A 68-Year-Old Man Comes to the Office Due to a Weak

A 68-year-old man comes to the office due to a weak urinary stream, hesitancy, and straining on micturition.  These symptoms have been present for the past 2 years but have gradually become more severe and are beginning to affect his quality of life.  The patient recently started noticing continuous urine leakage, nocturia, frequent urination, and urgency.  He has no other medical problems and takes no medications.  The patient does not use tobacco or alcohol.  He is a business management consultant and motivational speaker.  Vital signs are normal.  BMI is 27 kg/m².  The patient's kidneys are most likely to demonstrate which of the following findings?

A) Glomerular sclerosis and hyalinosis
B) Hyperplastic arteriolar changes
C) Ischemic tubular necrosis
D) Parenchymal pressure atrophy
E) Tubular epithelial dysplasia

Correct Answer:

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