Lupus nephritis Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 38-year-old woman comes to the clinic complaining of pain in her hands for several months. The pain is characterized by an intermittent aching in both of the wrists and the bases of the fingers that lasts for hours at a time. The patient also feels warm at night and has not had much of an appetite recently. The patient’s temperature is 37.6 C (99.6 F), pulse is 77/min, respirations are 14/min, and blood pressure is 145/85 mmHg. Physical examination shows mild symmetric swelling of the wrists, metacarpophalangeal, and proximal interphalangeal joints bilaterally, without tenderness on palpation. There are no skin lesions. Laboratory studies show the following:  
 
Laboratory value  Result
 Hemoglobin  14.0 g/dL 
 Platelets  100,000/mm3 
 Leukocytes   3,500/mm3 
Further evaluation with urinalysis shows proteinuria and red blood cell casts.    

Which of the following is the most common cause of death in patients with this condition?  

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