Glomerular Diseases USMLE Step 1 Practice Question
A 55-year-old man with chronic hepatitis C infection presents with peripheral edema and hematuria. Vital signs show BP 158/94 mmHg, HR 88/min, RR 16/min, and temperature 37.2°C. Urinalysis reveals dysmorphic RBCs and proteinuria (2.8 g/24h). Serum complement C4 level is markedly decreased at 8 mg/dL (normal 15-45), and cryoglobulins are detected in serum. Chest examination is clear to auscultation. Which glomerular disease is most likely?
Answer choices
- AMembranoproliferative glomerulonephritisCorrect answer
- BDiabetic nephropathy
- CMembranous nephropathy
- DFSGS
- EMinimal change disease
- FIgA nephropathy
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