This document contains 3 medical cases: 1. A 25-year-old male diagnosed with IgA nephropathy and recurrent hematuria after a respiratory infection. Segmental glomerular fibrosis would indicate a poor outcome. 2. A 30-year-old female with low serum iron, ferritin, and transferrin saturation and high TIBC after proximal bowel resection. Intravenous iron therapy would be the suitable treatment. 3. An extended matching question regarding appropriate corticosteroid treatments for: a) 25-year-old female post-acute asthma attack, b) 40-year-old male with acute adrenocortical insufficiency, c) 15-year-old

1. Part 2
58. 25 yearold male withrecurrenthaematureaafterrespiratoryinfectiondiagnosedtohave IgA
nephropathy.Whichfromfollowinggivesthe pooroutcome.
a) Segmentealmesangial proliferation
b) Segmental glomerularfibrosis
c) IgA depositionin mesangium
d) Red cell castsin renal tubule
e) Proteincastsinrenal tubule
59. 30 yearsoldfemale undergoneproximal bowel resection.HisserumFe islow,Ferritinislow,TIBCis
high,Transferinsaturationislow.Whatisthe suitable treatment?
a) Ferroussulphate andAscorbicacid
b) Increase Fe intake
c) IntravenousFe therapy
d) Fe infusion
e) SlowreleasingFe
60. Extendedmatchingquestion.
a) Oral prednisilon
b) 1% hydrocortisone cream
c) Oral dexamethasone
d) Iv hydrocortisone
e) Beclamethasoneinhailer
f) Iv dexamethasone
g) Oral prednisilonandbeclamethasoneinhailer
h) Iv hydrocortisone andIvFluticasone

2. 60.1) 25 yearsoldfemale isbeingdischargedafteracute severe attackof asthma
60.2) 40 yearsoldmale withacute adrenocortical insufficiency
60.3) 15 yearsoldgirl witheczematouslesioninfoot.