Audio Qbank – HY USMLE Q #423 – Renal / Path

24 hours after admission to hospital for a sickle cell crisis, a 19-year-old man suddenly develops flank pain and red urine. Laboratory studies show:

Creatinine                                                                1.2 mg/dL
Blood urea nitrogen                                           18 mg/dL
Urine RBC                                                                 Many
Urine WBC                                                               Rare
Urine protein                                                          None

Which of the following is the most likely cause of hematuria in this patient?

Acute tubular necrosis
Diffuse cortical necrosis
Interstitial nephropathy
Focal segmental glomerulosclerosis
Nephrolithiasis
Renal papillary necrosis