Nephritic and Nephrotic Syndromes Quiz
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Question 1 |
Which nephrotic syndrome has a "tram-track" appearance on light microscopy?
Berger's disease | |
Diffuse proliferative glomerulonephritis | |
Diabetic glomerulonephritis | |
RGPN | |
Membranoproliferative glomerulonephritis |
Question 2 |
This image shows apple-green birefringence with Congo-red stain on light microscopy.
What nephrotic disease would you suspect?
Diabetic glomerulonephropathy | |
Wegener's granulomatosis | |
Minimal change disease | |
Amyloidosis |
Question 3 |
Which syndrome shoes a spike and dome appearance on electron microscopy?
Alport syndrome | |
Goodpasture syndrome | |
Accute post streptococcal GN | |
Berger's disease (IgA nephropathy) | |
Membranous glomerulonephritis |
Question 4 |
A woman with a history significant for lupus is found to have 2.3 grams of protein in her urine each day. In the investigation you find wire looping of the capillaries on light microscopy. Which of the following tops your differential?
Diffuse proliferative glomerulonephritis | |
Focal segmental glomerulosclerosis | |
Rapidly progressive Glomerulonephritis | |
IgA nephropathy |
Question 5 |
What is a defining feature of minimal change disease?
Effacement of the foot processes on electron mycroscopy | |
Segmental sclerosis on light microscopy | |
Blunting of the villi on light microscopy | |
Slight visible changes of the glomeruli on light microscoty |
Question 6 |
What type of hypersensitivity is Goodpasture syndrome?
Type II | |
Type IV | |
Type I | |
Type III |
Question 7 |
Which of the following characteristics is used to define a nephritic syndrome?
Red Blood Cell casts in urine with a decreased BUN and creatinine | |
Fatty casts in urine | |
Polyuria and hypotension | |
Protein in the urine (under 3.5 grams per day) |
Question 8 |
Which nephrotic syndrome is associated with HIV?
Focal Segmental Glomerulosclerosis | |
IgA Nephropathy | |
Minimal Change Disease | |
Amyloidosis |
Question 9 |
A patient complains of excessively frothy urine when he uses the toilet in the morning. Thickening of the glomerular basement membrane and Kimmelstiel-Wilson lesions are seen on light microscopy.
What has been the major cause of this patients current condition?
SLE | |
Recent streptococcal infection | |
Antibodies to the glomerular and alveolar basement membranes | |
Poor control of glucose levels |
Question 10 |
Which of the following is NOT a part of the body affected in Alport syndrome?
Kidneys | |
Eyes | |
Ears | |
Liver |