$$bladder neck obstruction%%clostridial sepsis^^genetic anomaly&&multiple abscesses",
"This is the picture of a 12 year old boy who is oliguric (<100 ml of urine/24 hours) and complains of nausea and vomiting. This child is also likely to have. (Hint: what do you make of the white, crystaline material on his forehead and around the eyes?)
$$ascitic fluid rich in white blood cells (90% lymphocytes)%%hemorrhagic adrenals^^large cirrhotic liver&&pericardial effusion",
"The alteration seen in this glomerulus is indicative of.
$$tuberculosis%%an E. coli bladder infection^^an inherited condition&&severe basement membrane damage",
"The features present in this glomerulus suggest this person.
$$needs his blood sugar checked%%has an occult renal cell malignancy^^has had a recent strep infection&&should have his urine cultured",
"The lesion seen in this kidney.
$$very likely resulted from a strep infection%%could have caused polycythemia^^is most certainly benign&&suggests somehting is seriously wrong with this man's prostate",
"The etiology of this kidney lesion is most likely.
$$atherosclerosis%%autoimmune reaction^^hypertension&&septicemia",
"The glomerular immunofluorescent pattern with IgG antibody is typical for.
$$post-streptococcal glomerulonephritis%%Goodpasture syndrome^^both&&neither",
"One of the earliest and most reliable signs of progressive renal failure is.
$$bacteriuria%%impairment of urine concentrating ability^^hematuria&&impairment of urine diluting ability", "The best assessment of renal function is.
$$urine nitrogen clearance%%BUN^^serum creatinine&&creatinine clearance", "HISTORY: This 12-year-old male elementary school student was admitted to the hospital complaining of swelling of the face, pallor and lethargy of four days duration. One month prior to admission he had experienced painful swelling of his cervical lymph nodes associated with an erythematous rash and fever. He was treated at home with aspirin. Several of his close friends had complained of severe sore throats at about this same time.
PHYSICAL FINDINGS: BP-140/90 mm Hg; slight pitting edema of ankles and puffiness of face.
LABORATORY RESULTS: WBC-12,000/mm3 (nl: 4,000-11,000/cu mm) with 83% neutrophils urinalysis-reddish brown with 1+ protein, more than 100 RBC/hpf, RBC casts, 25 WBC/hpf BUN-75 mg/dl (nl: 8-25 mg/dl); serum creatinine-5 mg/dl (nl: 0.5-1.2 mg/dl).
Which of the following is MOST PROBABLY involved in the pathogenesis of this disease?
$$a virus%%immune complex injury^^allergic reaction&&an embryonal neoplasm"); var answers = new Array('c','d','d','a','b','c','a','b','d','b');