A 54-year-old male with chronic renal failure receives a kidney transplant and begins cyclosporine immunosuppression. Six months later, he presents with progressive fatigue and dyspnea. Vital signs: BP 158/92, HR 98, RR 20, Temp 37.2°C, SpO2 94%. Serum creatinine has risen from 1.2 to 3.8 mg/dL. Urinalysis shows no proteinuria. A needle biopsy of the transplanted kidney is performed. What finding is most likely?

  1. A)Neutrophils, immunoglobulin, and complement in vessel walls
  2. B)Thickening of the blood vessel intima due to cellular proliferation
  3. C)Intimal fibrosis, interstitial fibrosis, and tubular atrophyGABARITO
  4. D)Linear deposition of immunoglobulin and complement in glomeruli
  5. E)T-cell interstitial infiltrate and edema

Explicação

The correct answer is A. Source: Kaplan USMLE Step 1 QBank — Microbiology/Immunology Test 1. Ver explicação completa e trilha adaptativa →

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