IgA Vasculitis Nephritis – Board-Style Questions

What this deck covers

IgA Vasculitis Nephritis 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. The finding that matters
2. Steroids for the skin
3. How long the risk lasts
4. The test at each visit
5. Nephrotic range disease
6. The pressure and the creatinine
7. What the biopsy decides
8. The painful abdomen
9. The swollen scrotum
10. The rash that is not this
11. Why complement is measured
12. The second crop
13. Bleeding from the bowel
14. The girl who will be pregnant one day
15. Blood but no protein
16. The booster that is due
17. The other IgA disease
18. What the family are told

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Protein on a quantified urine sample, They prevent kidney involvement if given in the first week, The kidney can still declare itself in the coming months, Repeat the dipstick weekly and act if it reaches two plus, A benign course that will settle without treatment, No salt restriction, but a strict fluid restriction, Whether he needs immunosuppression beyond corticosteroids, An antispasmodic drug given regularly, Reassure and treat as scrotal involvement of the vasculitis, The distribution of the rash on legs and buttocks, It confirms the diagnosis of IgA vasculitis when it is low, Explain that recurrences are common and check her urine, Oral steroids and continued observation on the ward, It will not affect pregnancy, as her kidneys recovered fully.

Clinical pearls from this deck

• In this rash, the protein predicts the kidney, not the blood.
• Steroids for the pain, not for the kidney.
• The rash goes first; the kidney can arrive late.
• Quantify the protein on the first urine of the day.
• Nephrotic range protein in this rash is the severe end.
• In nephritis, the salt matters more than the fluid chart.

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.