A 65-Year-Old Woman Comes to the Office Due to a 2-Month

question 968

Multiple Choice

A 65-year-old woman comes to the office due to a 2-month history of fatigue and weight gain.  The patient has rheumatoid arthritis, peptic ulcer disease, and hypertension.  She takes hydrochlorothiazide and acetaminophen.  She does not use tobacco, alcohol, or illicit drugs.  The patient's blood pressure is 120/70 mm Hg, pulse is 80/min, and respirations are 14/min.  Physical examination shows generalized edema; liver is palpated 5 cm below the costal margin.  Urinalysis shows 4+ proteinuria.  Ultrasound of the kidneys shows bilateral enlargement.  Renal biopsy was performed.  Which of the following is the most likely finding on pathological examination?

• A)Glomerular crescent formation on light microscopy
• B)Glomerular deposits seen after special staining
• C)Hyalinosis of walls of afferent and efferent arterioles
• D)Linear glomerular deposits seen on immunofluorescence microscopy
• E)Normal light microscopy findings

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Definitions:

Blindsight

A condition in which a person can respond to visual stimuli without consciously perceiving them, often due to damage in the visual cortex.

Dual Processing

The principle that our mind operates on two levels simultaneously, conscious and unconscious processing.

Unconscious Inferences

Unconscious inferences are judgements or decisions made without conscious awareness, often based on prior experiences and knowledge.

Visual Distraction

Anything in the visual field that can divert attention away from the intended focus.