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Nephritic Syndrome Pathology

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  1. Front
    Nephritic syndrome is characterized by which of the following?
    Back
    RBC casts and dysmorphic RBCs in urine
  2. Front
    Which of the following is most characteristic of nephritic syndrome?
    Back
    Oliguria and azotemia
  3. Front
    A patient with nephritic syndrome most commonly develops which of the following?
    Back
    Salt retention with periorbital edema and hypertension
  4. Front
    Renal biopsy in nephritic syndrome most commonly shows which of the following?
    Back
    Hypercellular, inflamed glomeruli
  5. Front
    Glomerular injury in nephritic syndrome is primarily mediated by which of the following?
    Back
    Immune-complex deposition activating complement
  6. Front
    Which complement fragment attracts neutrophils in nephritic syndrome?
    Back
    C5a
  7. Front
    A child develops cola-colored urine 2 weeks after streptococcal pharyngitis. Which diagnosis is most likely?
    Back
    Poststreptococcal glomerulonephritis
  8. Front
    Poststreptococcal glomerulonephritis most commonly occurs after infection with which organism?
    Back
    Group A beta-hemolytic streptococcus
  9. Front
    Poststreptococcal glomerulonephritis typically presents how long after infection?
    Back
    2 to 3 weeks
  10. Front
    Which of the following is the classic urine appearance in poststreptococcal glomerulonephritis?
    Back
    Cola-colored urine
  11. Front
    Which age group is most commonly affected by poststreptococcal glomerulonephritis?
    Back
    Children
  12. Front
    Immunofluorescence in poststreptococcal glomerulonephritis most commonly shows which pattern?
    Back
    Granular
  13. Front
    Electron microscopy in poststreptococcal glomerulonephritis classically reveals which finding?
    Back
    Subepithelial humps
  14. Front
    Which of the following is the usual treatment for poststreptococcal glomerulonephritis?
    Back
    Supportive care
  15. Front
    Which of the following is a possible complication of poststreptococcal glomerulonephritis in adults?
    Back
    Rapidly progressive glomerulonephritis
  16. Front
    Rapidly progressive glomerulonephritis is defined as nephritic syndrome that progresses to renal failure over what period?
    Back
    Weeks to months
  17. Front
    Which histologic finding is characteristic of rapidly progressive glomerulonephritis?
    Back
    Crescents in Bowman space
  18. Front
    Crescents in rapidly progressive glomerulonephritis are composed primarily of which of the following?
    Back
    Fibrin and macrophages
  19. Front
    Which immunofluorescence pattern is classically seen in Goodpasture syndrome?
    Back
    Linear
  20. Front
    Goodpasture syndrome is caused by antibodies directed against which structure?
    Back
    Type IV collagen in basement membranes
  21. Front
    A young man with hematuria and hemoptysis most likely has which condition?
    Back
    Goodpasture syndrome
  22. Front
    Which of the following diseases is associated with pauci-immune rapidly progressive glomerulonephritis?
    Back
    Wegener granulomatosis
  23. Front
    Which antibody is associated with Wegener granulomatosis?
    Back
    c-ANCA
  24. Front
    Which diseases are associated with p-ANCA?
    Back
    Microscopic polyangiitis and Churg-Strauss syndrome
  25. Front
    Which of the following findings helps distinguish Churg-Strauss syndrome from microscopic polyangiitis?
    Back
    Granulomatous inflammation, eosinophilia, and asthma
  26. Front
    IgA nephropathy is caused by deposition of which substance in the mesangium?
    Back
    IgA immune complexes
  27. Front
    IgA nephropathy is the most common nephropathy in which setting?
    Back
    Worldwide
  28. Front
    A child develops episodic hematuria after a respiratory infection. Which diagnosis is most likely?
    Back
    IgA nephropathy
  29. Front
    Which urine finding is commonly seen in IgA nephropathy?
    Back
    RBC casts
  30. Front
    Immunofluorescence in IgA nephropathy most commonly shows deposition of which substance?
    Back
    IgA in mesangium
  31. Front
    Which of the following nephritic syndromes is most likely to slowly progress to renal failure?
    Back
    IgA nephropathy
  32. Front
    Which of the following is a hallmark clinical feature of nephritic syndrome but not nephrotic syndrome?
    Back
    Hematuria with red cell casts
  33. Front
    Hypertension in nephritic syndrome is primarily due to which of the following?
    Back
    Fluid retention and increased renin release
  34. Front
    Oliguria in nephritic syndrome results primarily from which of the following?
    Back
    Reduced GFR
  35. Front
    Which of the following is most likely to produce a nephritic syndrome with diffuse proliferative glomerulonephritis?
    Back
    Systemic lupus erythematosus
  36. Front
    Which immunofluorescence pattern is most likely in diffuse proliferative glomerulonephritis due to lupus?
    Back
    Granular
  37. Front
    Which of the following nephritic conditions is associated with hemoptysis?
    Back
    Goodpasture syndrome
  38. Front
    Which type of rapidly progressive glomerulonephritis has negative immunofluorescence?
    Back
    Pauci-immune RPGN
  39. Front
    Which of the following is most characteristic of anti-GBM disease on immunofluorescence?
    Back
    Linear IgG and C3 staining
  40. Front
    Which of the following findings is most characteristic of nephritic syndrome?
    Back
    Hypercellular glomeruli with leukocyte infiltration

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