Nephrology MCQ for NEET PG & FMGE

A 33-year-old male with a history of proteinuria 15 years ago, left untreated. Developed nausea and vomiting 3 weeks ago. Examination: BP 190/120 mmHg, mild lower limb edema, serum creatinine 360 μmol/L, ultrasound shows bilateral kidney shrinkage. The most likely primary disease is:

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