HY USMLE Q #1536 – Renal

An 82-year-old woman is evaluated in hospital after being found beside the bottom of her staircase in her home. Vitals are normal. Urinalysis shows:

Blood                        2+
WBCs                       1-2/hpf
RBCs                         1-2/hpf
Protein                     Negative

Which of the following is most likely to be seen in this patient?

A) Dirty brown granular casts
B) Effacement of podocytes
C) Inflammatory infiltrates in the interstitium
D) Lumpy bumpy appearance
E) Spike and dome appearance