Friday, March 4, 2011

Renal biopsy d/t diabetes type 1 mcq

renal biopsy d/t diabetes type 1 mcq?
A 30-year-old woman has had type 1 diabetes mellitus for 15 years. She develops proteinuria and acute renal failure. Which of the following would a renal biopsy most likely show? A. Fusion of podocyte foot processes in otherwise normal-appearing glomeruli B. Hyperplastic arteriolosclerosis C. Linear IgG deposits along the basement membrane D. Ovoid hyaline masses in the periphery of the glomerulus E. Periodic acid-Schiff (PAS)-positive, electron-dense deposits distributed along the epithelial side of the capillary basement membrane i believe it's e, b/c diabetics tend to form schiff base sugars that attach to proteins . i don't seem to think that this is a bad section for a problem....i know plenty of med students who use this...as there are docs, phds, and smart ppl (like myself) who want to study for step 1 but am only in my first semester...some of the questions i don't know since i haven't yet taken patho..BIG SHOCKER I KNOW. calm down and if you don't know the answer, don't answer.
Diabetes - 4 Answers
Random Answers, Critics, Comments, Opinions :
1 :
This would be better in some other section. It is scary that nurse and med students use Yahoo Answers to help them study!!!
2 :
A! I bet you use Wikipeda too!
3 :
[PDF] American Diabetes Association Self-Assessment Program http://www.proevalinc.com/medical/diabetes/ADASAP2.pdf
4 :
If you want to make this woman's life better she needs to get a reality check of her sugar levels. Minimum of 6 finger sticks a day to start with. My guess is she does the I feel fine tests and she woofs down donuts when she feels shaky. The body gets used to the higher levels of sugar and when they think they are having a reaction, which is actually a false reaction, they eat. Sending sugar levels up to a dangerous level and leads to larger problems. With out blood tests she has no idea where she really is. If I'm right, she would be better off with a twelve gauge needle. Ask for Mr. Smith or Wesson.

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