Nephrology Home Internal Medicine 0% 15 votes, 0 avg 35 Nephrology 1 / 50 1. Regarding erythropoietin therapy in CRF, which is not correct? A. Patients with ferritin level 50-100 μg/l respond well B. Average dosage is 50 U/kg, IV, thrice weekly C. During treatment, haemoglobin should not cross 12 g/ dl D. Subcutaneous administration may give rise to pure red cell aplasia 2 / 50 2. Which is false regarding the adult polycystic disease of kidney? A. 75% have hypertension B. 30% have hepatic cysts C. Autosomal recessive inheritance D. 10% die from subarachnoid haemorrhage 3 / 50 3. Which is false in CRF-related anaemia? A. Increased blood loss due to capillary fragility B. Increased degradation of erythropoietin C. Reduced red cell survival D. Reduced erythropoiesis due to toxic effects of uremia 4 / 50 4. ‘Rugger jersey spine’ is seen in: A. Chronic renal failure B. Hypoparathyroidism C. Ochronosis D. Sickle cell anemia 5 / 50 5. Which of the following is not a typical association in adult polycystic kidney disease? A. Berry aneurysms B. Polycythaemia C. Nephrolithiasis D. VSD 6 / 50 6. Which of the renal stones is radiolucent? A. Cystine stone B. Calcium oxalate C. Triple phosphate D. Uric acid 7 / 50 7. Which of the following certainly diagnoses a renal lump? A. Slight movement with respiration B. Bimanual palpability C. Ballottement D. Band of colonic resonance 8 / 50 8. Radiolucent nephrolithiasis is found in stones composed of: A. Uric acid B. Calcium oxalate C. Cystine D. Magnesium ammonium phosphate 9 / 50 9. ‘Fruity odour’ in urine is found in: A. Diabetic ketoacidosis B. Alkaptonuria C. Chyluria D. Urinary tract infection (UTI) 10 / 50 10. Isosthenuria is found in: A. Nail-patella syndrome B. Nephrolithiasis C. Chronic renal failure D. Acute glomerulonephritis 11 / 50 11. Absolute contraindications of renal transplantation are all except: A. Hepatitis C infection with chronic hepatitis B. HIV infection C. Previous sensitisation to donor tissue D. Active malignancy 12 / 50 12. The commonest presentation of renal cell carcinoma is: A. Flank pain B. Palpable abdominal mass C. Distant metastasis D. Haematuria 13 / 50 13. Wilms’ tumour is characterised by all except: A. Renal lump with smooth surface B. Pain abdomen C. Haematuria D. Commonest renal malignancy 14 / 50 14. All of the following may be complicated by papillary necrosis except: A. Sickle cell anemia B. Leprosy C. Macroglobulinaemia D. Diabetes mellitus 15 / 50 15. In pregnancy-induced hypertension, which of the following suggests pre-eclampsia? A. Creatinine > 1.6 mg/ dl B. Diastolic BP >95 mm Hg C. Uric acid >5.5 mg/ dl D. Urea >45 mg/ dl 16 / 50 16. X-ray pelvis shows iliac horns in: A. Alport's syndrome B. Fabry's disease C. Nail-patella syndrome D. Medullary sponge kidney 17 / 50 17. Hyporeninaemic hypoaldosteronism is seen in: A. Congestive cardiac failure B. Sickle cell anemia C. Conn's syndrome D. Diabetes mellitus 18 / 50 18. Struvite stone is usually a result of urinary infection by: A. Proteus B. Klebsiella C. Pseudomonas D. Staphylococcus 19 / 50 19. Which of the following is not a guanidino compound? A. Creatine B. Carnitine C. Creatinine D. Guanidino-succinic acid 20 / 50 20. Streptococcal pyoderma may be associated with all except: A. Acute rheumatic fever B. Acute glomerulonephritis (AGN) C. Pyaemia D. Mild fever 21 / 50 21. Absolute indication for dialysis: A. Serum urea level >200 mg/dl B. Serum creatinine level >4 mg/ dl C. Serum K+ level >6 mEq/l D. Clinical evidence of pericarditis 22 / 50 22. Commonest histological variety of nephrotic syndrome in adult is: A. Minimal change lesion B. Membranous nephropathy C. Focal glomerulosclerosis D. Mesangial proliferative 23 / 50 23. Alport’s syndrome is associated with all except: A. Interstitial foam cells B. Recurrent haematuria C. Autosomal recessive inheritance D. Sensorineural deafness 24 / 50 24. ‘Ring shadow’ on IV Pyelography diagnoses: A. Hypercalcemic nephropathy B. Papillary necrosis C. Gouty nephropathy D. Medullary cystic kidney 25 / 50 25. Complement C3 is characteristically low in all except: A. SLE B. Post-streptococcal