Nephrology Home Internal Medicine 0% 15 votes, 0 avg 35 Nephrology 1 / 50 1. ‘Fruity odour’ in urine is found in: A. Diabetic ketoacidosis B. Alkaptonuria C. Chyluria D. Urinary tract infection (UTI) 2 / 50 2. The commonest presentation of renal cell carcinoma is: A. Flank pain B. Haematuria C. Palpable abdominal mass D. Distant metastasis 3 / 50 3. All are true in urethral syndrome except: A. Antibiotics are always indicated B. No bacteria are cultured from urine C. Predominantly affects females D. Post-coital urethral congestion may be an etiology 4 / 50 4. Regarding erythropoietin therapy in CRF, which is not correct? A. Subcutaneous administration may give rise to pure red cell aplasia B. During treatment, haemoglobin should not cross 12 g/ dl C. Average dosage is 50 U/kg, IV, thrice weekly D. Patients with ferritin level 50-100 μg/l respond well 5 / 50 5. Anti-tubule basement membrane antibodies may be found in treatment with: A. Spironolactone B. Methicillin C. Metoprolol D. Streptomycin 6 / 50 6. Positive Rothera’s test in urine is found in all except: A. Homocystinuria B. Ketone bodies in urine C. Treatment with captopril D. Tyrosinosis 7 / 50 7. Urine of low specific gravity is obtained in: A. Diabetes mellitus B. Psychogenic polydipsia C. Massive proteinuria D. Severe dehydration 8 / 50 8. Which of the following is not a recognised cause of microalbuminuria? A. Diabetes mellitus with early renal involvement B. Strenuous physical exercise C. Congestive cardiac failure D. Nephrotic syndrome 9 / 50 9. In a patient with diabetes mellitus having hypertension, serum creatinine of 3.1 mg/dl and a plasma potassium of 5.8 mEq/L are best treated with which antihypertensive agent? A. Amiloride B. Angiotensin II receptor blocker C. Furosemide D. ACE inhibitor 10 / 50 10. Metastatic calcification is seen in all of the following organs except: A. Brain B. Myocardium C. Cornea D. Medium-sized blood vessels 11 / 50 11. Renal vein thrombosis in adults is seen in: A. Amyloidosis B. Acute glomerulonephritis C. Horseshoe kidney D. Interstitial nephritis 12 / 50 12. All are true in bladder carcinoma except: A. Haematuria is the commonest presentation B. Cigarette smoking is a predisposing factor C. Schistosoma haematobium produces transitional cell carcinoma D. Predominantly affects males 13 / 50 13. In pregnancy-induced hypertension, which of the following suggests pre-eclampsia? A. Uric acid >5.5 mg/ dl B. Urea >45 mg/ dl C. Creatinine > 1.6 mg/ dl D. Diastolic BP >95 mm Hg 14 / 50 14. Streptococcal pyoderma may be associated with all except: A. Pyaemia B. Acute glomerulonephritis (AGN) C. Mild fever D. Acute rheumatic fever 15 / 50 15. Nocturia is not found in: A. Prostatism B. Rapidly progressive glomerulonephritis (RPGN) C. Salt-losing nephropathy D. Vesicoureteral reflux 16 / 50 16. Complement C3 is characteristically low in all except: A. Membranoproliferative glomerulonephritis B. Post-streptococcal glomerulonephritis C. Focal glomerulosclerosis D. SLE 17 / 50 17. Acute tubular necrosis may be caused by all of the following except: A. Systemic hypertension B. Hepatorenal syndrome C. Acute pancreatitis D. Congestive cardiac failure 18 / 50 18. Fatty cast is often diagnostic of: A. Papillary necrosis B. Nephrotic syndrome C. End-stage renal disease D. Acute glomerulonephritis 19 / 50 19. All are recognised causes of chronic renal failure (CRF) except: A. Diabetes mellitus B. Snakebite C. Hypertension D. Obstructive uropathy 20 / 50 20. The commonest renal lesion in diabetic nephropathy is: A. Chronic interstitial nephritis B. Diffuse glomerulosclerosis C. Arterionephrosclerosis D. Nodular glomerulosclerosis 21 / 50 21. Bilaterally palpable kidneys are found in alt except: A. Polycystic kidney B. Acromegaly C. Amyloidosis D. Wilms' tumor 22 / 50 22. Which of the following metal is not responsible for the development of nephrotic syndrome? A. Iron B. Mercury C. Lead D. Gold 23 / 50 23. Which is true in prerenal azotaemia? A. Urine Na+ concentration >20 mmol/L B. Plasma BUN to creatinine ratio < 10 C. Urine creatinine to plasma creatinine ratio < 20 D. Urine specific gravity >1018 24 / 50 24. Chronic interstitial