Nephrology Home Internal Medicine 0% 15 votes, 0 avg 35 Nephrology 1 / 50 1. The commonest presentation of renal cell carcinoma is: A. Flank pain B. Palpable abdominal mass C. Distant metastasis D. Haematuria 2 / 50 2. Inheritance of renal glycosuria is: A. X-linked dominant B. Autosomal dominant C. X-linked recessive D. Autosomal recessive 3 / 50 3. All of the following may develop nephrolithiasis except: A. Intestinal hyperoxaluria B. Proximal renal tubular acidosis C. Hypervitaminosis D D. Primary hyperparathyroidism 4 / 50 4. Which of the following is not a typical association in adult polycystic kidney disease? A. Berry aneurysms B. Polycythaemia C. Nephrolithiasis D. VSD 5 / 50 5. Fatty cast is often diagnostic of: A. End-stage renal disease B. Acute glomerulonephritis C. Nephrotic syndrome D. Papillary necrosis 6 / 50 6. Waxy casts are: A. Virtually not found in normal urine B. Usually not found in nephritic syndrome C. Specific for acute glomerulonephritis D. Frequently seen in UTI 7 / 50 7. Balanoposthitis is not associated with: A. Peyronie's disease B. Diabetes mellitus C. Trichomoniasis D. Phimosis 8 / 50 8. All are true in ‘dialysis dementia’ except: A. Raised intracranial tension B. Myoclonus C. Related to aluminium toxicity D. Seizures 9 / 50 9. ‘Rugger jersey spine’ is seen in: A. Sickle cell anemia B. Chronic renal failure C. Ochronosis D. Hypoparathyroidism 10 / 50 10. Gitelman syndrome is the syndrome which has effects on nephron just like the use of: A. Thiazide diuretics B. Potassium sparing diuretics C. Loop Diuretics D. Acetazolamide 11 / 50 11. Complications of AGN include all except: A. Hypertensive encephalopathy B. Congestive cardiac failure C. Respiratory tract infections D. Acute renal failure 12 / 50 12. Tubular proteinuria is assessed by measuring: A. Transferrin B. Beta-2 microglobulin C. Tamm-Horsfall mucoprotein D. Albumin 13 / 50 13. Which is false regarding Goodpasture’s disease? A. Pulmonary haemorrhage B. Antibody to glomerular basement membrane antigen C. Glomerulonephritis D. Low serum complement level 14 / 50 14. Bilaterally palpable kidneys are found in alt except: A. Acromegaly B. Wilms' tumor C. Polycystic kidney D. Amyloidosis 15 / 50 15. All of the following are associated with hypercalciuria except: A. Hyperparathyroidism B. Progressive systemic sclerosis C. Sarcoidosis D. Milk-alkali syndrome 16 / 50 16. IgA nephropathy commonly presents with: A. Nephrotic syndrome B. Acute renal failure C. Hematuria D. Systemic hypertension 17 / 50 17. Recurrent haematuria is not classically seen in: A. Haemophilia B. Berger's disease C. Sickle cell disease D. Diabetes mellitus 18 / 50 18. Which is false regarding Berger’s disease? A. Reduced Complement level B. Raised Serum IgA C. It may represent a form of Henoch-Schonlein purpura D. Recurrent haematuria 19 / 50 19. Anti-tubule basement membrane antibodies may be found in treatment with: A. Streptomycin B. Metoprolol C. Spironolactone D. Methicillin 20 / 50 20. AGN may be produced by alt except: A. Malaria B. Hepatitis B C. Pneumococcus D. Kala-azar 21 / 50 21. Streptococcal pyoderma may be associated with all except: A. Mild fever B. Pyaemia C. Acute rheumatic fever D. Acute glomerulonephritis (AGN) 22 / 50 22. Transient deafness is most commonly associated with: A. Spironolactone B. Ethacrynic acid C. Hydrochlorthiazide D. Bumetanide 23 / 50 23. Microscopic haematuria is characteristic of: A. Membranous nephropathy B. Subacute bacterial endocarditis C. Focal glomerulasclerosis D. Thin basement membrane disease of kidney 24 / 50 24. Which of the following is false regarding Tamm-Horsfall mucoprotein? A. Does not arise from plasma B. An abnormal urinary protein C. Glycoprotein in nature D. Secreted by renal tubules 25 / 50 25. All of the following are complications of chronic pyelonephritis except: A. Chronic