#august2020mccqe1
A 35-year-old man with a history of chronic heroin abuse comes to the physician because of progressive swelling of his feet and hands. His blood pressure is 155/90 mm Hg. Laboratory studies show:
Blood, serum -
Creatinine 1.6 mg/dL
BUN 20 mg/dL
Urinalysis -
Protein 4+
Erythrocytes 10/hpf
The amount of protein measured in a 24-hour urine collection is 4.5 g. Which of the following is the most likely diagnosis?
(A) Acute proliferative glomerulonephritis
(B) Crescentic glomerulonephritis
(C) Focal segmental glomerulosclerosis
(D) Minimal change disease
(E) Nodular glomerulosclerosis (Kimmelstiel-Wilson disease)
A 35-year-old man with a history of chronic heroin abuse comes to the physician because of progressive swelling of his feet and hands. His blood pressure is 155/90 mm Hg. Laboratory studies show:
Blood, serum -
Creatinine 1.6 mg/dL
BUN 20 mg/dL
Urinalysis -
Protein 4+
Erythrocytes 10/hpf
The amount of protein measured in a 24-hour urine collection is 4.5 g. Which of the following is the most likely diagnosis?
(A) Acute proliferative glomerulonephritis
(B) Crescentic glomerulonephritis
(C) Focal segmental glomerulosclerosis
(D) Minimal change disease
(E) Nodular glomerulosclerosis (Kimmelstiel-Wilson disease)
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