This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: All India exam, Subject name: Medicine
[{'content': 'A 20 year old female presents with a blood pressure of 160/110 mm Hg. Clinical examination reveals a bruit in both flanks. Which of the following statement about this patient is not true? \nSelect and explain. \nA. Enalapril may deteriorate renal function, B. Most definitive diagnostic procedure is contrast enhanced angiography, C. Condition is nearly always bilateral, D. Surgical intervention may be used', 'role': 'user'}, {'content': "Answer: C \nExplanation: 20 year old female presenting with high BP and abdominal bruit on both flanks possibly point to a diagnosis of renal aery stenosis secondary to fibromuscular dysplasia. All the choices given are almost correct, among the choices given 'c' would be a better choice. Because it is usually bilateral and not nearly always bilateral. Ref: Harrison's 18/e p2375, 17/e p1811-1812", 'role': 'assistant'}]