Answer 30

30.  Choice D is the correct answer.  RPGN typically needs dialysis or transplant when it dose not reverse.  ANCA antibodies are associated with this disease.   RPGN typically presents in the 50s to 60s.

Question 30

30.   Which of the following is not true regarding Rapidly Progressing Glomerulonephritis (RPGN)?

A.  Usually affects people in their 50s to 60s

B.  Can be idiopathic or associated with Good Pasteur's Syndrome or Post Streptococcal Glomerulonephritis 

C.  ANCA antibodes are associated with this disease

D.  This condition usually resolves itself without any long term sequelae

Answer 29

29.  Choice A is the correct answer.  Genetic testing is needed for definitive diagnosis.  Kidney biopsy is not needed or indicated for diagnosis of polycystic kidney disease.  Renal ultrasound may arise some suspicion for PCKD.  Urinalysis is not helpful with patients with polycystic kidney disease.

Question 29

29.  Definitive diagnosis of Polycystic Kidney Disease is made by:

A.  Genetic testing
B.  Kidney Biopsy
C.  Renal Ultrasound
D.  Urinalysis

Answer 28

28.  Choice D is the correct answer.  Volume depletion, hypertonic saline administration and water loss into cells cause hypernatremia.  Addison's disease actually causes hyponatremia.

Question 28

28.  Which of the following are causes of hypernatremia except:

A.  Volume Depletion
B.  Hypertonic saline administration
C.  Water loss into cells
D.  Addison's disease

Answer 27

27.  Choice B is the correct answer.  Serum complement levels are usually high.  PSGN usually presents 7-10 days after a GABHS infection.  PSGN presents with oliguria, edema, and hypertension.

Question 27

27.  All of the following are characteristics of post-streptococcal glomerulonephritis except:

A.  Usually occurs 7-10 days after then initial Group A Beta Hemolytic Streptococcal infection

B.  Serum complement levels are usually high

C.  Presents with oliguria and edema

D.  Presents with hypertension

Answer 26

26.  Choice D is the correct answer.  Ketones are not characteristic of glomerulonephritis.  RBC's with casts and proteinuria are typical of glomerulonephritis.  Proteinuria typically exceeds 3.5 grams per day.

Question 26

26.  All of the following are characteristics seen in the urine with glomerulonephritis but:

A.  Hematuria
B.  RBC casts
C.  Proteinuria
D.  Ketones