3 Written questions
3 Multiple choice questions
- 8 year old with intermittent burning upon urination and trace blood on dipstick. Characterized by persistent microscopic hematuria and intermittent macroscopic hematuria. Accompanied by abdominal pain and dysuria without stone formation.
- Often seen post strep infection. Common presentation is fatigue, cola-colored urine, and elevated blood pressure. Fluid intake should be restricted when oliguria is present.
- Palpable purpura on extensor surfaces of extremities + edema, arthralgia/arthritis, colicky abdominal pain with GI bleeding, acute scrotal pain, and/or renal dysfunction.
2 True/False questions
Alport syndrome → 6 year old boy with puffy eyes in the morning and scrotal swelling at night. Labs show elevated triglycerides and cholesterol. Other findings will include: low albumin, decrease in plasma volume, proteinuria. Treatment may include monitoring and salt and water restriction.
Hydrocele → Accumulation of fluid in the tunica vaginalis around testicle. Transilluminates well. Small ones usually spontaneously resolve within a year. Larger ones may require surgery. Seen in 2% of male neonates.