It’s ChristmaHUS

Try the ChristmaHUS Quiz and when you finish join in with the aHUS Christmas Carol.

Here’s a 20-question multiple-choice quiz on aHUS. Each question has one correct answer and three distractors. Answers at the end make a note of the letter.

1. What does “aHUS” stand for?

A. Acute Hepatic-Uremic Syndrome

B. Atypical Hemolytic Uremic Syndrome

C. Autoimmune Hematological Unusual Syndrome

D. Acquired Hepatic-Uremic Syndrome

2. What is aHUS primarily caused by?

A. Bacterial infection

B. Complement system dysregulation

C. Viral infection

D. Autoimmune antibody destruction

3. Which organ is primarily affected in aHUS?

A. Liver

B. Brain

C. Kidneys

D. Lungs

4. Which symptom is commonly associated with aHUS?

A. Persistent cough

B. Severe diarrhea

C. Thrombocytopenia

D. Enlarged spleen

5. Which component of the immune system is dysregulated in aHUS?

A. T-cell response

B. Complement pathway

C. Cytokine production

D. Antibody-mediated immunity

6. What is the most common genetic abnormality associated with aHUS?

A. Mutation in CFH (Complement Factor H)

B. Mutation in hemoglobin gene

C. Mutation in fibrinogen gene

D. Mutation in CFTR (Cystic Fibrosis Transmembrane Regulator)

7. What is the role of complement inhibitors in treating aHUS?

A. Stimulate platelet production

B. Suppress T-cell activity

C. Block overactivation of the complement system

D. Enhance kidney function directly

8. What is the hallmark triad of clinical features in aHUS?

A. Hemolytic anemia, thrombocytopenia, and kidney failure

B. Anemia, fever, and joint pain

C. Hypertension, diabetes, and proteinuria

D. Proteinuria, haematuria, and edaema

9. How is aHUS typically distinguished from other forms of HUS?

A. Absence of diarrhea

B. Presence of fever

C. Severe lung involvement

D. Elevated blood glucose levels

10. Which of the following lab findings is most consistent with aHUS?

A. Low white blood cell count

B. High platelet count

C. Schistocytes on blood smear

D. Normal hemoglobin levels

11. What is the role of plasma exchange in aHUS management?

A. Cure the disease permanently

B. Remove autoantibodies or mutated proteins

C. Reduce blood pressure

D. Stimulate red blood cell production

12. Which medication is commonly used as a complement inhibitor in aHUS?

A. Eculizumab

B. Aspirin

C. Warfarin

D. Prednisone

13. What complication is a patient with untreated aHUS most at risk for?

A. Chronic obstructive pulmonary disease

B. Permanent kidney failure

C. Diabetes mellitus

D. Severe allergic reactions

14. What triggers aHUS episodes in some individuals?

A. Pregnancy, infection, or certain medications

B. High cholesterol and obesity

C. Smoking and alcohol consumption

D. Exposure to allergens

15. What is the inheritance pattern of genetic predisposition to aHUS?

A. Autosomal dominant or recessive

B. X-linked recessive

C. Mitochondrial inheritance

D. Y-linked inheritance

16. Which diagnostic test is most useful for confirming complement dysregulation in aHUS?

A. Complement panel (C3, C4 levels)

B. Complete blood count (CBC)

C. Blood glucose test

D. Liver function test

17. What is the role of genetic testing in aHUS?

A. Identify specific complement mutations

B. Diagnose viral infections

C. Detect blood clotting disorders

D. Measure kidney function

18. Which population is at risk for developing aHUS?

A. Infants and young children only

B. Adults only

C. All age groups

D. Post-menopausal women only

19. How does aHUS differ from TTP (Thrombotic Thrombocytopenic Purpura)?

A. aHUS involves ADAMTS13 deficiency

B. TTP is caused by complement dysregulation

C. aHUS does not have severe neurological symptoms

D. TTP is exclusively genetic

20. What is a key long-term management strategy for aHUS?

A. Annual vaccinations

B. Regular monitoring and complement inhibitor therapy

C. High-dose steroids indefinitely

D. Low-sodium diet

ANSWERS BELOW

Question Answer
1B
2B
3C
4C
5B
6A
7C
8A
9A
10C
11B
12A
13B
14A
15A
16A
17A
18C
19C
20B

It’s ChristmaHUS and time to sing the aHUS carol sung to “ Bleak mid winter” or “;Simply having a wonderful Christmas time” as you wish🙂

” ALL’S ALRIGHT

[Verse 1] 

Snow is falling, bells are rung ,

The air is filled with carols sung 

But for some, this time of year

Is filled with dread but have no fear 

[Chorus] 

aHUS is a rare disease

Harms the kidneys, until they cease

Don’t give up, keep up the fight

And carry on ’til all’s alright

[Verse 2] 

The holiday’s a time of cheer

For some with aHUS, it’s hard to hear 

The laughter and joy abound 

In bleak mid winter’s frozen ground

[Chorus] aHUS is a rare disease

Harms the kidneys until they cease

Don’t give up, follow the light

And carry on ’til all’s alright

(Verse 3)

Snowflakes fall, whisper a prayer

For families united in a harmony of care

in winter’s chill , warmth in their song 

Tells that hope and love is strong.

[Bridge] Raise awareness, spread the word

So round the world, their voice is heard 

Never give up, nor back down 

Keep right on ’til health is found

[Chorus] aHUS is a rare disease

Harms the kidneys until they cease

This time of year, don’t lose sight

Of happier times when all’s alright

Article No 704

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