A six-year old with Glomerulonephritis has had blood and urine samples sent to the laboratory. Which of the following results are expected findings?

Elevated BUN and Creatinine, decreased H & H decreased platelet count

Hematuria, decreased BUN and elevated Creatinine, negative ASO titer

Gross hematuria, proteinuria, increased BUN and Creatinine, decreased Sed Rate

Elevated BUN and Creatinine, Urine specific gravity of 1.030, positive ASO titer

Answer and Explanation

The Correct Answer is D

A. Decreased H & H and platelet count are not typical findings in glomerulonephritis.
B. Decreased BUN is not expected; BUN typically increases due to impaired kidney function.
C. Decreased Sed Rate is not expected; Sed Rate may increase due to inflammation.
D. Elevated BUN and Creatinine indicate impaired kidney function. Urine specific gravity of 1.030 indicates concentrated urine, and a positive ASO titer suggests a recent streptococcal infection, which is associated with glomerulonephritis.

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Correct Answer is C

Explanation

A. Sleeping 8 to 10 hours a night is within the normal range for a school-aged child.
B. A resting heart rate of 90 beats per minute is within the normal range for a child.
C. A blood pressure reading of 140/90 is concerning as it indicates hypertension, which can be a side effect of stimulant medications like dexamethylphenidate.
D. A weight gain of 2 kgs is not immediately concerning in a growing child, though weight should be monitored.

A. History of a runny nose and itchy eyes within the last week B. Treatment for a viral illness within the last seven days C. Treatment for a urinary tract infection within the last ten days D. Treatment for strep throat within the last two weeks

Correct Answer is D

Explanation

A. A history of runny nose and itchy eyes is more indicative of an allergic reaction, not glomerulonephritis.
B. A viral illness is less likely to cause glomerulonephritis compared to a bacterial infection like strep throat.
C. A urinary tract infection is not typically associated with the development of glomerulonephritis.
D. Glomerulonephritis often follows a streptococcal infection, such as strep throat, occurring within the last two weeks. This is known as post-streptococcal glomerulonephritis.

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A six-year old with Glomerulonephritis has had blood and urine samples sent to the laboratory. Which of the following results are expected findings?

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Naxlex Comprehensive Predictor Exams

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