renal failure B. Septicaemia C. Hypertension D. Renal calculi 26 / 50 26. All are true in acute renal failure (ARF) except: A. Raised [H+] B. Raised K+ C. Raised Calcium D. Raised Creatinine 27 / 50 27. The most beneficial drug in enuresis is: A. Haloperidol B. Trimipramine C. Fluoxetine D. Chlorpromazine 28 / 50 28. Which of the following is not a cause of ‘sterile pyuria’? A. Cystitis B. Interstitial nephritis C. Papillary necrosis D. Renal tuberculosis 29 / 50 29. In a severely uraemic patient, which of the following would indicate chronic renal failure? A. Hyperkaliemia B. Hypertension C. Uremic neuropathy D. Hyponatremia 30 / 50 30. Broad casts are found in: A. Urinary tract infection B. Analgesic nephropathy C. Acute glomerulonephritis D. Chronic renal failure (CRF) 31 / 50 31. ‘Fruity odour’ in urine is found in: A. Chyluria B. Urinary tract infection (UTI) C. Diabetic ketoacidosis D. Alkaptonuria 32 / 50 32. Haemoptysis associated with renal failure is found in all except: A. Pulmonary arteriovenous fistula B. Henoch Schonlein purpura C. Wegener's granulomatosis D. Goodpasture's disease 33 / 50 33. The blood level of all rises in ARF except: A. Creatinine B. Uric acid C. Na+ D. K+ 34 / 50 34. Alport’s syndrome may have: A. Band keratopathy B. Hyperammonaemia C. Thrombocytosis D. Lenticonus 35 / 50 35. ‘Saturnine gout’ develops as a result of: A. Chronic pyelonephritis B. Lead nephropathy C. Analgesic nephropathy D. Mercury nephropathy 36 / 50 36. Commonest histological variety of nephrotic syndrome in adult is: A. Mesangial proliferative B. Membranous nephropathy C. Focal glomerulosclerosis D. Minimal change lesion 37 / 50 37. Alport’s syndrome is associated with all except: A. Recurrent haematuria B. Interstitial foam cells C. Autosomal recessive inheritance D. Sensorineural deafness 38 / 50 38. Which of the following is not a guanidino compound? A. Carnitine B. Creatine C. Creatinine D. Guanidino-succinic acid 39 / 50 39. Renal tubular acidosis is not seen in: A. Sickle cell disease B. Galactosemia C. Medullary sponge kidney D. Leprosy 40 / 50 40. Dehydration should be strictly avoided before performing IVP in: A. Renal cell carcinoma B. Multiple myeloma C. Acute myeloid leukemia D. Lymphoma 41 / 50 41. ANCA-positive pauci-immune glomerulonephritis is seen in: A. Polyarteritis nodosa (PAN) B. Systemic lupus erythematosus (SLE) C. Churg-Strauss syndrome (CSS) D. Henoch-Schoenlein purpura (HSP) 42 / 50 42. Bosentan is recognised as a: A. Serotonin uptake inhibitor B. TNF-antagonist C. Endothelin antagonist D. Calcium sensitiser 43 / 50 43. Which is false regarding the adult polycystic disease of kidney? A. Autosomal recessive inheritance B. 75% have hypertension C. 10% die from subarachnoid haemorrhage D. 30% have hepatic cysts 44 / 50 44. Wilms’ tumour is characterised by all except: A. Commonest renal malignancy B. Haematuria C. Pain abdomen D. Renal lump with smooth surface 45 / 50 45. All are recognised causes of chronic renal failure (CRF) except: A. Hypertension B. Diabetes mellitus C. Snakebite D. Obstructive uropathy 46 / 50 46. Fabry’s disease is not related to: A. Accumulation of tryptophan B. Corneal dystrophy C. Premature coronary artery disease D. As a result of deficiency of a-galactosidase 47 / 50 47. Polyuria is produced by all of the following except: A. Diabetes insipidus B. Hypercalcaemia C. Chronic renal failure D. Congestive cardiac failure 48 / 50 48. Minimal change nephropathy is better known as: A. Foot process disease B. Nil lesion C. All of the options D. Lipoid nephrosis 49 / 50 49. Oliguria is: A. < 400 mL urine/24 h B. < 200 ml urine/24 h C. < 100 ml urine/24 h D. < 50 ml urine/24 h 50 / 50 50. 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. Furosemide C. Angiotensin II receptor blocker D. 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