HY USMLE Q #897 – Renal

A 40-year-old woman is managed in hospital following a cholecystectomy. She has history of rheumatoid arthritis. Physical examination shows a faint maculopapular rash. BMI is 30. Vitals are normal. Laboratory studies are shown:

Hemoglobin                                                                    14 g/dL
Serum sodium                                                                140 mEq/L
Serum potassium                                                          3.9 mEq/L
Urine protein                                                                  1+
Urine RBC                                                                         1+
Urine WBC                                                                       2+

Which of the following is most likely responsible for this patient’s findings?

  Amikacin
  Cefazolin
  Gold salts
  Gentamicin
  Intravenous contrast