nephritis may lead to all of the following except: A. Small kidneys B. Acidosis C. Hypokalemia D. Hypertension 25 / 50 25. In a severely uraemic patient, which of the following would indicate chronic renal failure? A. Uremic neuropathy B. Hyperkaliemia C. Hypertension D. Hyponatremia 26 / 50 26. Renal tubular acidosis is not seen in: A. Galactosemia B. Sickle cell disease C. Leprosy D. Medullary sponge kidney 27 / 50 27. Heavy proteinuria associated with haematuria is suggestive of: A. Renal vein thrombosis B. Renal artery thrombosis C. Interstitial nephritis D. Papillary necrosis 28 / 50 28. Which of the following commonly affects kidneys? A. Rheumatoid arthritis B. Temporal arteritis C. Takayasu's arteritis D. Microscopic polyarteritis 29 / 50 29. Bosentan is recognised as a: A. Calcium sensitiser B. TNF-antagonist C. Endothelin antagonist D. Serotonin uptake inhibitor 30 / 50 30. Renal biopsy is contraindicated in all except: A. Big renal cyst B. Membranous nephropathy C. Serum creatinine >0 mg/dL D. Severe uncontrolled hypertension 31 / 50 31. ACE inhibitors are contraindicated in all except: A. Aortic stenosis B. Diabetes mellitus C. Pregnancy D. Bilateral renal artery stenosis 32 / 50 32. Alport’s syndrome may have: A. Lenticonus B. Hyperammonaemia C. Band keratopathy D. Thrombocytosis 33 / 50 33. Hyporeninaemic hypoaldosteronism is seen in: A. Diabetes mellitus B. Conn's syndrome C. Sickle cell anemia D. Congestive cardiac failure 34 / 50 34. Tubular proteinuria is assessed by measuring: A. Transferrin B. Albumin C. Beta-2 microglobulin D. Tamm-Horsfall mucoprotein 35 / 50 35. Which is false regarding Berger’s disease? A. It may represent a form of Henoch-Schonlein purpura B. Recurrent haematuria C. Raised Serum IgA D. Reduced Complement level 36 / 50 36. For a definitive diagnosis of vesicoureteric reflux, the investigation of choice is: A. Ultrasonography B. IVP C. Radionuclide studies D. Micturating cystourethrography 37 / 50 37. Increased plasma urea/creatinine is found in alt except: A. Gastrointestinal haemorrhage B. Fulminant hepatocellular failure C. Heart failure D. Ureterocolic anastomosis 38 / 50 38. AGN is not characterised by: A. Oliguria B. Massive proteinuria C. Systemic hypertension D. Macroscopic haematuria 39 / 50 39. Diabetes mellitus complicated by nephrotic syndrome has all the following features except: A. Retinopathy B. Initially GFR may be increased C. Increased palsma renin activity D. Hypertension 40 / 50 40. Oliguria is: A. < 200 ml urine/24 h B. < 50 ml urine/24 h C. < 100 ml urine/24 h D. < 400 mL urine/24 h 41 / 50 41. Polyuria is produced by all of the following except: A. Hypercalcaemia B. Diabetes insipidus C. Congestive cardiac failure D. Chronic renal failure 42 / 50 42. Isosthenuria is found in: A. Acute glomerulonephritis B. Nephrolithiasis C. Chronic renal failure D. Nail-patella syndrome 43 / 50 43. All of the following may give rise to RPGN except: A. Goodpasture's disease B. Wilson's disease C. Subacute bacterial endocarditis D. SLE 44 / 50 44. Which of the following is not a typical association in adult polycystic kidney disease? A. Nephrolithiasis B. VSD C. Polycythaemia D. Berry aneurysms 45 / 50 45. Which is not true in orthostatic proteinuria? A. Maybe related to increased lumbar lordosis B. Seen in tall persons C. Indicates a serious underlying disease D. Primarily occurs in upright posture 46 / 50 46. Prognosis of which of the following is excellent? A. Nephrotic syndrome B. Interstitial nephritis C. Chronic nephritis D. Acute glomerulonephritis 47 / 50 47. X-ray pelvis shows iliac horns in: A. Medullary sponge kidney B. Alport's syndrome C. Nail-patella syndrome D. Fabry's disease 48 / 50 48. Which of the following is not a guanidino compound? A. Creatine B. Carnitine C. Creatinine D. Guanidino-succinic acid 49 / 50 49. The most beneficial drug in enuresis is: A. Haloperidol B. Chlorpromazine C. Trimipramine D. Fluoxetine 50 / 50 50. Complications of AGN include all except: A. Acute renal failure B. Congestive cardiac failure C. Hypertensive encephalopathy D. Respiratory tract infections LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Next Post Cardiology