Acute Kidney Injury USMLE Step 1 Practice Question
A 32 year old man presents with progressive leg swelling and frothy urine for 2 months. He has a history of HIV infection and intermittent heroin use. Examination shows bilateral pitting edema. Urinalysis reveals 4+ protein and oval fat bodies. Serum albumin is decreased. Renal biopsy shows sclerosis and hyalinosis involving segments of some glomeruli. Which of the following is the most likely diagnosis?
Answer choices
- ADiabetic nephropathy
- BFocal segmental glomerulosclerosisCorrect answer
- CMinimal change disease
- DMembranous nephropathy
- EAmyloidosis
- FIgA nephropathy
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