glomerulonephritis C. Focal glomerulosclerosis D. Membranoproliferative glomerulonephritis 26 / 50 26. Which of the following is not a criterion for diagnosis of nephrotic syndrome? A. Hypoalbuminemia B. Hypertension C. Massive proteinuria D. Hyperlipidaemia 27 / 50 27. Green urine is seen in: A. Black water fever B. Alkaptonuria C. Pseudomonas infection D. Oxalate poisoning 28 / 50 28. For a definitive diagnosis of vesicoureteric reflux, the investigation of choice is: A. IVP B. Micturating cystourethrography C. Ultrasonography D. Radionuclide studies 29 / 50 29. In a severely uraemic patient, which of the following would indicate chronic renal failure? A. Hypertension B. Hyperkaliemia C. Hyponatremia D. Uremic neuropathy 30 / 50 30. Serum urea and creatinine remain normal in: A. Hydronephrosis B. Haemolytic-uraemic syndrome C. Hepatorenal syndrome D. Acute renal failure 31 / 50 31. All are true in acute renal failure (ARF) except: A. Raised K+ B. Raised Creatinine C. Raised [H+] D. Raised Calcium 32 / 50 32. Renal tubular acidosis is not seen in: A. Leprosy B. Galactosemia C. Sickle cell disease D. Medullary sponge kidney 33 / 50 33. Which of the following is false in nephritic-nephrotic syndrome? A. Majority of patients terminate into end-stage renal disease B. Moderate haematuria and moderate proteinuria are common C. SLE is a common aetiology D. Systemic hypertension is rare 34 / 50 34. 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 35 / 50 35. AGN is not characterised by: A. Oliguria B. Systemic hypertension C. Massive proteinuria D. Macroscopic haematuria 36 / 50 36. IgA nephropathy commonly presents with: A. Hematuria B. Acute renal failure C. Nephrotic syndrome D. Systemic hypertension 37 / 50 37. Renal tubular acidosis may be due to: A. Streptozotocin B. Captopril C. Methoxyflurane D. Probenecid 38 / 50 38. Which of the following is false regarding Tamm-Horsfall mucoprotein? A. Does not arise from plasma B. Glycoprotein in nature C. Secreted by renal tubules D. An abnormal urinary protein 39 / 50 39. The commonest cause of renal vein thrombosis in a child is: A. Acute glomerulonephritis B. Dehydration C. Minimal lesion nephropathy D. Antiphospholipid antibody syndrome 40 / 50 40. Haemoptysis associated with renal failure is found in all except: A. Henoch Schonlein purpura B. Goodpasture's disease C. Wegener's granulomatosis D. Pulmonary arteriovenous fistula 41 / 50 41. All of the following produce enuresis except: A. Multiple sclerosis B. Spina bifida C. Bladder neck contracture D. Type I diabetes mellitus 42 / 50 42. Dehydration should be strictly avoided before performing IVP in: A. Acute myeloid leukemia B. Multiple myeloma C. Renal cell carcinoma D. Lymphoma 43 / 50 43. Isolated haematuria is not found in: A. Acute glomerulonephritis B. Sickle cell nephropathy C. Renal tuberculosis D. Papillary necrosis 44 / 50 44. Rapidly progressive glomerulonephritis is not produced as a result of: A. Granulomatosis with polyangiitis B. Henoch-Schonlein purpura C. Post-streptococcal glomerulonephritis D. Dexamethasone 45 / 50 45. Prognosis of which of the following is excellent? A. Nephrotic syndrome B. Chronic nephritis C. Interstitial nephritis D. Acute glomerulonephritis 46 / 50 46. Which is not true in orthostatic proteinuria? A. Maybe related to increased lumbar lordosis B. Seen in tall persons C. Primarily occurs in upright posture D. Indicates a serious underlying disease 47 / 50 47. Complications of AGN include all except: A. Hypertensive encephalopathy B. Respiratory tract infections C. Congestive cardiac failure D. Acute renal failure 48 / 50 48. Fabry’s disease is not related to: A. As a result of deficiency of a-galactosidase B. Accumulation of tryptophan C. Premature coronary artery disease D. Corneal dystrophy 49 / 50 49. 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 50 / 50 50. Which of the following is usually unresponsive to corticosteroid therapy? A. Minimal lesion nephropathy B. Membranous nephropathy C. Focal glomerulosclerosis D. Membranoproliferative nephropathy LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Next Post Cardiology