IgA Nephropathy – Board-Style Questions

What this deck covers

IgA Nephropathy 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. Counting the days
2. Treating the throat
3. The child who is not biopsied
4. Who does get a biopsy
5. Reading the report
6. How low to aim
7. What the family read online
8. The threshold to act
9. Adding a steroid
10. The rapid decline
11. Swollen and leaking
12. Taking out the tonsils
13. The urine during a cold
14. What the future holds
15. Pregnancy later
16. After a transplant
17. Testing the relatives
18. Sport and diet

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: The blood appearing within days of the throat pain, They shorten each episode of blood by a day or two, Periodic review of protein, pressure and function, The boy with recurrent visible blood and normal protein, Proof that the diagnosis is correct in this child, Because normal ranges do not apply to adolescents, Explain the evidence is weak and the basics matter more, Repeat the biopsy to see whether the disease is active, A calcineurin inhibitor in place of his current treatment, Supportive care with dialysis if it becomes necessary, As nephrotic syndrome, with a course of corticosteroids, It cures the disease and should be arranged promptly, Admit her for intravenous fluid and observation, He will almost certainly need dialysis in adult life.

Clinical pearls from this deck

• Days means this disease; weeks means the post-infectious one.
• The kidney is responding to the infection, not harbouring it.
• Blood alone is watched; protein is what earns a needle.
• Protein and a falling function are what take a child to biopsy.
• The score separates what is burning from what has already burned.
• With protein in the urine, normal pressure is not good enough.

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.