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Kaplan Qbank USMLE



Author4 Posts
  #1

A 12-year old female was admitted for the 8th time because of the nephrotic syndrome. This last hospitalization differed from the others in that steroids were no longer effective in reducing the proteinuria. The likely diagnosis is:

a. chronic glomerulonephritis
b. focal segmental glomerulosclerosis
c. concersion to membranous glomerulonephritis
d. superimposed lupus nephritis
e. chronic pyelonephritis



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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #2

Not sure but think it is C . Membranous glomerulnephritis does not respond to steroids but usual age of onset is 30-50 yr. confused

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  #3

With 21 Views only person answers raised eyebrow Cmon Guys show some guts it aint that hard!!!!!!!!!




___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #4

The correct answer is: B. focal segmental glomerulosclerosis

The Only Difference with Mem. GN is that the age factor n the disease itself doesnt respond to Steriods initially. Secondly in Children presenting with FSGN or Nephrotic Syn commonly have previous histroy of IgA nephropathy.


___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."







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