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Renal Pathology Quiz

Total questions: 19

Worksheet time: 10mins

Name
Class
Date
1.

In FSGS, what cellular component is primarily affected leading to proteinuria?

a)

Endothelial cells

b)

Podocytes

c)

Mesangial cells

d)

Tubular epithelial cells

2.

What protein is primarily involved in the pathogenesis of Alport's syndrome?

a)

Collagen Type I

b)

Collagen Type II

c)

Collagen Type III

d)

Collagen Type IV

3.

What is the inheritance pattern of Alport's syndrome in most cases?

a)

Autosomal recessive

b)

Autosomal dominant

c)

X-linked

d)

Mitochondrial

4.

Which of the following is the most common cause of nephrotic syndrome in adults?

a)

Minimal Change Disease

b)

FSGS

c)

Membranous nephropathy

d)

Diabetic nephropathy

5.

Which renal pathology is associated with subepithelial humps on electron microscopy?

a)

Minimal Change Disease

b)

FSGS

c)

Post-infectious glomerulonephritis

d)

Diabetic nephropathy

6.

Which genetic mutation is most commonly associated with Nephrotic Syndrome due to Minimal Change Disease?

a)

NPHS1

b)

NPHS2

c)

ACTN4

d)

No genetic mutation

7.

In which of the following conditions is the presence of kappa light chains in the urine a diagnostic feature?

a)

Nephrotic syndrome

b)

Multiple myeloma

c)

Alport's syndrome

d)

IgA nephropathy

8.

What is a common complication of renal cysts in ADPKD patients?

a)

Hypercalcemia

b)

Renal cell carcinoma

c)

Glomerulonephritis

d)

Tubulointerstitial nephritis

9.

Which of the following is a key feature of rapidly progressive glomerulonephritis (RPGN)?

a)

Slow progression over years

b)

Crescent formation in glomeruli

c)

Lack of proteinuria

d)

Normal kidney size on ultrasound

10.

What is the gold standard for diagnosing FSGS?

a)

Serum creatinine measurement

b)

Renal biopsy

c)

Urinalysis

d)

Genetic testing

11.

Which of the following is a hallmark feature of Thin Basement Membrane Disease (TBMD)?

a)

Nephrotic syndrome

b)

Persistent hematuria

c)

Severe proteinuria

d)

Rapidly progressive glomerulonephritis

12.

What is the primary treatment strategy for managing hypertension in patients with ADPKD?

a)

Beta-blockers

b)

ACE inhibitors or ARBs

c)

Calcium channel blockers

d)

Diuretics

13.

What is the primary genetic defect in Autosomal Recessive Polycystic Kidney Disease (ARPKD)?

a)

PKHD1 gene

b)

PKD1 gene

c)

PKD2 gene

d)

HNF1B gene

14.

Which gene is commonly mutated in Autosomal Dominant Tubulointerstitial Kidney Disease (ADTKD)?

a)

PKD1

b)

PKD2

c)

UMOD

d)

NPHS1

15.

What is a common presenting symptom of IgA nephropathy?

a)

Hypokalemia

b)

Hypercalcemia

c)

Hematuria

d)

Hypertension

16.

In ADPKD, what is the role of the PKD2 gene?

a)

Codes for polycystin-1

b)

Codes for polycystin-2

c)

Codes for fibrocystin

d)

Codes for nephrin

17.

What is the most common extra-renal manifestation in patients with ADPKD?

a)

Pulmonary fibrosis

b)

Pancreatic cysts

c)

Hepatic cysts

d)

Splenic cysts

18.

What is a typical histological finding in patients with diabetic nephropathy?

a)

Segmental glomerulosclerosis

b)

Kimmelstiel-Wilson nodules

c)

Subendothelial deposits

d)

Subepithelial deposits

19.

What is the main clinical consequence of ADTKD?

a)

Nephrotic syndrome

b)

Chronic kidney disease

c)

Acute kidney injury

d)

Rapidly progressive glomerulonephritis