UKMLA PLAB AMC USMLE Prometric MCQ

Question Number 0030
Question:
A 34 year old male with homozygous sickle cell disease is being investigated for hematuria. He gives a history suggestive of a recent urinary tract infection. He is otherwise well and examination is unremarkable. Investigation reveals a defect in urinary concentration, hyperkalemia and a hyperchloremic metabolic acidosis. The most likely pathology is

a) urethral stricture
b) pyelonephritis
c) papillary necrosis
d) recto-vesical fistula
e) ureterocoele