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Question 1: A 12-year-old female presents complaining of a skin infection. Culture reveals beta hemolytic gram-positive cocci that are sensitive to bacitracin. She returns 2 weeks later complaining of cola-colored urine and swelling around her eyes. Electron microscopy of a renal biopsy shows subepithelial humps. What condition is affecting this patient?

  1. Diffuse proliferative glomerulonephritis

  2. Acute infectious cystitis

  3. Acute poststreptococcal glomerulonephritis

  4. Tubulointerstitial nephritis

  5. Berger disease

 

Reference: Kambham N. Postinfectious glomerulonephritis. Adv Anat Pathol. 2012;19(5):338-347.

Question 2: 3-month history of auditory hallucinations...He said that ‘’God speaks to him regarding saving the world and about the impending alien invasion’’. The patient dropped out of college and now spends most of his time locked in his apartment. He feels annoyed, as he believes the TV news’ stories refer to him and his daily actions. He denies drug abuse and has been healthy throughout his life. On presentation, he is disheveled, looking suspiciously at the physician. What is the most likely diagnosis?

  1. Brief psychotic disorder

  2. Schizophreniform disorder

  3. Schizophrenia

  4. Persistent depressive disorder

  5. Phencyclidine induced psychosis

 

Reference: Meltzer HY, Bobo WV, Heckers SH, Fatemi HS. Chapter 16. Schizophrenia. In: Ebert MH, Loosen PT, Nurcombe B, Leckman JF. eds. CURRENT Diagnosis & Treatment: Psychiatry, 2e. New York, NY: McGraw-Hill; 2008.

 

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