58-year-old Man in Medicine / Internal Medicine — 58yo Man | Nephrology | SMLE Q#16508
SMLE Question #16508
Medicine / Internal Medicine
Nephrology
Objective: OBJ-188
Last updated: February 2026
A 58-year-old man is evaluated after routine testing shows progressive kidney dysfunction. He has a 15-year history of poorly controlled hypertension and no history of diabetes mellitus. Examination shows mild bilateral ankle edema. Funduscopic examination shows arteriovenous nicking. Laboratory results are shown. What is the most likely cause of his chronic kidney disease?
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