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WorksheetsNephro Board Review
Total questions: 10
Worksheet time: 3hrs 30mins
Healthy 15 yo with 4+ Protein
Eval by Nephro
First morning urine sample
Quantitative urine protein in a 24 hr urine sample
Re-check at next health supervision visit
Urine microalbumin in a 24 hr urine sample
4 yo M, Recurrent facial swelling
C1 esterase concentration
specimen for urinalysis
5-day course of diphenhydramine and prednisone
reassure and DC home
refer to AI
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.
Post-strep GN
Minimal change disease
Membranous glomerulonephritis
ADPKD
Alport syndrome
7 yo with patellar dislocation, abnormal knee and hip XRs, and dystrophic nails
CBC
Serum bilirubin
Serum transaminases
Urinalysis
C.Serum calcium and magnesium
4 yo F, critically ill, with a normal anion gap metabolic acidosis
Salicylate ingestion
Renal tubular acidosis
Ethylene glycol ingestion
Uremia
Diabetic ketoacidosis
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?
Leukopenia
C. diff toxin in the stool
Helmet and burr cells on peripheral smear
Decreased levels of C3 and CH50
RBC casts on UA
10 day old M, Midline abdominal mass in lower abdomen, weak urinary stream.
Horseshoe kidney
Wilms
Ectopic ureter
Neuroblastoma
PUV
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
Neutropenia
Ca 12.2
K 6.6
Phos 1.2
Elevated amylase and lipase
35 week newborn sent to NICU.
•Apparent absence of abdominal musculature
•Wrinkled and redundant skin covering the abdominal wall
•Bilateral cryptorchidism
Hypoplastic lower limbs
Cleft lip and palate
Bilateral hydronephrosis
Coarctation of the aorta
Biliary atresia
12 yo M, Sickle cell, priapism not responding to fluids or pain meds
IV Beta blocker
Exchange transfusion
Oral sildenafil
Intracavernous phenylephrine
Oral diphenhydramine
