renal path review 2

7/28/2019 Renal Path Review 2

1/11

R e n a l

Pa t h o l o g yR e v i e w

R e n a l

Pa t h o l o g yR e v i e w


2/11

Qu e s t i o n # 6Qu e s t i o n # 6

n This glomerulus was obtained

from which of the followingpatients ?

a) A 26-year old woman witha butterfly rash

b) A 25-year-old man withhemoptysis and hematuria

c) An 68-year old woman withthe nephrotic syndrome andprogressive renal failure

d) A 10-year-old boy with

smoky urine who isrecovering from astreptococcal infection

e) A 3 year-old boy with repeatedbouts of hematuria


3/11

A c u t e Po s t -S t r e p t o c o c c a lG l o m e r u l o n e p h r i t i s

A c u t e Po s t -S t r e p t o c o c c a lGl o m e r u l o n e p h r i t i s

IgG


4/11

n The most likely clinicalpresentation in thispatient was:

a) Nephrotic syndrome

b) Rapidly progressiverenal failure

c) Abdominal mass

d) Flank pain

e) Recurrent hematuria

Question #7Question #7 IgA


5/11

I g A N e p h r o p a t h yI g A N e p h r o p a t h y


6/11


n

The ultrastructural findings in thisglomerulus are most consistent withwhich of the following histologic orlaboratory abnormalities?

a) Normal-appearing glomeruli with

routine stainsb) Crescent formation in Bowman's

capsule

c) Serum and urine monoclonal IgGkappa immunoglobul in

d) Low C3 complement levels in theserum

e) Positive ASO titer in the serum


7/11


n The photomicrograph is representativeof the majority of glomeruli (x300) in arenal biopsy performed on a 58-year-oldman with a colon cancer. He hasgeneralized pit ting edema andhypertension, and urinalysis revealed a 4+ dipstick protein and a sediment withrefractile casts that demonstrate Maltesecrosses on polarization. On the basis ofthese findings, the best diagnosis is ?

a) Rapidly progressiveglomerulonephritis

b) Membranous glomerulonephritisc) Minimal change disease

d) Foal segmental glomerulosclerosis

e) Poststreptococcal glomerulonephritis


8/11

M e m b r a n o u s

G l o m e r u l o n e p h r i t i s

M e m b r a n o u s

G l o m e r u l o n e p h r i t i s


9/11


10/11

Di a b e t i c

G l o m e r u l o s c l e r o s i s

D i a b e t i c

G l o m e r u l o s c l e r o s i s


11/11

Q u e s t i o n # 1 1Qu e s t i o n # 1 1

n An adult patient with thisdisease process would be arisk for all of the followingEXCEPT

a) Hepatic cysts

b) Hypertension

c) Autosomal dominant

inheritanced) Berry aneurysms in theCircle of Will is

e) Polycythemia vera

renal path review 2

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