Nephrology Home Internal Medicine 0% 15 votes, 0 avg 35 Nephrology 1 / 50 1. ‘Fruity odour’ in urine is found in: A. Alkaptonuria B. Urinary tract infection (UTI) C. Chyluria D. Diabetic ketoacidosis 2 / 50 2. Which of the following is false regarding Tamm-Horsfall mucoprotein? A. Glycoprotein in nature B. Does not arise from plasma C. An abnormal urinary protein D. Secreted by renal tubules 3 / 50 3. All of the following drugs may produce nephrotic syndrome except: A. alpha-interferon B. Penicillamine C. Colchicine D. Troxidone 4 / 50 4. In microalbuminuria, the range of albuminuria is: A. 20-200 mg/day B. 10-100 mg/day C. 40-400 mg/ day D. 30-300 mg/ day 5 / 50 5. All of the following are complications of chronic pyelonephritis except: A. Septicaemia B. Chronic renal failure C. Hypertension D. Renal calculi 6 / 50 6. All are true in ‘dialysis dementia’ except: A. Myoclonus B. Related to aluminium toxicity C. Raised intracranial tension D. Seizures 7 / 50 7. Which is true in prerenal azotaemia? A. Plasma BUN to creatinine ratio < 10 B. Urine specific gravity >1018 C. Urine Na+ concentration >20 mmol/L D. Urine creatinine to plasma creatinine ratio < 20 8 / 50 8. Nephrotic syndrome may be associated with hypertension in all except: A. SLE B. Diabetes mellitus C. Focal glomerulosclerosis D. Subacute bacterial endocarditis (SBE) 9 / 50 9. The commonest presentation of renal cell carcinoma is: A. Palpable abdominal mass B. Distant metastasis C. Haematuria D. Flank pain 10 / 50 10. All of the following may develop nephrolithiasis except: A. Hypervitaminosis D B. Proximal renal tubular acidosis C. Primary hyperparathyroidism D. Intestinal hyperoxaluria 11 / 50 11. Bilaterally palpable kidneys are found in alt except: A. Acromegaly B. Wilms' tumor C. Polycystic kidney D. Amyloidosis 12 / 50 12. Inheritance of renal glycosuria is: A. Autosomal recessive B. X-linked dominant C. Autosomal dominant D. X-linked recessive 13 / 50 13. Commonest histological variety of nephrotic syndrome in adult is: A. Focal glomerulosclerosis B. Minimal change lesion C. Membranous nephropathy D. Mesangial proliferative 14 / 50 14. Diabetes mellitus complicated by nephrotic syndrome has all the following features except: A. Retinopathy B. Hypertension C. Increased palsma renin activity D. Initially GFR may be increased 15 / 50 15. Urine of low specific gravity is obtained in: A. Psychogenic polydipsia B. Diabetes mellitus C. Massive proteinuria D. Severe dehydration 16 / 50 16. Fatty cast is often diagnostic of: A. Papillary necrosis B. Nephrotic syndrome C. End-stage renal disease D. Acute glomerulonephritis 17 / 50 17. The earliest manifestation of minimal lesion nephropathy is: A. Proteinuria B. Hypertension C. Hyperkalaemia D. Anasarca 18 / 50 18. Haemoptysis associated with renal failure is found in all except: A. Pulmonary arteriovenous fistula B. Goodpasture's disease C. Henoch Schonlein purpura D. Wegener's granulomatosis 19 / 50 19. Which does not produce ‘sterile pyuria’? A. Pregnancy B. UTI by Proteus C. Cyclophosphamide administration D. Renal transplant rejection 20 / 50 20. Which is not true in orthostatic proteinuria? A. Indicates a serious underlying disease B. Maybe related to increased lumbar lordosis C. Primarily occurs in upright posture D. Seen in tall persons 21 / 50 21. Which of the following is not added to urine by tubular secretion? A. Creatinine B. Urea C. K+ D. H+ 22 / 50 22. All of the following may be complicated by papillary necrosis except: A. Sickle cell anemia B. Diabetes mellitus C. Leprosy D. Macroglobulinaemia 23 / 50 23. For a definitive diagnosis of vesicoureteric reflux, the investigation of choice is: A. IVP B. Ultrasonography C. Micturating cystourethrography D. Radionuclide studies 24 / 50 24. Renal biopsy is contraindicated in all except: A. Severe uncontrolled hypertension B. Big renal cyst C. Membranous nephropathy D. Serum creatinine >0 mg/dL 25 / 50 25. Which is false regarding Berger’s disease? A. Recurrent haematuria B. It may represent a form of Henoch-Schonlein purpura C. Raised Serum IgA D. Reduced Complement level 26 / 50 26. Urinary clearance of IgG compared with transferrin is found to be <10 in: A. Mesangial proliferative nephropathy B. Focal glomerulosclerosis C. Minimal lesion nephropathy D. Membranous nephropathy 27 / 50 27. 