Urinary Tract Infection — Topic Test
20 questions · exam mode (answers revealed at the end). 18 min suggested.
A 19-year-old man presents with recurrent episodes of cola-coloured urine occurring 2–3 days after each upper respiratory tract infection. Renal biopsy shows mesangial IgA deposits. His serum IgA levels are elevated. Urinalysis shows microscopic haematuria with mild proteinuria (0.6 g/day). Blood pressure is 125/80 mmHg and eGFR is 85 mL/min. What is the most appropriate initial management?
ACyclophosphamide and steroids
BMycophenolate mofetil monotherapy
COral prednisolone 1 mg/kg/day
DACE inhibitor (ramipril) and blood pressure optimisation