Kidney Diseases: Nephritis, Nephrotic Syndrome, and Renal Failure

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Questions and Answers

What percentage of cases of terminal renal failure are attributed to Glomerulonephritis?

  • 2/3
  • 1/2
  • 1/3 (correct)
  • 3/4

Which of the following is an example of an exogenous antigen that can cause Glomerulonephritis?

  • Systemic Lupus Erythematosus (SLE)
  • Goodpasture's syndrome
  • Group A β-haemolytic Strep (correct)
  • Focal segmental glomerulosclerosis

What is the primary mechanism of glomerular damage in Glomerulonephritis?

  • Cell-mediated glomerular damage
  • Deposition of anti-GBM
  • Deposition of circulating Immune complex
  • In situ formation of immune complex (correct)

What is the term used to describe the kidney as the predominant organ involved in Glomerulonephritis?

<p>Primary (A)</p> Signup and view all the answers

What is the term used to describe the inflammatory response in Glomerulonephritis, characterized by hypercellularity, basement membrane thickening, and hyalinisation and sclerosis?

<p>Secondary mechanisms (C)</p> Signup and view all the answers

Which of the following is NOT a principal function of the kidney?

<p>Maintaining blood pressure (C)</p> Signup and view all the answers

What is the primary cause of glomerular capillary damage in kidney diseases?

<p>Immune complexes deposition (C)</p> Signup and view all the answers

Which of the following symptoms is NOT typically associated with renal tract disease?

<p>Fever (C)</p> Signup and view all the answers

What is the result of severe damage to all four structures of the kidney?

<p>Chronic renal diseases (D)</p> Signup and view all the answers

Which part of the kidney is most sensitive to immune reactions?

<p>Glomerular capillary (C)</p> Signup and view all the answers

What is the definition of nephritis?

<p>Inflammation of any part of the kidney (D)</p> Signup and view all the answers

What is the primary characteristic of nephrotic syndrome?

<p>Severe proteinuria (B)</p> Signup and view all the answers

What is the result of increased catabolism of protein in the kidney in nephrotic syndrome?

<p>Hypoalbuminaemia (A)</p> Signup and view all the answers

What is the primary goal of management in acute nephritic syndrome?

<p>Supportive measures until spontaneous recovery (A)</p> Signup and view all the answers

What is the effect of hypoalbuminaemia on plasma oncotic pressure?

<p>Decreases plasma oncotic pressure (A)</p> Signup and view all the answers

What is the result of increased synthesis of lipid protein in the liver in nephrotic syndrome?

<p>Hyperlipidaemia (C)</p> Signup and view all the answers

What is the primary reason for oedema in nephrotic syndrome?

<p>Decreased plasma oncotic pressure (C)</p> Signup and view all the answers

What is the primary indication for dialysis in chronic renal failure?

<p>Hyperkalaemia (&gt; 6.5 mmol/L) (C)</p> Signup and view all the answers

Which of the following is a characteristic of anaemia in chronic renal failure?

<p>Normochromic, normocytic (C)</p> Signup and view all the answers

What is the common underlying mechanism of electrolyte and acid-base disorders in chronic renal failure?

<p>Impaired renal function (D)</p> Signup and view all the answers

Which of the following is a common complication of chronic renal failure?

<p>Renal osteodystrophy (B)</p> Signup and view all the answers

What is the most common cause of chronic renal failure?

<p>Hypertension (A)</p> Signup and view all the answers

Which of the following kidney structures is most prone to immunological damage?

<p>Glomeruli (C)</p> Signup and view all the answers

The kidneys' principal function is only to eliminate waste materials.

<p>False (B)</p> Signup and view all the answers

Nephritis is a disease that only affects the renal tubule system.

<p>False (B)</p> Signup and view all the answers

Severe damage to only one of the kidney's structures can lead to chronic renal disease.

<p>False (B)</p> Signup and view all the answers

Dysuria is not a symptom of renal tract disease.

<p>False (B)</p> Signup and view all the answers

The interstitium is resistant to toxic and infectious agents.

<p>False (B)</p> Signup and view all the answers

Renal failure is a disease that only affects the glomeruli.

