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A 15-Year-Old Male Presents with Hematuria, Hearing Loss, Lens Dislocation

Question 10

Multiple Choice

A 15-year-old male presents with hematuria, hearing loss, lens dislocation, and the onset of cataracts. Genetic analysis reveals a mutation in the COL4A5 gene. Transmission EM examination of a renal biopsy confirms that the disorder has affected a component of the renal corpuscles in which damage disrupts normal glomerular filtration. Which one of the following structures would most likely be abnormal in the TEM of this patient's biopsy?


A) Pedicels
B) Filtration slits
C) Slit diaphragms
D) Glomerular basement membranes
E) Fenestrated endothelium of glomerular capillaries

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