(Glomerular disease book based) Questions
and Answers
Wegener Granulomatosis Correct Ans-Demonstrationof antineutrophilic cytoplasmic antibody
(ANCA) in serum is the key diagnosis
Wegener Granulomatosis Correct Ans-Patients present with pulmonary symptoms and later
develop renal involvement, hematuria, proteinuria RBC casts and elevated serum creatinine and
BUN
Testing for ANCA Correct Ans-Includes incubating serum with either ethanol or
formalin/formaldehyde-fixed neutrophils and examining the preparation using indirect
immunofixation to detect the serum antibodies attached to neutrophils
p-ANCA Correct Ans-Perinuclear pattern formed by the antibodies, formed when neutrophils
are ethanol fixed
c-ANCA Correct Ans-Granularr pattern throughout the cytoplasm when neutrophils are
formalin fixed
, Children Correct Ans-Henoch-Schonlein Purpura occurs primarily in ____ after upper
respiratory infections
Henoch-Schonlein Purpura Correct Ans-Symptoms include appearance of raised, red patches
on the skin, blood in sputum and stool
Membranous Glomerulonephritis Correct Ans-Thrombosis may also occur
Membranous Glomerulonephritis Correct Ans-Lab findings: microscopic hematuria and
elevated urine protein excretion
Type 1 MPGN Correct Ans-Patients progress to nephrotic syndrome
Type 2 MPGN Correct Ans-Patients experience symptoms of chronic glomerulonephritis
Membranoproliferative Glomerulonephritis Correct Ans-Lab findings: hematuria, proteinuria,
and decreased serum complement levels