Likely Diagnosis: IgA Nephropathy Quiz

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Questions and Answers

What is the most likely diagnosis based on the information provided?

  • Thin basement membrane disease
  • Alport syndrome
  • Post-infectious glomerulonephritis
  • IgA nephropathy, also known as Berger's disease (correct)

Which of the following is a non-glomerular cause of hematuria?

  • Urinary tract infections (correct)
  • IgA nephropathy
  • Alport syndrome
  • Post-infectious glomerulonephritis

What is the typical presentation of IgA nephropathy?

  • Hypertension and proteinuria
  • Acute kidney injury
  • Asymptomatic hematuria
  • Gross hematuria following upper respiratory infection (correct)

What is the primary goal of ACE inhibitors or angiotensin receptor blockers (ARBs) in the treatment of IgA nephropathy?

<p>To reduce proteinuria and slow the progression of kidney damage (C)</p> Signup and view all the answers

Which laboratory finding is consistent with the diagnosis of IgA nephropathy?

<p>Moderate to severe dysmorphic red blood cells in the urine sediment (B)</p> Signup and view all the answers

Which of the following is a focus of treatment for IgA nephropathy?

<p>Controlling symptoms and reducing proteinuria (A)</p> Signup and view all the answers

When might immunosuppressive therapy with corticosteroids or other agents be considered in the treatment of IgA nephropathy?

<p>In patients with persistent proteinuria or declining kidney function (B)</p> Signup and view all the answers

Which of the following supportive measures is NOT recommended for patients with IgA nephropathy?

<p>Increased alcohol consumption (C)</p> Signup and view all the answers

Why is regular follow-up with a nephrologist important for patients with IgA nephropathy?

<p>To monitor kidney function, proteinuria, and blood pressure (D)</p> Signup and view all the answers

If the hematuria (blood in the urine) in a patient with IgA nephropathy is secondary to another condition, what is the recommended course of action?

<p>Treat the underlying cause of the hematuria (D)</p> Signup and view all the answers

Flashcards

Most likely diagnosis?

IgA nephropathy, also known as Berger's disease, is the most likely diagnosis.

Non-glomerular cause of hematuria?

Urinary tract infections (UTIs) are a non-glomerular cause of hematuria.

Typical IgA nephropathy presentation?

Gross hematuria following an upper respiratory infection.

ACE inhibitors/ARBs goal?

Reduce proteinuria and slow the progression of kidney damage.

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Lab finding for IgA nephropathy?

Moderate to severe dysmorphic red blood cells in the urine sediment.

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IgA nephropathy treatment focus?

Controlling symptoms and reducing proteinuria.

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When to consider immunosuppressants?

Persistent proteinuria or declining kidney function.

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Why see a nephrologist regularly?

Regular follow-up with a nephrologist is important to monitor kidney function, proteinuria, and blood pressure.

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Hematuria due to another condition?

Treat the underlying cause of the hematuria.

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