5. Intro to Renal Pathology

Question 1

You take a renal biopsy and view the sample under LM. You see parietal cell proliferation yielding a crescent moon shape. Within the crescent area you will also find…. (MG)

A. Fibrin
B. Macrophages
C. Plasma proteins
D. A & B
E. A & C
F. A, B, & C

Answer 1

F. A, B, & C

You will see parietal cells, fibrin, macrophages, plasma proteins, and monocytes

Question 2

A 40 year old male presents to his PCP complaining of unilateral flank pain. Urinalysis shows heavy proteinuria, free fat droplets, and fatty casts. What type of disorder does he have? (MG)

A. Nephritic
B. Nephrotic
C. Neither

Answer 2

B. Nephrotic

Question 3

A 30 year old man comes to the doctor complain of “blood when he takes a piss” a immunofluorescence study is done to help determine the cause of his issues. Which of these is not associated with a renal immunofluorescence.

A.  IgA
B.  IgE
C.  IgG
D.  Kappa 
E.   IgM

RFA

Answer 3

Ans. IgE

Question 4

Which of these would be a case to Perform a Kidney Biopsy?

A. Advance renal disease with small, echogenic kidneys on ultrasound

B. Orthostatic Proteinuria

C. Patient is an adult with diabetes

D . Normal complement, normal creatinine, normal blood pressure and limited proteinuria

E. The patient is a young child with nephrotic syndrome

F. The clinical picture and associated systemic findings are fairly definitive.

RFA

Answer 4

Ans. C Patient is an adult with diabetes- you would perform a Kidney Biopsy

All the other are the exception when it not be correct to perform a Kidney Biopsy

Question 5

Creatinine a poor marker for renal function because it is influence by which of the following?

A. Fatty Diet
B. Alcohol Use
C. Muscle Mass
D. Albumin Levels
E. Urea

SZ

Answer 5

Ans C Muscle Mass

Question 6

Acute renal failure can be due to a problem with:

A. Gloms
B. Renal Tubules
C. Both

SZ

Answer 6

Ans. C Both