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Nephrotic Syndrome — RACP Paediatrics MCQ

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EasyNephrologyNephrotic SyndromeRACP Paediatrics

A 5-year-old girl with nephrotic syndrome (first presentation) starts prednisolone 60 mg/m2/day. By day 8, urine dipstick is negative for protein. What is her response classification?

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Correct answer: D — Steroid sensitive

Steroid-sensitive nephrotic syndrome: remission (trace or nil protein on urine dipstick for 3 consecutive days) achieved within 4 weeks of starting prednisolone. Most children (>80%) with minimal change disease are steroid sensitive.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Nephrotic Syndrome