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( )1. Which of the following is not the poor prognostic sign of idiopathic
membranous nephropathy?
(A) Severe tubulointerstitial nephritis
(B) Heavy proteinuria
(C) Presence of hematuria
(D) Impaired renal function
( )2. Which of the following statement is not correct for membranous
nephropathy(MN)
(A) The natural history is indolent and spontaneous remission occur not
rarely
(B) The clinical course is variable and it leads to ESRD in 17~40% of these p
’ts
(C) The underlying cause of secondary MN includes SLE, hepatitis B virus &
malignancy
(D) Most cases of idiopathic MN can get complete remission with steroid
therapy alone
( )3. Which of the following statement about Lupus nephritis(LN) is wrong?
(A) Infection is the leading cause of death & treatment － related
complications.
(B) Serum creatinine & chronicity index correlated with renal survival.
(C) Renal biopsy can provide valuable information for more appropriate
treatment strategy.
(D) Aggressive treatment with methyl-prednisolone & cyclophosphamide can not
improve renal survival of LN
( )4. Which of the following statement is not correct for DM nephropathy?
(A) ACE inhibitor can slow down the deterioration rate of renal function.
(B) Nodular glomerulosclerosis & hyaline cap are not the characteristic
findings on renal biopsy.
(C) Microalbuminemia predicts progression to clinical proteinuria both in
IDDM & NIDDM p’ts.
(D) ACE inhibitor is a promising agent in reducing proteinuria
解： 1. ( C ) 除?選項C之外的因素都會對腎臟造成永久性的傷害。
2. ( D ) 大部分MGN的患者對steroid的治療效果都不好。要用Milan therapy
3. ( D ) 預後好，對steroid治療就足夠。如果steroid不能用，可以用pulse
therapy或endoxan (cyclophosphamide)，效果也不錯。
4. ( B ) Nodular glomerulosclerosis是DM特有的pattern。Hyaline cap也能
在DM看到。
【 在 euphonium (嘆霜) 的大作中提到: 】
: MyTMU /901泌腎精血/腎臟科
: 有蔡啟仁醫師考古4題
: 請同學務必下載練習
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Bicycle is Life
http://www.wretch.cc/blog/euphonium
※ 來源:‧杏林綠意 passion.tmu.edu.tw‧[FROM: 10.7.2.108]