A 47-Year-Old Man Is Treated for Bacterial Sinusitis with Ampicillin

question 747

Multiple Choice

A 47-year-old man is treated for bacterial sinusitis with ampicillin.  A week later he comes to the emergency department with fever and a skin rash.  He also reports low urine output.  Temperature is 37.5 C (99.5 F) , blood pressure is 123/71 mm Hg, and pulse is 88/min.  Physical examination shows a diffuse maculopapular rash.  Serum creatinine level is 2.4 mg/dL, and urine sediment microscopy reveals 3-4 red blood cells/hpf, 5-10 white blood cells/hpf, and 3-5 eosinophils/hpf.  The pathologic process affecting this patient's kidneys most likely involves which of the following structures?

• A)Calyces and ureters
• B)Glomeruli
• C)Renal interstitium
• D)Renal papillae
• E)Small renal arterioles

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Definitions:

Motivation

The process that initiates, guides, and maintains goal-oriented behaviors.

Social Comparison Theory

The belief that a person's societal and personal value is self-assessed by measuring themselves against others whom they view as being on better or worse footing.

Festinger

A reference to Leon Festinger, a psychologist best known for Cognitive Dissonance Theory, which suggests that we have an inner drive to hold all our attitudes and beliefs in harmony and avoid disharmony.

Normative Social Processes

Social mechanisms that dictate acceptable behaviors and beliefs within a society, guiding individuals on how to act according to societal norms.