A 5-Year-Old Boy Is Brought to the Office with Generalized

question 212

Multiple Choice

A 5-year-old boy is brought to the office with generalized edema that developed following a mild upper respiratory infection.  Medical history is unremarkable.  Blood pressure and heart rate are normal.  Serum creatinine levels are normal.  Urinalysis shows massive proteinuria with no hematuria.  Further analysis reveals that urine protein consists principally of albumin with only trace amounts of IgG and alpha-2-macroglobulin.  Which of the following pathologic changes is the most likely cause of this patient's urinary protein loss?

• A)Glomerular crescent formation
• B)Loss of glomerular basement membrane anions
• C)Nodular glomerulosclerosis
• D)Thinning of the glomerular basement membrane
• E)Tubular necrosis and epithelial shedding

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Definitions:

War Production Board

The War Production Board was a U.S. government agency during World War II that coordinated the production of war materials and the distribution of resources among industries.

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Apparel consisting of trousers and a matching jacket, often worn for formal events, business settings, or occasions that require a smart dress code.

Civilian Population

Refers to individuals who are not members of the armed forces or other combatant groups, especially considered in the context of warfare and conflict.

Pearl Harbor

The surprise military strike by the Imperial Japanese Navy Air Service upon the United States against the naval base at Pearl Harbor in Honolulu, Hawaii, on December 7, 1941, which led the United States to enter World War II.