Genitourinary and Renal System Disorders Flashcards
7 cards from real Physician Assistant practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Genitourinary and Renal System Disorders flashcards as text
A 6-year-old develops cola-colored urine, periorbital edema, and hypertension 2 weeks after pharyngitis. Which lab is expected?
Answer: Low C3 complement
Post-streptococcal glomerulonephritis causes transiently low C3 that normalizes within 6-8 weeks.
A 22-year-old man has gross hematuria 1-2 days after an upper respiratory infection. What is the most likely diagnosis?
Answer: IgA nephropathy
IgA nephropathy classically causes synpharyngitic hematuria within days of a mucosal infection.
A patient has hemoptysis and rapidly progressive glomerulonephritis with linear IgG deposits on immunofluorescence. What is the diagnosis?
Answer: Goodpasture syndrome
Linear IgG deposition along the GBM is characteristic of anti-GBM (Goodpasture) disease.
Which nephrotic syndrome is most commonly associated with HIV and heroin use and has a predilection for Black patients?
Answer: Focal segmental glomerulosclerosis
FSGS (collapsing variant in HIV) is associated with HIV, heroin, obesity, and APOL1 variants.
An adult with nephrotic syndrome and anti-PLA2R antibodies most likely has which condition?
Answer: Membranous nephropathy
Anti-phospholipase A2 receptor antibodies are found in most cases of primary membranous nephropathy.
Patients with nephrotic syndrome are at increased risk of which complication due to urinary loss of antithrombin III?
Answer: Renal vein thrombosis
Loss of antithrombin III creates a hypercoagulable state, most notably causing renal vein thrombosis.
A young man has hematuria, sensorineural hearing loss, and anterior lenticonus. What is the most likely diagnosis?
Answer: Alport syndrome
Alport syndrome results from type IV collagen defects affecting the kidney, ear, and eye.
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