USMLE step 2 Mcq 193:A 23 year old female presented to the emergency department with pallor and hemoptysis

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Question:
A 23 year old female presented to the emergency department with pallor and hemoptysis.Five days previously ,she was diagnosed as having a viral upper respiratory tract infection by her GP Over the next four days, her cough persisted and she was bringing up blood stained sputum. Her laboratory workup reveals a CBC with a normocytic, normochromic anemia. Her hemoglobin is low, her creatinine is high. Her urinalysis is significant for many red blood cells. Further laboratory studies revealed her anti-basement membrane serology was positive. During a tutorial for medical students, the physician presented this woman's case. He explained that she had a poor prognosis and eventual death is most likely to occur secondary to

a) multiple brain abscesses
b) heart failure
c) severe anorexia
d) renal failure
e) end stage cirrhotic liver


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