Nephrology Home Internal Medicine 0% 15 votes, 0 avg 35 Nephrology 1 / 50 1. Wilms’ tumour is characterised by all except: A. Commonest renal malignancy B. Haematuria C. Pain abdomen D. Renal lump with smooth surface 2 / 50 2. In microalbuminuria, the range of albuminuria is: A. 20-200 mg/day B. 10-100 mg/day C. 30-300 mg/ day D. 40-400 mg/ day 3 / 50 3. Which is not true in orthostatic proteinuria? A. Indicates a serious underlying disease B. Seen in tall persons C. Maybe related to increased lumbar lordosis D. Primarily occurs in upright posture 4 / 50 4. The urine in obligatory diuresis following relief of urinary obstruction is: A. Low in sodium B. Dilute and alkaline C. Highly acidic D. Concentrated 5 / 50 5. Which is false regarding the adult polycystic disease of kidney? A. 10% die from subarachnoid haemorrhage B. 30% have hepatic cysts C. 75% have hypertension D. Autosomal recessive inheritance 6 / 50 6. Which of the following is false in nephritic-nephrotic syndrome? A. Systemic hypertension is rare B. Moderate haematuria and moderate proteinuria are common C. SLE is a common aetiology D. Majority of patients terminate into end-stage renal disease 7 / 50 7. Metastatic calcification is seen in all of the following organs except: A. Brain B. Cornea C. Myocardium D. Medium-sized blood vessels 8 / 50 8. In IgA nephropathy, IgA is deposited in: A. Glomerular mesangium B. Renal papilla C. Glomerular basement membrane D. Glomerular capillaries 9 / 50 9. Positive Rothera’s test in urine is found in all except: A. Treatment with captopril B. Ketone bodies in urine C. Homocystinuria D. Tyrosinosis 10 / 50 10. Which does not produce ‘sterile pyuria’? A. Cyclophosphamide administration B. UTI by Proteus C. Pregnancy D. Renal transplant rejection 11 / 50 11. Fabry’s disease is not related to: A. As a result of deficiency of a-galactosidase B. Premature coronary artery disease C. Accumulation of tryptophan D. Corneal dystrophy 12 / 50 12. Hyperuricaemia is not a feature of: A. Fanconi's syndrome B. Active psoriasis C. Nicotinic acid therapy D. Lactic acidosis 13 / 50 13. All of the following are complications of chronic pyelonephritis except: A. Chronic renal failure B. Septicaemia C. Renal calculi D. Hypertension 14 / 50 14. All are true in urethral syndrome except: A. Post-coital urethral congestion may be an etiology B. No bacteria are cultured from urine C. Antibiotics are always indicated D. Predominantly affects females 15 / 50 15. ‘Ring shadow’ on IV Pyelography diagnoses: A. Medullary cystic kidney B. Hypercalcemic nephropathy C. Gouty nephropathy D. Papillary necrosis 16 / 50 16. After how many years of onset of type 1 or 2 diabetes, microalbuminuria appears? A. 15-20 years B. 5-10 years C. 10-15 years D. 1-5 years 17 / 50 17. Which of the following is not a guanidino compound? A. Creatinine B. Guanidino-succinic acid C. Creatine D. Carnitine 18 / 50 18. A child with rickets, nephrocalcinosis, hyperchloraemic acidosis and alkaline urine is suffering from: A. Proximal renal tubular acidosis B. Nephrogenic diabetes insipidus C. Vitamin D sensitive rickets D. Distal renal tubular acidosis 19 / 50 19. All of the following may be complicated by papillary necrosis except: A. Sickle cell anemia B. Diabetes mellitus C. Macroglobulinaemia D. Leprosy 20 / 50 20. AGN is not characterised by: A. Macroscopic haematuria B. Oliguria C. Systemic hypertension D. Massive proteinuria 21 / 50 21. Bartter’s syndrome should not have: A. Elevated plasma renin activity B. Hypokalemia C. Acidosis D. Normotension 22 / 50 22. The medullary cystic disease is not associated with: A. Hyponatraemia B. Polyuria C. Hypochloraemia D. Stunted growth 23 / 50 23. All of the following may give rise to Fanconi’s syndrome except: A. Wilson's disease B. Galactosaemia C. Cystinosis D. Haemochromatosis 24 / 50 24. Acute tubular necrosis is found in all except: A. Abruptio placentae B. Weil's disease C. Cisplatin-induced D. Rhabdomyolysis 25 / 50 25. In pregnancy-induced hypertension, which of the following suggests pre-eclampsia? A. Diastolic BP >95 mm Hg B. Urea >45 mg/ dl C. Creatinine > 1.6 mg/ dl D. Uric acid >5.5 mg/ dl 26 / 50 26. IgA nephropathy commonly presents with: A. Hematuria B. Nephrotic syndrome C. Systemic hypertension D. Acute renal failure 27 / 50 27. Which of the following is not a recognised cause of microalbuminuria? A. Diabetes mellitus with early renal involvement B. Congestive cardiac failure C. Nephrotic syndrome D. Strenuous physical exercise 28 / 50 28. All are true in ‘dialysis dementia’ except: A. Seizures B. Related to aluminium toxicity C. Myoclonus D. Raised intracranial tension 29 / 50 29. Anti-tubule basement membrane antibodies may be found in treatment with: A. Streptomycin B. Spironolactone C. Metoprolol D. Methicillin 30 / 50 30. The most beneficial drug in enuresis is: A. Haloperidol B. Chlorpromazine C. Trimipramine D. Fluoxetine 31 / 50 31. Streptococcal pyoderma may be associated with all except: A. Pyaemia B. Mild fever C. Acute glomerulonephritis (AGN) D. Acute rheumatic fever 32 / 50 32. WBC casts in urine are suggestive of all except: A. Rapidly progressive glomerulonephritis B. Transplant rejection C. Pyelonephritis D. Interstitial nephritis 33 / 50 33. Recurrent haematuria is not classically seen in: A. Sickle cell disease B. Haemophilia C. Berger's disease D. Diabetes mellitus 34 / 50 34. Haemoptysis associated with renal failure is found in all except: A. Henoch Schonlein purpura B. Wegener's granulomatosis C. Pulmonary arteriovenous fistula D. Goodpasture's disease 35 / 50 35. The commonest cause of solute diuresis is: A. Administration of mannitol B. Poorly controlled diabetes mellitus C. Radiocontrast media D. High protein feeding 36 / 50 36. Dehydration should be strictly avoided before performing IVP in: A. Lymphoma B. Acute myeloid leukemia C. Multiple myeloma D. Renal cell carcinoma 37 / 50 37. The commonest organism producing acute pyelonephritis is: A. Klebsiella B. Streptococcus C. Staphylococcus D. E. coli 38 / 50 38. Which of the following is false regarding Tamm-Horsfall mucoprotein? A. An abnormal urinary protein B. Secreted by renal tubules C. Does not arise from plasma D. Glycoprotein in nature 39 / 50 39. Fanconi syndrome may arise from all except: A. Cystinosis B. Wilson's disease C. Haemochromatosis D. Galactosemia 40 / 50 40. Chronic interstitial nephritis may lead to all of the following except: A. Hypokalemia B. Acidosis C. Hypertension D. Small kidneys 41 / 50 41. Struvite stone is usually a result of urinary infection by: A. Pseudomonas B. Staphylococcus C. Proteus D. Klebsiella 42 / 50 42. Diabetes mellitus complicated by nephrotic syndrome has all the following features except: A. Increased palsma renin activity B. Hypertension C. Retinopathy D. Initially GFR may be increased 43 / 50 43. In a severely uraemic patient, which of the following would indicate chronic renal failure? A. Hypertension B. Uremic neuropathy C. Hyponatremia D. Hyperkaliemia 44 / 50 44. Bartter syndrome is the syndrome which has effects on nephron just like the use of: A. Loop Diuretics B. Potassium sparing diuretics C. Acetazolamide D. Thiazide Diuretics 45 / 50 45. ‘Fruity odour’ in urine is found in: A. Diabetic ketoacidosis B. Urinary tract infection (UTI) C. Chyluria D. Alkaptonuria 46 / 50 46. Regarding erythropoietin therapy in CRF, which is not correct? A. Average dosage is 50 U/kg, IV, thrice weekly B. Patients with ferritin level 50-100 μg/l respond well C. Subcutaneous administration may give rise to pure red cell aplasia D. During treatment, haemoglobin should not cross 12 g/ dl 47 / 50 47. Oliguria is: A. < 200 ml urine/24 h B. < 100 ml urine/24 h C. < 50 ml urine/24 h D. < 400 mL urine/24 h 48 / 50 48. X-ray pelvis shows iliac horns in: A. Fabry's disease B. Nail-patella syndrome C. Medullary sponge kidney D. Alport's syndrome 49 / 50 49. Renal tubular acidosis may be due to: A. Streptozotocin B. Methoxyflurane C. Captopril D. Probenecid 50 / 50 50. Bilaterally palpable kidneys are found in alt except: A. Amyloidosis B. Polycystic kidney C. Acromegaly D. Wilms' tumor LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Next Post Cardiology