Renal

Question 1

X-linked disorder with tubulointerstitial nephritis + deafness + ocular abnormalities

Answer 1

Alport syndrome

Question 2

Frank painless haematuria

Answer 2

Bladder cancer

Question 3

Rubber industry

Answer 3

Bladder cancer

Question 4

Bilaterally shrunken kidneys + Hx of recurrent UTI

Answer 4

Chronic pyelonephritis

Question 5

Frank haematuria 1-2 days after recurrent pharyngitis

Answer 5

IgA nephropathy

Question 6

GN associated with Hodgkin’s lymphoma

Answer 6

Minimal change disease

Question 7

Spinal metastases → spinal cord compression →

Answer 7

Neurogenic bladder

Question 8

Frank haematuria 1-2 weeks after URTI

Answer 8

Post-streptococcal glomerulonephritis

Question 9

Bilateral hydronephrosis + bone pain

Answer 9

Prostate cancer

Question 10

Urinary retention shortly after pelvic surgery

Answer 10

Prostatic oedema

Question 11

Acute renal failure after ACEI use

Answer 11

Renal artery stenosis

Question 12

URT symptoms + LRT symptoms + renal impairment

Answer 12

Wegener’s granulomatosis

Question 13

cANCA

Answer 13

Wegener’s granulomatosis

Question 14

Nasal polyps + haemoptysis

Answer 14

Churg-Strauss syndrome

Question 15

Pulmonary nodules + haemoptysis

Answer 15

Wegener’s granulomatosis

Question 16

Kimmelstiel-Wilson nodules

Answer 16

Diabetic nephropathy

Question 17

GN on background of cancer

Answer 17

Membranous glomerulonephritis

Question 18

Asthma + eosinophilia + haematuria

Answer 18

Churg-Strauss syndrome

Question 19

ASOT (anti-streptolysin O titre)

Answer 19

Post-streptococcal glomerulonephritis

Question 20

AV nipping

Answer 20

Grade II hypertensive retinopathy

Question 21

Flash pulmonary oedema

Answer 21

Renal artery stenosis

Question 22

Starry sky appearance

Answer 22

Post-streptococcal glomerulonephritis

Question 23

GN associated with obesity

Answer 23

Focal segmental glomerulosclerosis

Question 24

Haematuria + loin pain + abdominal mass

Answer 24

Renal cell carcinoma

Question 25

Polycythaemia + anaemia + cannonball metastases

Answer 25

Renal cell carcinoma

Question 26

Subarachnoid haemorrhage (from Berry aneurysm) + polycythaemia + uraemia + liver cysts

Answer 26

Polycystic kidney disease

Question 27

Necrotic papillae

Answer 27

Analgesic nephropathy (renal papillary necrosis)

Question 28

Skin discolouration + pericarditis + fluid overload + renal osteodystrophy

Answer 28

Chronic kidney disease

Question 29

Sinusitis + haemoptysis + RBC casts

Answer 29

Wegener's granulomatosis

Question 30

Nephrotic syndrome that responds well to corticosteroids

Answer 30

Minimal change disease

Question 31

Linear IgG deposition at GBM

Answer 31

Goodpasture syndrome

Question 32

Haematuria + abdominal pain + arthralgia

Answer 32

Henoch-Schönlein purpura

Question 33

Muddy brown/pigmented granular casts on urinalysis

Answer 33

Acute tubular necrosis

Question 34

Eosinophiluria

Answer 34

Acute interstitial nephritis

Question 35

GN associated with rheumatoid arthritis

Answer 35

Membranous glomerulonephritis

Question 36

Fibrillary deposits on light microscopy

Answer 36

Amyloidosis (glomerulonephritis)

Question 37

Subendothelial humps

Answer 37

Post-streptococcal glomerulonephritis

Question 38

Tea-coloured urine

Answer 38

Post-streptococcal glomerulonephritis

Question 39

Anti-GBM

Answer 39

Goodpasture syndrome

Question 40

Saddle nose deformity

Answer 40

Wegener's granulomatosis

Question 41

cANCA + anti-PR3

Answer 41

Wegener's granulomatosis