Chapter 302 - Glomerular diseases

Question 1

Which is the most common glomerular disease identified in cats with proteinuric CKD?
A. Immune complex glomerulonephritis
B. Glomerulosclerosis
C. Minimal change disease
D. Amyloidosis

Answer 1

A. Immune complex glomerulonephritis

Question 2

What is the average age of dogs with glomerular disease?
A. 5.3 years
B. 6.3 years
C. 7.3 years
D. 8.3 years
Bonus - are cats with glomerular disease often young, middle aged or older?

Answer 2

D. 8.3 years

Question 3

Which of the following is true?
A. Dogs with ICGN have a lower UPC
B. The overlap in UPC is too broad to be a reliable predictor
C. Cats with amyloidosis have a UPC >6
D. Dogs and cats with glomerulosclerosis have a UPC >10

Answer 3

B. The overlap in UPC is too broad to be a reliable predictor

Question 4

Other than a significantly elevated UPC what other finding can be consistent with glomerular disease?
A. An alkaline pH
B. Increased white blood cells on urine sediment
C. Hyposthenuria
D. Retained urine concentrating ability

Answer 4

D. Retained urine concentrating ability

Question 5

Which of the following is not found in nephrotic syndrome?
A. Hypoalbuminemia
B. Proteinuria
C. Hypocholesterolemia
D. Edema

Answer 5

C. Hypocholesterolemia

Question 6

Nephritic syndome is reported in humans with hematuria and red blood cell casts with 1 or more of the following: subnephrotic proteinuria, edema, hypertension, azotemia, and oliguria. Which infectious disease is described as a nephritic like syndrome in dogs?
A. Lymes disease
B. Leptospirosis
C. E.Coli pyelonephritis
D. Dioctophyme renale

Answer 6

A. Lymes disease

Question 7

Membranoproliferative glomerulonephritis has been identified as a familial disease in what breed?
A. Cocker Spaniel
B. Bernese Mountain Dog
C. Shiba Inu
D. Basenji

Answer 7

B. Bernese Mountain Dog

Question 8

Which of the following is not an immune complex glomerulonephropathy?
A. Membranoproliferative glomerulonephritis
B. Membranous nephropathy
C. Proliferative glomerulonephritis
D. Glomerulosclerosis

Answer 8

D. Glomerulosclerosis

Question 9

What stain is used to identify amyloidosis?
A. Congo red
B. Emerald purple
C. Sky blue
D. Sunshine yellow
Bonus – what colour does amyloid stain?

Answer 9

A. Congo red

Question 10

Which cat breed does amyloid accumulate in the renal medulla (though glomerular involvement has been described) and has an increased serum amyloid A?
A. Ragdoll
B. Persian
C. Abysinnian
D. Toyger

Answer 10

C. Abysinnian

Question 11

When commencing antiproteinuric treatment what is considered a significant increase in creatinine that would indicate dose reduction should be considered?
A. 10%
B. 20%
C. 30%
D. 40%

Answer 11

C. 30%