Four Children and 2 Adults Are Currently Being Followed in a Nephrology

question 807

Multiple Choice

Four children and 2 adults are currently being followed in a nephrology clinic for poststreptococcal glomerulonephritis.  Three patients initially had gross hematuria and edema requiring diuretic administration.  The remaining 3 patients had microscopic hematuria and hypertension.  C3 levels were decreased in all patients, and antistreptolysin O titer was elevated in 4 of them.  None of the patients have preexisting renal disease.  Which of the following patient characteristics is most likely to indicate a poor long-term prognosis?

• A)Adult onset
• B)Decreased C3 level
• C)Delay in corticosteroid treatment
• D)Elevated antistreptolysin titer
• E)Gross hematuria

---

Definitions:

EGR System

An Exhaust Gas Recirculation System helps reduce nitrogen oxide emissions by recirculating a portion of an engine's exhaust gas back to the engine cylinders.

Air/Fuel Ratio

The ratio of air to fuel in an internal combustion engine, crucial for efficient performance and emissions control.

Scan Tool

A diagnostic tool used to interface with, diagnose, and sometimes reprogram vehicle control modules.

Compression Test

A diagnostic procedure used to determine the condition of an engine's cylinders by measuring the pressure they can produce.