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renal

peter samuel 10 preguntas

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Preguntas del test (10)

  1. 1a 21 year old male presents with haemoptysis , afew days later he exoeriences sudden onset of acute renal failure , ureine analysis reveals mild proteinuria , hematuria and RBCS casts , renal biopsy reveals prominent proliferation of the capsular epithelium , which of the following involved in the pathogenesis of glomeruler disease ?
    1. Aanti basement membrane antibody
    2. Bloss of negative charge in the G.B.M
    3. Cepithelial cell injury
    4. Dimmuno complex
  2. 2a 48 year old female presents with blood presure 150/105 and impaired renal function , renal biopsy reveals hyaline thickening involving walls of smaller blood vessels with luminal narrowing the most probable diagnosis will be
    1. Aacute pyelonephritis
    2. Bchronic pyelonephritis
    3. Cbegnin nephrosclerosis
    4. Dmalignant nephrosclerosis
    5. Erenal artery stenosis
  3. 3a 25 year old woman has benn hospitalized for treatment of staphylococcis aureus abscess of her left thigh , two weeks later she developed a fever and a diffure erythematous skin rash on her trunk and extremities , a urine analysis show ph 6.5,+blood,+ protein no glucose , which of the following is the most likely diagnosis
    1. Aacute tubular necrosis
    2. Banalgesic abuse nephropathy
    3. Cdrug induced interstitial nephritis
    4. Dpost infectious glomerulonephritis
    5. Eurinary tract infection
  4. 4a 40 year old previously healthy man has the sudden onset of severe right flank pain that comes in waves all night along , urine analysis reveals no glucose or protein but many RBCs few WBCS are present which of the following is the most likely diagnosis ?
    1. Abenigin prostatic hyperplasia
    2. Bmembranous glomerulonephritis
    3. Cureteral calculus
    4. Drenal angiomyolipoma
    5. Eurothelial carcinoma of bladder
  5. 5a 20 year old previously healthy man has been feeling tired for the past 5 days , hw goes to his physician when he passes dark colored urine , on physical examination in blood pressure is 155/90 mmhg , lab studies show his serum creatinine is 4.4mg/dl , a urine analysis reveals ph 6 , +blood + protein and no glucose , on urine microscopic examination there are numerous RBC cast which of the following pathologic findings on renal biopsy is most likely to be present in this man ?
    1. Aglomerular crescents
    2. Bwidened proximal tubules
    3. Cpolymorphonuclear infiltirate
    4. Dlipiduria
    5. EIgA deposited in glomerular capillary wall
  6. 6a 43 year old man has increasing malaise for the past 3 weeks , on physical examination he has a blood pressure of 150/95mmhg and mild pitting edema of the lower extremities . a 24 hour urine protein is 4.1mg , serum creatinine is 2.2mg/dl . his hepatitis B surface antigen is postive , which of the following is most likely diagnosis ?
    1. Amembranous glomerulonephritits
    2. Bsystemic lupus erythematosus
    3. Cacute tubular necrosis
    4. Ddiabetic nephropathy
    5. Epost streptococcal glomerulonephritis
  7. 7renal biopsy obtained from patient with nephritic syndrome , EM examination has revealed fusion of food processes and denuded irregular basement membrane dire to detachement of eipthelial , which of the following condition give this EM picture ?
    1. Amembranoproliferative glomerulonephritis
    2. Bminimal change glomerulonephritis
    3. Cfocal segmental glomerulonephritis
    4. Dgoodpasture syndrome
    5. Ediffuse glomerulosclerosis
  8. 8a 50 year old man presented with hematuria on examination there was a renal mass , renal biopsy revealed masses of polygonal cells , having dark cytoplasm and clear zone around the nuclei , in addition there are areas of hemorrhage and necrosis what is the probable diagnosis ?
    1. Aoncocytoma
    2. Bangiomyolipoma
    3. Ctransitional cell carcinoma
    4. Dlipoma
    5. Erenal cell carcinoma
  9. 9a 11 year old boy was seen by the family physician beacause of increasing lethargy , urine analysis revealed 3+ proteinuria , found to be dure to both albumin and immunoglobulins , a 24 hour urine protein was 2.1gm , his serum complement c3 and c4 were normal , his antinuclear antibody test was negative the child did not improve despite corticsteroid therapy , the most likely diagnosis ?
    1. Amembranous glomerulonephritis
    2. Bminimal change GN
    3. Csystemic lupus erythematosus
    4. Dfocal segmental GN
    5. Emembranoprolifrative GN
  10. 10a 3 year old child dose not want to eat much at meals . the pediatrician notes an enlarged abdomen and can palpate a mass on the right , an abdominal Ct scan revealed a 10 cm solid mass involving the right kidney , the resected mass has the microscopic appearance of small blue cells with primitive tubular structures which of the following neoplasms is most likely to account for these findings ?
    1. Aangiomyolipoma
    2. Brenal cell carcinoma
    3. Ctansitional cell carcinoma
    4. Dwilms tumor
    5. Emedullary fibroma

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renal quiz
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