Answer is A (Renal Aery Stenosis) The association of High aldosterone and High Renin levels in a hypeensive patient with hypokalemia suggests a diagnosis of Secondary Hyperaldosteronism from Renal Aery Stenosis. Disease Aldosterone Coisol Renin Primary Aldosteronism (Conn syndrome) High Normal Low Secondary Aldosteronism (e.g. Renal Aery Stenosis) High Normal High Adrenal insufficiency (Addison disease) Low Low High Cushing syndrome Low (May be normal) High Low