Chronic Kidney Disease USMLE Step 1 Practice Question
A 70-year-old woman comes to the physician because of a 4-month history of fatigue, worsening swelling of her ankles, and a 5-kg (11-lb) weight gain. Neurologic examination shows diminished two-point discrimination in her fingers. Laboratory studies show a hemoglobin A1c concentration of 9.2% and a creatinine concentration of 1.3 mg/dL. Urine dipstick shows heavy proteinuria. A biopsy specimen of this patient's kidney is most likely to show which of the following?
Answer choices
- ASplit glomerular basement membrane
- BImmune complex deposition
- CInterstitial inflammation
- DWire looping of capillaries
- ENodular glomerulosclerosisCorrect answer
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