Chronic Kidney Disease USMLE Step 1 Practice Question
A 57 year old woman with a 20 year history of type 2 diabetes mellitus comes for follow up. She has diabetic retinopathy and peripheral neuropathy. Urine albumin excretion has progressively increased over the past several years, and she now has edema and declining renal function. Renal biopsy would most likely show which of the following findings?
Answer choices
- AMesangial IgA deposition
- BKimmelstiel Wilson nodulesCorrect answer
- CCrescent formation with linear IgG staining
- DNormal light microscopy with foot process effacement
- ESubepithelial humps
- FGlomerulosclerosis with fibrin necrosis and wire-loop lesions
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