USMLE step 2 Mcq 129:A 26 year old man complained of a dull ache in her left loin followed a few days later by increased frequency both by day and by night

 

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Question:
A 26 year old man complained of a dull ache in her left loin followed a few days later by increased frequency both by day and by night. He also noted hematuria. Urinalysis revealed a sterile pyuria and albuminuria. The urine was acidic. On examination the physician could palpate a thickened left lower ureter and a nodule in the prostate. A likely diagnosis is

a) renal calculus
b) Berger's nephritis
c) renal tuberculosis
d) renal vein thrombosis
e) chronic interstitial nephritis


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