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General Medicine · Nephrology: nephrotic syndrome
Sample itemA patient has generalized edema, urine protein 4+, serum albumin 20 g/L, and hyperlipidemia. Which renal syndrome is present?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Nephrotic syndrome
Nephrotic syndrome is characterized by heavy proteinuria, hypoalbuminemia, edema, and hyperlipidemia. It also increases thrombotic and infectious risk.
Option by option
A. Nephrotic syndrome (correct)
Correct. Massive protein loss with low albumin and edema defines nephrotic syndrome.
B. Acute tubular necrosis
Acute tubular necrosis causes acute kidney injury rather than this protein-losing pattern.
C. Renal colic
Renal colic causes acute flank pain from ureteric obstruction.
D. Nephritic syndrome
Nephritic syndrome is dominated by hematuria, hypertension, and inflammatory glomerular injury.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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