PANCE_renal 5%

Question 1

(NCCPA practice exam)
“Which of the following studies is most appropriate to confirm the suspected diagnosis of IgA nephropathy?”

Answer 1

(UpToDate)
KIDNEY BIOPSY

“The diagnosis of IgAN is confirmed by kidney biopsy, with immunofluorescence or immunoperoxidase staining demonstrating the presence of dominant or co-dominant deposition of IgA. There are no specific laboratory findings that can be used to reliably diagnose IgAN”

Question 2

(UpToDate)
what is the MC cause of primary or idiopathic glomerulonephritis in resource-abundant settings?

Answer 2

IgA NEPHROPATHY

“IgA nephropathy (IgAN) is the most common cause of primary (idiopathic) glomerulonephritis in resource-abundant settings.”

Question 3

(CME)
what are the two glomerulonephropathies?

Answer 3

nephritic syndrome

nephrotic syndrome

Question 4

(CME)
common presentations of nephritic syndromes

Answer 4

HTN
hematuria, RBC casts
mild proteinuria

Question 5

(CME)
common presentations of nephrotic syndromes

Answer 5

apple + seed
a = albuminemia, hypO
pp = protein protein (double, heavy proteinuria > 3.5 g/24 hr)
l = lipid, hyper
e = edema

seed = clots (hypercoaguable)

apple shape = “O” for the O in nephrOtic