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pediatrics > nephroped > Flashcards

nephroped Flashcards

1
Q

best single Ab titer to document skin infection in PSGN

A

DNAse antigen

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2
Q

indications for renal biopsy in PSGN

A

ARF; nephrotic syndrom; absence of evidence of strep infxn; normal complement levels; persistently low serum C3(more than 3mos)&renal fxn

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3
Q

last sign to disappear in PSGN

A

hematuria

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4
Q

most common chronic glomerular disease

A

IgA nephropathy

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5
Q

poor prognostic factors in IgA nephropathy

A

persistent HTN; diminished renal fxn; heavy/prolonged proteinuria

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6
Q

low-set ears; micrognathia; flat nose

A

Potter facies

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7
Q

presumed UTI

A

(+) urinalysis result; asymptomatic px; single organism with a colony greater than 100k

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8
Q

UTI dx

A

culture shows greater than 100k of single pathogen; 10000 olonies and the patient is symptomatic

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9
Q

most common cause of ARF in young children

A

Hemolytic-Uermic Syndrome

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10
Q

transmission of HUS

A

by undercooked meat and unpasteurized milk

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11
Q

peripheral smear in HUS

A

helmet cells; burr cells; fragmented RBCs

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12
Q

causes of transient proteinuria

A

fever; exercise; dehydration; cold exposure; CHF; seizure; stress

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13
Q

cause of tubular proteinuria

A

TIN; Wilson dse; heavy metal poisoning; ATN; PCKD

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14
Q

vaccines given to patients with nephrotic syndrome

A

pneumococcal vaccine; varicella; influenza

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15
Q

worst form of Nephrotic syndrome

A

Focal segmental glomerulosclerosis

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16
Q

pathophysiology of proteinuria in MCD

A

T-cell dysfunction leads to alteration of cytokines w/c causes loss of negatively charged glycoproteins w/in the glomerular capillary wall

17
Q

usual causes of spontaneous bacterial peritonitis

A

S. pneumoniae; E. coli

18
Q

pathophysiology of hyperlipidemia in Nephrotic syndrome

A

hypoalbuminemia stimulates generalized hepatic protein synthesis; increased urinary loss of lipoprotein lipase leading to decreased lipid catabolism leading to elevated serum lipid levels

pediatrics (16 decks)

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