A 29-year-old woman presents to your office for a general checkup. She has not seen a doctor other than to have Pap smears for many years. Her BP is found to be 200/140 mm Hg. On physical exam she has...

A 29-year-old woman presents to your office for a general checkup. She has not seen a doctor other than to have Pap smears for many years. Her BP is found to be 200/140 mm Hg. On physical exam she has narrowing of her retinal arteries, a carotid bruit, and an S4. She has no family history of hypertension. Her most likely diagnosis is which of the following?

A. Hyperaldosteronism

B. Cushing syndrome

C. Fibromuscular dysplasia

D. Pheochromocytoma

E. Atherosclerotic renal disease