Autosomal Dominant Polycystic Kidney Disease – Board-Style Questions

What this deck covers

Autosomal Dominant Polycystic Kidney Disease in 18 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 18 cases, in order

1. A high reading at ten
2. Whether to look
3. The teenager who says no
4. Counting the cysts
5. The baby who looks recessive
6. How high is too high
7. Drinking more water
8. The painful side
9. Fever from a cyst
10. Cysts elsewhere
11. Measuring the pace
12. The parent who offers
13. Years ahead
14. The paperwork question
15. Protein in the sample
16. What changes at eighteen
17. A normal scan
18. The family without a history

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Established disease with a faster course ahead of him, Scan her today, as early diagnosis always helps, Respect his decision while keeping him under review, It is diagnostic, as any cyst confirms it in a child, A laboratory error, as the clinical picture is recessive, Observe, since she is below the 95th centile line, Generous fluid with attention to salt, avoiding extremes, Infection within a cyst requiring urgent antibiotics, A very broad spectrum covering the more unusual organisms, This indicates the recessive disease rather than dominant, Total kidney volume, adjusted for his height, Accept her, since her kidney function is currently normal, Pregnancy is contraindicated with this diagnosis, Restrictions on which schools he is allowed to attend later.

Clinical pearls from this deck

• A raised pressure at ten is the disease announcing its pace.
• Before you scan a well child, talk about what a diagnosis costs her.
• The test can wait; the blood pressure check cannot.
• Cyst counts mean nothing until you know the age.
• The dominant disease can arrive in infancy wearing the recessive disease’s clothes.
• In this disease, treat the pressure sooner than you would otherwise.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all nephrology case decks · pediatric reference values.