A 62-Year-Old Man Comes to the Office Due to Poorly

question 117

Multiple Choice

A 62-year-old man comes to the office due to poorly localized, intermittent abdominal pain that is triggered by eating and slowly subsides over the ensuing several hours.  The patient has also lost 4.5 kg (10 lb) over the past 2 months.  He has a history of hypertension and hyperlipidemia and has smoked a pack of cigarettes daily for 40 years.  Blood pressure is 175/105 mm Hg and pulse is 70/min and regular.  The abdomen is soft and nontender.  CT scan of the abdomen reveals the renal findings shown in the image below. This patient most likely suffers from which of the following conditions?

• A)Acute glomerulonephritis
• B)Acute pyelonephritis
• C)Amyloidosis
• D)Fanconi syndrome
• E)Hemolytic uremic syndrome
• F)Hypersensitivity interstitial nephritis
• G)Ischemic tubular necrosis
• H)Myeloma kidney
• I)NSAID-associated nephropathy
• J)Papillary necrosis
• K)Renal artery stenosis
• L)Urate nephropathy

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Definitions:

FOB Shipping Point

A term used in shipping contracts to indicate that the buyer is responsible for the goods once they are shipped, and must pay for the shipping costs.

FOB Destination

A shipping term indicating that the seller is responsible for the goods and transportation costs until the buyer receives the items.

FOB Destination

A shipping term indicating the seller bears freight charges and retains ownership until goods are delivered to the buyer.

Freight Costs

Expenses associated with transporting goods from one place to another.