02-06-2011, 09:07 AM
A 43-year-old man with type 1 diabetes mellitus presents to his physician because of poorly controlled blood glucose levels secondary to noncompliance with his insulin treatment. He currently suffers from painful peripheral neuropathy and a nonhealing diabetic foot ulcer. Recently he has noted puffiness around his eyes and foamy urine. Temperature is 37.6°C (99.7°F), blood pressure is 155/95 mm Hg, heart rate is 72/min, and respiratory rate is 16/min.
WHICH OF THIS WILL BE MOST LIKELY ON BIOPSY OF THIS MAN KIDNEY
A......CRESENT SHAPED LESION IN THEGLOMERULI
B............PROLIFERATION OF MESANGIUM
C........SEGMENTAL GLOMERULOSCLEROSIS
D..........TRAM TRACK APPEARANCE OF LIGHT MICROSCOPE
E.........THICKENING OF GLOMERULI BASEMENT MEMBRANE AND EXPANSION OF MESANGIUM
WHICH OF THIS WILL BE MOST LIKELY ON BIOPSY OF THIS MAN KIDNEY
A......CRESENT SHAPED LESION IN THEGLOMERULI
B............PROLIFERATION OF MESANGIUM
C........SEGMENTAL GLOMERULOSCLEROSIS
D..........TRAM TRACK APPEARANCE OF LIGHT MICROSCOPE
E.........THICKENING OF GLOMERULI BASEMENT MEMBRANE AND EXPANSION OF MESANGIUM