A 58-Year-Old Man Comes to the Office Due to Urinary

A 58-year-old man comes to the office due to urinary symptoms.  Over the past year, he has had difficulty initiating urination and a weakened urine stream.  He also has frequent nocturnal voiding.  The patient has not passed any visible blood clots and has had no dysuria, fever, recent illnesses, or urinary trauma.  He has no other medical conditions and takes no medications.  Vital signs are within normal limits. 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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