Close
15th July 2024
A 57-year-old male with a past medical history of granulomatosis with polyangiitis
A 57-year-old male with a past medical history of granulomatosis with polyangiitis (10 years ago) is seen in the rheumatology clinic with painless macroscopic haematuria. He was previously prescribed Cyclophosphamide on 3 separate occasions, though he has been well and has not needed any treatment at all in the past 5 years. Other past medical history includes CKD stage 3 and hypertension. Prescribed medications include Ramipril and Amlodipine. On examination, BP is 140/80 and he looks well. Investigations are as follows:
| Haemoglobin | 104 g/L (115-165) |
| White cell count | 13.0 × 10⁹/L (4.0–11.0) |
| Platelets | 302 × 10⁹/L (150-400) |
| Serum sodium | 138 mmol/L (137-144) |
| Serum potassium | 5.7 mmol/L (3.7-4.4) |
| Serum creatinine | 199 µmol/L (60-110) |
| Erythrocyte sedimentation rate | 75 mm/hr (<20) |
| Urinalysis | blood ++ |
Which of the following is the most likely diagnosis?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
Complete Guide to Clinical Genetics ST3 Application and Recruitment (2027)
Written by Medibuddy. Last updated: October 2026. Clinical Genetics is
Complete Guide to Clinical Radiology ST3 Application and Recruitment (2027)
Recruitment paused: NHS England is not running Clinical Radiology ST3+ recru
Complete Guide to Paediatric Surgery ST3 Application and Recruitment in United Kingdom (2026)
Written by Medibuddy. Last updated: October 2026. If you’re planning
Take your subscriptions with you
Our mobile app allows you to access your interview and exam question banks wherever you are.
