A 44-Year-Old Man Who Was Recently Diagnosed with Idiopathic Membranous

question 248

Multiple Choice

A 44-year-old man who was recently diagnosed with idiopathic membranous nephropathy after developing edema comes to the office due to a sudden onset of left flank pain and gross hematuria.  The patient has no other medical problems.  He is taking furosemide and ramipril.  Blood pressure is 135/85 mm Hg and pulse is 88/min.  On examination, there is left flank tenderness.  The patient's edema has improved from the previous visit.  There is a left-sided varicocele that the patient has not noticed before.  Urinalysis shows increased proteinuria and new hematuria.  Serum lactate dehydrogenase is elevated.  Urinary loss of which of the following substances most likely predisposed this patient to his acute condition?

• A)Albumin
• B)Alpha-1 antitrypsin
• C)Antithrombin III
• D)Ceruloplasmin
• E)Immunoglobulins
• F)Lipoproteins

---

Definitions:

Heparin

A medication used as an anticoagulant to prevent and treat blood clots, often administered intravenously or via injection.

Excessively Dry Mouth

A condition, also known as xerostomia, characterized by a noticeable decrease in saliva production, leading to discomfort and potential oral health issues.

Foods Taste

The flavor profile or sensory experience associated with consuming different types of food.

Sense Of Smell

The ability to perceive and distinguish odors, an essential part of taste and overall sensory experience.