USMLE step 2 Mcq 136: A 23 year old male complains of a hearing difficulty

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Question:
A 23 year old male complains of a hearing difficulty. On examination he is found to have a sensorineural hearing loss in the high frequency range. He is also found incidentally to have a microscopic hematuria and proteinuria. A renal biopsy reveals mesangial proliferation and capillary wall thickening and evidence of glomerular sclerosis. The most likely diagnosis is

a) polycystic disease of the kidneys
b) Berger's nephritis
c) systemic lupus erythematosus
d) Alport's syndrome
e) Goodpasture's syndrome


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