MCQ – 88889

Question

A 20-year-old woman presents with bilateral conductive deafness, palpable purpura on the legs, and hemoptysis. A radiograph of the chest shows a thin-walled cavity in the left lower zone. Investigations reveal red cell casts in the urine and an elevated serum creatinine level (3 mg/dL). What is the most probable diagnosis?

A. Henoch-Schonlein purpura

B.

Polyarteritis nodosa

C.

Granulomatosis with polyangiitis

D.

Disseminated tuberculosis

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