Peds Exam 2 latest complete update A+ graded
How many different BP readings do you need to dx a kid w/ HTN? - answers At least 3 different ones
Definition of HTN in kids - answers BP >95th percentile for age, sex and measured on at least 3 different occasions
Primary...
High or low levels in nephritic dz?
Serum Cre:
Albumin: - answers Serum Cre: High
,Albumin: Low
High or low levels in nephritic dz?
Cholesterol:
C3/C4 Complement: - answers Cholesterol: High
C3/C4 Complement: Low
Nephritic vs Nephrotic
RBC casts - answers Nephritic
12 yo M pt presents w/ gross hematuria, flank pain and coca colored urine. They had an
URI 48 hours ago. Dx?
a) IgA Nephropathy
b) Alport syndrome
c) Poststreptococcal GN
d) Minimal change dz
e) Henoch-Schonlein Purpura - answers a) IgA Nephropathy
M or F for IgA Nephropathy? - answers M
IgA Nephropathy AKA - answers Berger dz
Pathophys in Berger dz? - answers IgA immune complexes 1st line defense against
URI/GI infx overproduce & damage kidneys
Definitive dx of Berger dz? - answers Renal biopsy (+ IgA deposits in the mesangium)
Mgmt of IgA Nephropathy? - answers ACEi/ARB for proteinuria
BP control
7 yo boy peeing blood, had pharyngitis 3 weeks ago?
a) IgA Nephropathy
b) Alport syndrome
c) Poststreptococcal GN
d) Minimal change dz
e) Henoch-Schonlein Purpura - answers c) Poststreptococcal GN
7 yo boy peeing blood, has impetigo 5 weeks ago?
a) IgA Nephropathy
b) Alport syndrome
c) Poststreptococcal GN
d) Minimal change dz
e) Henoch-Schonlein Purpura - answers c) Poststreptococcal GN
M or F for Poststreptococcal GN? - answers M
Poststreptococcal GN
, Group A strep pharyngitis. How long ago? - answers 1-3 weeks
Poststreptococcal GN
Group A strep impetigo. How long ago? - answers 3-6 weeks
Best lab to get to check for recent group A strep when pt presents w/
glomerulonephritis? - answers Ab titers
(Cultures might not be positive anymore)
MC Ab titer to get for Poststreptococcal GN? - answers Anti-streptolysin (ASO)
Which 2 Ab titers are seen w/ impetigo?
a) AHase
b) Anti-NAD
c) ASO
d) Anti-DNase B Ab
e) ASKase - answers a) AHase
d) Anti-DNase B Ab
Nephritic vs Nephrotic
Immune mediated - answers Nephritic
Pt presents w/ hematuria, arthralgia, abd pain and rash. Dx?
a) IgA Nephropathy
b) Alport syndrome
c) Poststreptococcal GN
d) Minimal change dz
e) Henoch-Schonlein Purpura (HSP) - answers e) HSP
MC systemic vasculitis of childhood - answers Henoch-Schonlein Purpura (HSP)
M or F for HSP? - answers M
Tetrad of HSP? - answers 1) Rash (palpable purpura)
2) Arthralgia/arthritis
3) Abd pain
4) Renal dz
Is palpable purpura blanchable from HSP? - answers No
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