resistance goes up. They're going to test you on the sympathetic tone going up. They're going to test you on RAS dysregulation, just things going haywire. They're also going to test you on renal stuff. So, here's my little kidney there. So, renal sodium retention, and there going to be some risk factors. What are some risk factors you can think of?

[00:00:20]Smoking. Smoking is a good one.

[00:00:23]Ethnicity, diabetes, high salt intake, age, and also end high end organ damage.

[00:00:28]This is tested on two of the NBME forms.

[00:00:30]So, what specifically are the buzzwords they're going to give you? It starts with an H, do you know?

[00:00:36]How about hyaline hyaline arteriolosclerosis? Does that kind of ring a bell here? If I were to pick a color here, I would pick pink, you know?

[00:00:43]Cuz that's typically it's going to be pink, right? It's pink hyaline thickening and a narrowed lumen. So, the lumen gets super super narrow.

[00:00:51]All right, and that's seen especially in the kidney and also diabetes and hypertension.