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Nephro Board Review

Total questions: 10

Worksheet time: 3hrs 30mins

Name
Class
Date
1.

Healthy 15 yo with 4+ Protein

a)

Eval by Nephro

b)

First morning urine sample

c)

Quantitative urine protein in a 24 hr urine sample

d)

Re-check at next health supervision visit

e)

Urine microalbumin in a 24 hr urine sample

2.

4 yo M, Recurrent facial swelling

a)

C1 esterase concentration

b)

specimen for urinalysis

c)

5-day course of diphenhydramine and prednisone

d)

reassure and DC home

e)

refer to AI

3.

12 yo M. Fam Hx: Maternal uncle had kidney failure at a young age. BP 155/85 mmHg. Hearing screen: Decreased high-freq hearing bilaterally. UA: 2+ proteinuria, 10 RBCs.

a)

Post-strep GN

b)

Minimal change disease

c)

Membranous glomerulonephritis

d)

ADPKD

e)

Alport syndrome

4.

7 yo with patellar dislocation, abnormal knee and hip XRs, and dystrophic nails

a)

CBC

b)

Serum bilirubin

c)

Serum transaminases

d)

Urinalysis

e)

C.Serum calcium and magnesium

5.

4 yo F, critically ill, with a normal anion gap metabolic acidosis

a)

Salicylate ingestion

b)

Renal tubular acidosis

c)

Ethylene glycol ingestion

d)

Uremia

e)

Diabetic ketoacidosis

6.

2 yo F, Recent AGE, Now bloody diarrhea , fever, irritability, lethargy, dry membranes, diffuse petechiae, hepatosplenomegaly. Hgb 6, Platelets 44, Creatinine 2.4.


Which of the following is most likely to be identified on additional work-up?

a)

Leukopenia

b)

C. diff toxin in the stool

c)

Helmet and burr cells on peripheral smear

d)

Decreased levels of C3 and CH50

e)

RBC casts on UA

7.

10 day old M, Midline abdominal mass in lower abdomen, weak urinary stream.

a)

Horseshoe kidney

b)

Wilms

c)

Ectopic ureter

d)

Neuroblastoma

e)

PUV

8.

15 yo Football player

•Syncopal episode during practice

•Temp 105 F

•BP 75/40

•HR 130 bpm

•Oliguria

•Dark urine

•Dipstick: +Heme

•UA: No RBCs

a)

Neutropenia

b)

Ca 12.2

c)

K 6.6

d)

Phos 1.2

e)

Elevated amylase and lipase

9.

35 week newborn sent to NICU.

•Apparent absence of abdominal musculature

•Wrinkled and redundant skin covering the abdominal wall

•Bilateral cryptorchidism

a)

Hypoplastic lower limbs

b)

Cleft lip and palate

c)

Bilateral hydronephrosis

d)

Coarctation of the aorta

e)

Biliary atresia

10.

12 yo M, Sickle cell, priapism not responding to fluids or pain meds

a)

IV Beta blocker

b)

Exchange transfusion

c)

Oral sildenafil

d)

Intracavernous phenylephrine

e)

Oral diphenhydramine