Immunology USMLE Step 1 Practice Question
A 58 year old woman received a renal transplant 4 years ago. She now has slowly progressive hypertension and rising serum creatinine. Biopsy of the graft shows interstitial fibrosis, tubular atrophy, and marked intimal thickening with luminal narrowing of renal arteries. Which of the following is the most likely diagnosis?
Answer choices
- AAcute cellular rejection
- BCytomegalovirus nephritis
- CHyperacute rejection
- DChronic rejectionCorrect answer
- EDrug induced acute tubular necrosis
- FRecurrent focal segmental glomerulosclerosis
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