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 Best of Five 88

 

   

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BOF 88

A 57-year-old female who is known to have rheumatoid arthritis has been on penicillamine for treatment of her condition. She presents with oedema, proteinuria, hypoalbuminaemia and her serum cholesterol levels are elevated. In this patient renal biopsy:

a)      Is indicated as she may have developed a vasculitis

b)      Is indicated to decide if she needs steroids and immunosuppression

c)      Should be performed in order to demonstrate minimal change nephropathy as this will respond to steroids

d)      Is indicated to look for amyloidosis

e)      Is not indicated

 

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