This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Kidney, Subject name: Medicine
Which one of the following is not a feature of renal aery stenosis? 
Select and explain. 
A. Hypeension responds well to drugs, B. Kidneys may be asymmetrical, C. Atherosclerotic plaques are common, D. Serum creatinine may increase with ACE inhibitors
A: Hypeension responds well to drugs
Answer: A: Hypeension responds well to drugs 
Explanation: In renal aery stenosis - Hypeension is difficult to control with drugs. Patients often respond to Revascularization procedures like percutaneous renala aery angioplasty . There may be decline in GFR during therapy with ACE -inhibitors or ARB'S. Renal aery stenosis can be unilateral or bilateral, so kidneys may be asymmetrical . Atherosclerosis is the common cause of renal aery stenosis in elderly. Ref:Harrison 20 th edition pg no 1906