A 56-year-old man comes to the physician because of a 6-month history of worsening fatigue and moderate lower extremity

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answerhappygod
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A 56-year-old man comes to the physician because of a 6-month history of worsening fatigue and moderate lower extremity

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A 56-year-old man comes to the physician because of a 6-month history of worsening fatigue and moderate lower extremity edema. He has a 15-year history of poorly controlled hypertension. His blood pressure is 195/110 mm Hg. Serum urea nitrogen (BUN) concentration is 70 mg/dl, and serum creatinine concentration is 7.0 mg/dl contains 300 mg of protein. Which of the following is the most likely pathologic finding in the kidneys?


A. Coagulation necrosis of renal tubules
B. Fibromuscular hyperplasia of arterioles
C. Inflammatory cell infiltrate in the interstitium
D. Large electron-dense deposits in the glomeruli
E. Multiple renal artery aneurysms
F. Multiple wedge-shaped cortical infarcts
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