<p>False (B)</p> Signup and view all the answers

Glomerulonephritis is a term that refers to a bilateral, asymmetrical injury to the glomerulus

<p>False (B)</p> Signup and view all the answers

Primary Glomerulonephritis involves systemic diseases with glomerular involvement

<p>False (B)</p> Signup and view all the answers

In situ formation of immune complexes is a mechanism of glomerular damage in Glomerulonephritis

<p>True (A)</p> Signup and view all the answers

Acute nephritic syndrome is a characteristic of chronic renal failure

<p>False (B)</p> Signup and view all the answers

Group A β-haemolytic Strep is an example of an endogenous antigen that can cause Glomerulonephritis

<p>False (B)</p> Signup and view all the answers

Acute nephritic syndrome is characterized by severe proteinuria and generally leads to chronic kidney dysfunction.

<p>False (B)</p> Signup and view all the answers

In nephrotic syndrome, there is a decreased synthesis of lipid protein in the liver.

<p>False (B)</p> Signup and view all the answers

The primary goal of management in acute nephritic syndrome is to reduce proteinuria.

<p>False (B)</p> Signup and view all the answers

In acute nephritic syndrome, the glomeruli are hypocellular.

<p>False (B)</p> Signup and view all the answers

Hyperkalaemia is typically treated with nephrotoxic drugs.

<p>False (B)</p> Signup and view all the answers

Oedema in nephrotic syndrome is primarily due to hypervolemia.

<p>False (B)</p> Signup and view all the answers

Chronic renal failure is commonly caused by kidney stones.

<p>False (B)</p> Signup and view all the answers

Acute renal failure is a common complication of acute nephritic syndrome.

<p>True (A)</p> Signup and view all the answers

Renal osteodystrophy is a complication of chronic renal failure that is caused by EPO deficiency.

<p>False (B)</p> Signup and view all the answers

The interstitium is the most prone to immunological damage in the kidney.

<p>True (A)</p> Signup and view all the answers

Severe metabolic acidosis is defined as a pH of 4.0 mmol/L.

<p>False (B)</p> Signup and view all the answers

Dialysis is indicated for patients with a pH of 40 mmol/L.

<p>False (B)</p> Signup and view all the answers

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Study Notes

  • Kidney diseases can be associated with abnormalities of the glomerular capillary or the renal tubule system.
  • The kidney's principal function includes eliminating waste materials, regulating fluid and electrolyte balance, and endocrine function.
  • Symptoms suggesting renal tract disease include dysuria, haematuria, urinary retention, alteration of urine volume, and pain situated along the renal tract.
  • Diseases of the kidney can be classified into four categories: glomeruli (immunologically mediated), tubules (toxic/infectious agents), interstitium (toxic/infectious agents), and blood vessels (damage to blood supply).
  • Severe damage to all four structures can lead to chronic renal diseases and renal failure.
  • Nephritis is the inflammation of any part of the kidney, including glomerulonephritis, interstitial nephritis, and pyelonephritis.
  • Glomerulonephritis is a general term for a group of disorders characterized by bilateral, symmetrical immunologically mediated injury to the glomerulus, accounting for 1/3 cases of terminal renal failure.
  • Glomerulonephritis can be primary (kidney is the predominant organ involved) or secondary (systemic diseases with glomerular involvement).
  • The pathology of acute nephritic syndrome includes diffuse proliferative glomerulonephritis, characterized by hypercellular glomeruli.
  • Management of acute nephritic syndrome includes supportive measures until spontaneous recovery, hypertension management, fluid balance monitoring, and management of life-threatening complications.
  • Clinical features of acute nephritic syndrome include haematuria, proteinuria, hypertension, oedema, oliguria, and uraemia.
  • Nephrotic syndrome is characterized by severe proteinuria, leading to chronic kidney dysfunction, and is often caused by GBM damage, loss of electrostatic and physical barriers.
  • Diagnostic investigations for nephrotic syndrome include proteinuria (>3.5g/24 h in adults), hyperlipidaemia, hypoalbuminaemia, and oliguria.
  • Acute renal failure treatment involves correcting reversible underlying factors, treating hyperkalaemia, and dialysis, with indications including hyperkalaemia, severe metabolic acidosis, and uraemic syndrome.
  • Chronic renal failure is often associated with haematological and metabolic complications, including anaemia, renal osteodystrophy, electrolyte/acid-base disorders, and hyperkalaemia.

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