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 28 / 50 28. The commonest cause of solute diuresis is: A. Radiocontrast media B. Administration of mannitol C. Poorly controlled diabetes mellitus D. High protein feeding 29 / 50 29. Struvite stone is usually a result of urinary infection by: A. Pseudomonas B. Klebsiella C. Staphylococcus D. Proteus 30 / 50 30. Which of the following is false in nephritic-nephrotic syndrome? A. Moderate haematuria and moderate proteinuria are common B. Systemic hypertension is rare C. SLE is a common aetiology D. Majority of patients terminate into end-stage renal disease 31 / 50 31. Which of the following does not produce red urine? A. Microscopic haematuria B. Haemoglobinuria C. Myoglobinuria D. Acute intermittent porphyria 32 / 50 32. Dehydration should be strictly avoided before performing IVP in: A. Renal cell carcinoma B. Lymphoma C. Multiple myeloma D. Acute myeloid leukemia 33 / 50 33. All of the following are associated with hypercalciuria except: A. Sarcoidosis B. Progressive systemic sclerosis C. Hyperparathyroidism D. Milk-alkali syndrome 34 / 50 34. ‘Rugger jersey spine’ is seen in: A. Hypoparathyroidism B. Ochronosis C. Chronic renal failure D. Sickle cell anemia 35 / 50 35. ‘Ring shadow’ on IV Pyelography diagnoses: A. Medullary cystic kidney B. Hypercalcemic nephropathy C. Gouty nephropathy D. Papillary necrosis 36 / 50 36. Radiolucent nephrolithiasis is found in stones composed of: A. Calcium oxalate B. Uric acid C. Magnesium ammonium phosphate D. Cystine 37 / 50 37. The most beneficial drug in enuresis is: A. Fluoxetine B. Chlorpromazine C. Haloperidol D. Trimipramine 38 / 50 38. ‘Complete’ anuria is found in: A. Acute gastroenteritis B. Chronic Kidney disease C. Diffuse cortical necrosis D. Acute renal failure 39 / 50 39. Renal vein thrombosis in adults is seen in: A. Acute glomerulonephritis B. Amyloidosis C. Interstitial nephritis D. Horseshoe kidney 40 / 50 40. Green urine is seen in: A. Alkaptonuria B. Black water fever C. Oxalate poisoning D. Pseudomonas infection 41 / 50 41. Heavy proteinuria associated with haematuria is suggestive of: A. Papillary necrosis B. Renal vein thrombosis C. Renal artery thrombosis D. Interstitial nephritis 42 / 50 42. Alimentary glycosuria may be associated with all except: A. Partial gastrectomy B. Normal individuals C. Hyperthyroidism D. Renal failure 43 / 50 43. Recurrent haematuria is not classically seen in: A. Diabetes mellitus B. Sickle cell disease C. Berger's disease D. Haemophilia 44 / 50 44. Chronic interstitial nephritis may lead to all of the following except: A. Hypokalemia B. Acidosis C. Small kidneys D. Hypertension 45 / 50 45. In IgA nephropathy, IgA is deposited in: A. Glomerular capillaries B. Glomerular basement membrane C. Glomerular mesangium D. Renal papilla 46 / 50 46. All are true in bladder carcinoma except: A. Schistosoma haematobium produces transitional cell carcinoma B. Predominantly affects males C. Cigarette smoking is a predisposing factor D. Haematuria is the commonest presentation 47 / 50 47. Hyperuricaemia is not a feature of: A. Nicotinic acid therapy B. Lactic acidosis C. Fanconi's syndrome D. Active psoriasis 48 / 50 48. Hypernephroma is associated with all except: A. High incidence of hypertension B. Renal vein thrombosis C. Polycythaemia D. Haematuria 49 / 50 49. Tubular proteinuria is assessed by measuring: A. Beta-2 microglobulin B. Albumin C. Transferrin D. Tamm-Horsfall mucoprotein 50 / 50 50. Each kidney contains approximately: A. 10 thousand nephrons B. Hundred thousand nephrons C. 1 million nephrons D. 10 million nephrons LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Next Post Cardiology