MRCP UK EXAMINATIONS

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ABDOMINAL

GENERALISED LYMPHADENOPATHY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
An autopsy of the 58-year-old patient revealed an enlarged kidneys, which had a well defined yellow-grey with red specs cortical layer. Kidney’s medulla colored in a dark red. Histological investigation revealed proliferation of capsular epithelial cells and podocytes with crescents formation, sclerosis and hyalinosis-of the glomerular tufts, stromal fibrosis. What is the most likely kidneys disease?
A
Extracapillary productive glomeralonephritis
B
Intracapillary productive glomerulonephritis
C
Extracapillary exudative glomerulonephritis
D
Intracapillary exudative glomerulonephritis
Explanation: 

Detailed explanation-1: -Glomerulonephritis signs and symptoms may include: Pink or cola-colored urine from red blood cells in your urine (hematuria) Foamy or bubbly urine due to excess protein in the urine (proteinuria) High blood pressure (hypertension)

Detailed explanation-2: -The primary function of the kidney is to filter blood and form urine. The histological structures of the filtering units of the kidney (renal corpuscles) are crucial for this function. The renal corpuscles are located only in the kidney cortex, with about 1 million per kidney with variation due to race.

Detailed explanation-3: -The renal papilla has collecting ducts, small openings that allow urine to pass through. From the collecting ducts, the urine progresses to the renal pelvis, a widened area of the kidney, and exits through the ureter. The urine passes through the ureters to the urinary bladder.

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