Name: Rachael Harrison

Theme: GU disease 1.

OPTION LIST

A	Acute renal failure	I	Autosomal recessive polycystic kidney disease
B	Bacterial endocarditis	J	Chronic pyelonephritis
C	Autosomal dominant polycystic kidney disease	K	Goodpasture’s Syndrome
D	Renal calliculi	L	Minimal change glomerulonephritis
E	Chronic renal failure	M	IgA nephropathy
F	Acute tubular necrosis	N	Systemic lupus erythematosus
G	Urinary tract infection (UTI)	O	Membranous glomerulonephritis
H	Acute pyelonephritis	P

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

1. 33 yr old female is found to have hypertension and palpable kidneys on examination for medical insurance renewal. She has not noticed any other symptoms, but on questioning remembers an aunt who had “a kidney problem”. What is the likely diagnosis?

2. 18 year old female presents to her GP with a 4 day history of malaise, tenderness and loin pain. On examination she is found to be dehydrated. What is the likely diagnosis?

3. A male 22 year old Singaporean student presents to the college health centre with sore throat, headache and malaise. He wants some antibiotics because he’s worried he’s got tonsillitis. On further questioning he comments that his urine has become darker since being ill. What diagnosis would you want to rule out in this patient?

4. A 65 year old diabetic male has been found to have proteinuria on dipstick during a routine check up. He is also found to have a hypercholesterolemia and swollen ankles. Following a recent holiday to Thailand he was found to have syphilis. What is a likely diagnosis?

5. A 29 year old female is found to be hypotensive and is passing very little urine 12 hours after the delivery of her first baby. What might she be suffering from?

ANSWERS

1. C

2. H

3. M

4. O

5. F