Immunofluorescence in Glomerular Lesions
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Questions and Answers

What is the characteristic immunofluorescence pattern of antigen-antibody complexes in glomerular lesions?

  • Homogeneous deposition
  • Linear deposition
  • Speckled pattern
  • Granular pattern (correct)
  • Which type of glomerulonephritis is characterized by loss of BM polyanions and reduced negative charge on the membrane?

  • Minimal Change GN (correct)
  • Membranous GN
  • Focal Segmental GN
  • Post-infectious GN
  • What is the common complication of Minimal Change GN?

  • Hematuria
  • Proteinuria (correct)
  • Nephritic syndrome
  • Hypertension
  • What is the likely cause of Minimal Change GN?

    <p>Immunologic attack</p> Signup and view all the answers

    What is the characteristic electron microscopy finding in Minimal Change GN?

    <p>Fusion of foot processes</p> Signup and view all the answers

    Which type of antibody is responsible for linear deposition of immune complexes in glomerular lesions?

    <p>Anti-GBM antibody</p> Signup and view all the answers

    What is the mechanism of antibody-mediated glomerular injury in situ?

    <p>Antigen-antibody complexes in the glomerulus</p> Signup and view all the answers

    What is the role of T-lymphocytes in Minimal Change GN?

    <p>Production of cytokines</p> Signup and view all the answers

    What is the primary focus of treatment for diabetic nephropathy?

    <p>Managing hypertension and hyperglycemia</p> Signup and view all the answers

    What is the characteristic feature of minimal change disease?

    <p>Loss of polyanions on the basement membrane</p> Signup and view all the answers

    What is the consequence of glycation in diabetic nephropathy?

    <p>Hyaline arteriosclerosis of the efferent artery, GBM thickening and dilation of the afferent artery</p> Signup and view all the answers

    What is the definition of pyelonephritis?

    <p>Inflammation of the kidney mostly due to bacterial infection</p> Signup and view all the answers

    What is the complication of diabetic nephropathy that leads to reduced GFR?

    <p>Glomerular damage</p> Signup and view all the answers

    What is the type of glomerulonephritis characterized by in situ Ag-Ab complexes?

    <p>Membranous glomerulonephritis</p> Signup and view all the answers

    What is the stage of diabetic nephropathy characterized by hyperfiltration?

    <p>Early stage</p> Signup and view all the answers

    What is the type of glomerulonephritis characterized by anti-GBM antibody?

    <p>Goodpasture's syndrome</p> Signup and view all the answers

    What is the primary characteristic of immunofluorescence in membranous GN?

    <p>Linear Immune Complex along BM</p> Signup and view all the answers

    What is the main cause of iron deficiency anemia in patients with membranous GN?

    <p>Chronic blood loss</p> Signup and view all the answers

    What is the primary mechanism of damage to the GBM in membranous GN?

    <p>BM thickening and inflammation</p> Signup and view all the answers

    What is the primary effect of hyperglycemia on the efferent arterioles in diabetic nephropathy?

    <p>Constriction</p> Signup and view all the answers

    What is the characteristic histopathological feature of diabetic nephropathy?

    <p>Kimmelstiel-Wilson nodules</p> Signup and view all the answers

    What is the long-term effect of diabetic nephropathy on the glomerular filtration rate?

    <p>Decreased GFR</p> Signup and view all the answers

    What is the primary effect of non-enzymatic glycation of protein in diabetic nephropathy?

    <p>Glycation of basement membrane</p> Signup and view all the answers

    What is the final outcome of the progression of mesangial matrix expansion in diabetic nephropathy?

    <p>Consumption of the entire glomerulus</p> Signup and view all the answers

    What is the primary reason for the concentration of protein in urine in pre-renal causes?

    <p>Reduced tissue perfusion leading to reduced GFR</p> Signup and view all the answers

    What is the primary indication of glucose in urine?

    <p>Renal glycosuria</p> Signup and view all the answers

    Which of the following is a hallmark of liver disease?

    <p>Presence of urobilinogen in urine</p> Signup and view all the answers

    What is the primary indication of hematuria in urine?

    <p>All of the above</p> Signup and view all the answers

    What is the primary difference between dysmorphic RBC and intact RBC in urine analysis?

    <p>Dysmorphic RBC is seen in glomerular disorders, while intact RBC is seen in post-renal disorders</p> Signup and view all the answers

    What is the primary indication of myoglobin in urine?

    <p>Rhabdomyolysis</p> Signup and view all the answers

    What is the primary difference between Bence Jones protein and other proteins in urine analysis?

    <p>Bence Jones protein is detectable by electrophoresis, while other proteins are detectable by dipstick</p> Signup and view all the answers

    What is the primary indication of hyaline casts in urine?

    <p>Reduced tissue perfusion leading to reduced GFR</p> Signup and view all the answers

    What is the primary outcome of Renal Tubular Acidosis (RTA)?

    <p>Basic pH of urine</p> Signup and view all the answers

    What is the underlying mechanism of Polyuria?

    <p>Defective renal concentration ability</p> Signup and view all the answers

    What is the most common type of stone formed in Nephrolithiasis?

    <p>Calcium</p> Signup and view all the answers

    What is the primary cause of supersaturation of solute in urine?

    <p>All of the above</p> Signup and view all the answers

    What is the best test to estimate Glomerular Filtration Rate (GFR)?

    <p>Inulin clearance</p> Signup and view all the answers

    What is the primary goal of Hemodialysis and Peritoneal Dialysis?

    <p>To remove waste products from the blood</p> Signup and view all the answers

    What is the characteristic of Distal Renal Tubular Acidosis (RTA)?

    <p>Inability to secrete hydrogen ions</p> Signup and view all the answers

    What is the primary investigation for Renal Tubular Acidosis (RTA)?

    <p>Administration of acid/basic load</p> Signup and view all the answers

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