Audio Qbank – HY USMLE Q #415 – Renal / Pharmacology

Two weeks after admission to hospital for hip surgery complicated by post-operative sepsis, a 55-year-old man develops oliguria. Current medications are ceftriaxone, vancomycin, amikacin, simvastatin, lisinopril, metformin, and naproxen. Urinalysis shows dirty brown granular casts. The agent most likely responsible for this patient’s condition inhibits  production of which of the following?

Cell wall
Cholesterol
Enzyme
Gluconeogenic products
Prostaglandin
Protein