USMLE step 2 Mcq 361:35 year old has severe hemoptysis three weeks following a respiratory tract infection

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Question:
A 35 year old has severe hemoptysis three weeks following a respiratory tract infection. Investigations reveal pulmonary infiltrates suggestive of alveolar hemorrhage. She is found to have hypertension, generalised edema. Urinalysis revelas hematuria and red cell casts. Her renal function is reduced. Serologic tests for ANA and rheumatoid factor are negative. Circulating antibodies to the glomerular basement memebrane are discovered. A likely diagnosis is

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


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