1.

Acute glomerulonephritis is common after infection with:

A. Pseudomonas
B. Group A streptococci
C. Listeria
D. Plasmodium
E. Staphylococcus


Answer B.
2. Causes of rapidly progressive Glomerulonephritis.all are true except
A. SLE
B. aggressive phase of certain inflammatory nephritis like IgA nephropathy
C. Goodpasture's syndrome
D. post-infectious glomerulonephritis
E. memebranous nephropathy
Answer E.
3. Each of the following is true of acute poststreptococcal glomerulonephritis except:


A. becomes rapidly progressive glomerulonephritis in 50% of children
B. is a proliferative glomerulonephritis
C. preceded by infective episode
D. shows dome-shaped subepithelial humps
E. usually affects children

Answer A.

4. The majority of patients with acute post-streptococcal glomerulonephritis:
A. die from congestive heart failure in a few weeks
B. die from renal failure in a few weeks
C. pass through a latent period but eventually develop chronic glomerulonephritis
D. progress through subacute phase to chronic glomerulonephritis
E. recover completely
Answer E.

5. A 12-year-old boy with septicemia develops hematuria, hypertension, and oliguria.
Microscopic examination reveals enlarged glomeruli with diffuse mesangial and
endothelial hypercellularity. The best diagnosis is:
A. acute cortical necrosis
B. acute proliferative glomerulonephritis
C. membranoproliferative glomerulonephritis
D. rapidly progressive glomerulonephritis

Answer B.

6. A patient with hemoptysis and renal failure has a renal biopsy which reveals
crescentic proliferative glomerulonephritis. Immunofluorescence reveals linear
deposits of IgG and C3. The diagnosis is:
A. acute post-infectious glomerulonephrities
B. membranous nephropathy
C. Goodpastures syndrome
D. minimal change disease

Answer C.
7. The most characteristic feature of rapidly progressive glomerulonephritis is
A. crescent formation
B. hyaline nodules
C. sub-epithelial dense deposits
D. thickened capillary loops
E. wire-loop lesion
Answer A.
8. Membranous glomerulopathy and post-streptococcal glomerulonephritis are similar in
that they both:
A. are self-limiting and transient renal diseases
B. are commonly associated with the nephrotic syndrome
C. are most commonly seen in children
D. have glomerular immune complex deposits
E. occur most frequently following an infectious disease

Answer D.

9. Deposition of IgG on or in the glomerular basement membrane can be seen in all of
the following except:
A. acute post-streptococcal glomerulonephritis
B. minimal change glomerulonephritis
C. lupus erythematosis glomerulonephritis
D. Goodpastures syndrome
E. membranous nephropathy
Answer B.

10. Which is the most characterstic feature in the urine sediment of patients with post
streptococcal glomerulonephritis
A. epithelial casts
B. white cell casts
C. red blood cells and casts
D. marked proteinuria
Answer C.

11. A 10-year-old boy has an episodic history of developing pink-staining urine shortly
after an upper respiratory infection. The patient is normotensive and afebrile. The urine
reagent strip test is positive for blood and shows mild to moderate amounts of protein. The
antistreptolysin O titer, anti-DNase B titer, and serum antinuclear antibody (ANA) test are all
negative. Urinalysis shows RBCs and RBC casts. Which of the following is the most likely
diagnosis?
A. Diffuse membranous glomerulopathy
B. Glomerulonephritis in systemic lupus erythematosus (SLE)
C. IgA glomerulonephritis
D. Minimal change disease
E. Poststreptococcal glomerulonephritis
Answer C.


12. Urinalysis results include proteinuria, many red blood cells and red blood cell casts, and
12 white blood cells per high power field. Which of the following diseases best fits with
these findings?
A. acute cystitis
B. acute pyelonephritis
C. chronic pyelonephritis
D. acute post-streptococcal glomerulonephritis
E. minimal change disease
Answer D.

13. Red cell casts in the urine would be compatible with:
A. a ureteral calculus
B. a transitional cell carcinoma of the renal pelvis
C. anti-glomerular basement membrane antibody induced renal lesion
D. a foreign body in the urinary bladder

Answer C.