The SCE Nephrology is delivered as the European Specialty Examination in Nephrology (ESENeph), sitting once per year in June. Glomerulonephritis accounts for approximately 14 per cent of questions — the largest single domain — and is the area where most candidates feel least prepared from clinical experience alone. Your question bank must provide substantial GN coverage with described biopsy findings, serological panels, and management decisions aligned to KDIGO guidelines.
StudyPRN
StudyPRN's Nephrology bank contains approximately 655 questions. The content covers the JRCPTB curriculum and is written by consultant nephrologists. At 655 questions across a curriculum that spans GN (14 per cent), CKD (14 per cent), AKI (10 per cent), transplantation (10 per cent), electrolytes (12 per cent), dialysis (12 per cent), and the remaining topics, each domain receives approximately 60 to 90 questions. For glomerulonephritis — which requires coverage of IgA nephropathy, membranous, minimal change, FSGS, MPGN, lupus nephritis, ANCA-associated, anti-GBM, amyloidosis, and diabetic nephropathy — 90 questions is thin.
Standard StudyPRN limitations apply. Pricing approximately £79 to £149 for three months.
iatroX
iatroX's SCE Nephrology bank contains over 1,500 questions aligned to KDIGO and UKKA guidelines. The glomerulonephritis domain alone contains over 200 questions, covering every major GN subtype with described biopsy findings (mesangial IgA deposits, subepithelial spikes, crescents, wire-loop lesions), serological interpretation (C3/C4 patterns, ANCA specificity, anti-PLA2R for membranous), and KDIGO-recommended management (immunosuppression regimens, duration of treatment, monitoring).
CKD content covers the 2024 KDIGO update including SGLT2 inhibitor positioning, the initial eGFR dip, and the anaemia management pathway with HIF-PHIs. Transplant content covers Banff classification of rejection, immunosuppression protocols, and post-transplant complications. Electrolyte questions include calculations (anion gap, osmolar gap, fractional excretion of sodium) alongside clinical decision-making.
The adaptive algorithm ensures that glomerulonephritis — the highest-weighted and most challenging domain — receives proportional attention regardless of your natural revision preferences. All included at £29 per month or £99 per year.
The glomerulonephritis depth question
The critical differentiator is GN coverage. At roughly 90 GN questions, StudyPRN provides basic coverage of each subtype. At over 200 GN questions, iatroX provides the depth needed to distinguish between GN subtypes based on clinical features, serology, and described biopsy findings — which is exactly what the exam tests. If you are comfortable with your GN knowledge from clinical practice (rare for most registrars), either platform serves. If GN is a weak area, the additional depth and adaptive targeting in iatroX justifies the choice.