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Acute kidney injury

A practice question in the style of the MCCQE MCQ exam. Choose your answer to see the explanation.

Which urinary finding most strongly suggests glomerulonephritis?

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The answer is E: Red cell casts.

Red cell casts form in the tubules from glomerular bleeding and point to glomerulonephritis. Muddy brown casts suggest ATN; white cell casts suggest interstitial nephritis or pyelonephritis.

This question comes from Week 5 of MCC Vault: Kidneys, fluids and blood. That week has 124 more exam-style questions like it, 5 short lessons and 150 flashcards. The course starts free with Week 1 and reaches this topic in week 5, as part of a five-month plan with full mock exams along the way.

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