skip to main content

Nephritic syndrome – pattern — RACP Paediatrics MCQ

Instant feedback + full explanation. One question, done properly.

ModerateNephrologyNephritic syndrome – patternRACP Paediatrics

A 10-year-old has urine dipstick showing 3+ blood and 2+ protein. Microscopy confirms dysmorphic red cells and red cell casts. Blood pressure is 140/95. Creatinine is mildly elevated. What is the urinalysis pattern?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Nephritic syndrome

Haematuria (with dysmorphic RBCs and RBC casts indicating glomerular origin) + proteinuria + hypertension + impaired renal function = nephritic syndrome. The key differential diagnoses are APSGN, IgA nephropathy, ANCA vasculitis, anti-GBM disease, and lupus nephritis.

Reference: RCH Melbourne – 2023 – Haematuria CPG; RACP Paediatric Curriculum – Nephrology