試題詳解

85. 一位52歲多年高血壓的病人，這次因malignant hypertension (systolic BP 210 mmHg)被送至急診，身體檢查: edema (3+), creatinine 1.4 mg/dL。病人接受腎臟生檢(renal biopsy)，以下臨床與病理變化敘述，何者最正確？
(1) 腎臟病理切片: Fibrinoid necrosis and medial hypertrophy of small vessels
(2) 腎臟病理切片: mesangial proliferation and cellular crescent formation
(3) 腎臟病理切片: global sclerosis of glomerulus with pericapillary fibrosis
(4) 腎臟病理切片: IgA or IgM immune deposition at glomerular area
(5) 血液檢查: hypocomplementemia (low serum C3, low serum C4)
(6) Urinalysis 有heavy proteinuria, 但很少有hematuria
(A) (1)+(3)+(6)
(B) (1)+(2)+(3)+(4)+(6)
(C) (1)+(2)+(5)+(6)
(D) (1)+(4)+(5)
(E) (1)+(2)+(3)+(4)+(5)