Nephrology Home Internal Medicine 0% 15 votes, 0 avg 35 Nephrology 1 / 50 1. For a definitive diagnosis of vesicoureteric reflux, the investigation of choice is: A. IVP B. Micturating cystourethrography C. Ultrasonography D. Radionuclide studies 2 / 50 2. Renal biopsy is contraindicated in all except: A. Serum creatinine >0 mg/dL B. Membranous nephropathy C. Severe uncontrolled hypertension D. Big renal cyst 3 / 50 3. Struvite stone is usually a result of urinary infection by: A. Proteus B. Staphylococcus C. Pseudomonas D. Klebsiella 4 / 50 4. Recurrent haematuria is not classically seen in: A. Berger's disease B. Sickle cell disease C. Diabetes mellitus D. Haemophilia 5 / 50 5. After how many years of onset of type 1 or 2 diabetes, microalbuminuria appears? A. 10-15 years B. 1-5 years C. 15-20 years D. 5-10 years 6 / 50 6. ‘Fruity odour’ in urine is found in: A. Alkaptonuria B. Urinary tract infection (UTI) C. Chyluria D. Diabetic ketoacidosis 7 / 50 7. Which of the following is false in nephritic-nephrotic syndrome? A. Moderate haematuria and moderate proteinuria are common B. Systemic hypertension is rare C. Majority of patients terminate into end-stage renal disease D. SLE is a common aetiology 8 / 50 8. Which of the following is not a cause of ‘sterile pyuria’? A. Interstitial nephritis B. Cystitis C. Papillary necrosis D. Renal tuberculosis 9 / 50 9. Which of the following can decrease the antihypertensive effect of ACE inhibitors? A. Thiazides B. NSAIDs C. Digoxin D. Furosemide 10 / 50 10. All of the following are associated with hypercalciuria except: A. Sarcoidosis B. Milk-alkali syndrome C. Progressive systemic sclerosis D. Hyperparathyroidism 11 / 50 11. All of the following are complications of chronic pyelonephritis except: A. Renal calculi B. Septicaemia C. Hypertension D. Chronic renal failure 12 / 50 12. Isosthenuria is found in: A. Acute glomerulonephritis B. Chronic renal failure C. Nail-patella syndrome D. Nephrolithiasis 13 / 50 13. Which does not produce ‘sterile pyuria’? A. Renal transplant rejection B. UTI by Proteus C. Cyclophosphamide administration D. Pregnancy 14 / 50 14. Which of the following does not produce red urine? A. Acute intermittent porphyria B. Haemoglobinuria C. Myoglobinuria D. Microscopic haematuria 15 / 50 15. Which of the following metal is not responsible for the development of nephrotic syndrome? A. Gold B. Mercury C. Iron D. Lead 16 / 50 16. 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 17 / 50 17. Absolute contraindications of renal transplantation are all except: A. HIV infection B. Previous sensitisation to donor tissue C. Hepatitis C infection with chronic hepatitis D. Active malignancy 18 / 50 18. Which of the following is not a criterion for diagnosis of nephrotic syndrome? A. Hypertension B. Massive proteinuria C. Hypoalbuminemia D. Hyperlipidaemia 19 / 50 19. Hyporeninaemic hypoaldosteronism is seen in: A. Diabetes mellitus B. Congestive cardiac failure C. Conn's syndrome D. Sickle cell anemia 20 / 50 20. Recognised feature of minimal change glomerular disease is: A. Hypertension B. Hematuria C. Response to corticosteroid D. Absence of oedema 21 / 50 21. All are true regarding renal ischaemia except: A. Patchy necrosis on biopsy B. Most marked in proximal tubules C. Disruption of tubular basement membrane D. Vasculitis is an etiology 22 / 50 22. The earliest manifestation of minimal lesion nephropathy is: A. Hyperkalaemia B. Proteinuria C. Anasarca D. Hypertension 23 / 50 23. Inheritance of renal glycosuria is: A. Autosomal recessive B. Autosomal dominant C. X-linked dominant D. X-linked recessive 24 / 50 24. Nocturia is not found in: A. Vesicoureteral reflux B. Salt-losing nephropathy C. Prostatism D. Rapidly progressive glomerulonephritis (RPGN) 25 / 50 25. Bartter’s syndrome should not have: A. Acidosis B. Normotension C. Elevated plasma renin activity D. Hypokalemia 26 / 50 26. ACE inhibitors are contraindicated in all except: A. Bilateral renal artery stenosis B. Aortic stenosis C. Pregnancy D. Diabetes mellitus 27 / 50 27. Each kidney contains approximately: A. 10 million nephrons B. Hundred thousand nephrons C. 1 million nephrons D. 10 thousand nephrons 28 / 50 28. Diabetes mellitus complicated by nephrotic syndrome has all the following features except: A. Hypertension B. Increased palsma renin activity C. Initially GFR may be increased D. Retinopathy 29 / 50 29. All of the following may give rise to Fanconi’s syndrome except: A. Haemochromatosis B. Galactosaemia C. Cystinosis D. Wilson's disease 30 / 50 30. Alport’s syndrome may have: A. Thrombocytosis B. Band keratopathy C. Hyperammonaemia D. Lenticonus 31 / 50 31. Which of the following is not added to urine by tubular secretion? A. K+ B. Creatinine C. Urea D. H+ 32 / 50 32. Which of the following certainly diagnoses a renal lump? A. Slight movement with respiration B. Band of colonic resonance C. Ballottement D. Bimanual palpability 33 / 50 33. Heavy proteinuria associated with haematuria is suggestive of: A. Interstitial nephritis B. Papillary necrosis C. Renal artery thrombosis D. Renal vein thrombosis 34 / 50 34. Renal vein thrombosis in adults is seen in: A. Interstitial nephritis B. Acute glomerulonephritis C. Amyloidosis D. Horseshoe kidney 35 / 50 35. Which is true in prerenal azotaemia? A. Urine creatinine to plasma creatinine ratio < 20 B. Urine Na+ concentration >20 mmol/L C. Urine specific gravity >1018 D. Plasma BUN to creatinine ratio < 10 36 / 50 36. Complications of AGN include all except: A. Congestive cardiac failure B. Respiratory tract infections C. Hypertensive encephalopathy D. Acute renal failure 37 / 50 37. Rapidly progressive glomerulonephritis is not produced as a result of: A. Henoch-Schonlein purpura B. Post-streptococcal glomerulonephritis C. Granulomatosis with polyangiitis D. Dexamethasone 38 / 50 38. Radiolucent nephrolithiasis is found in stones composed of: A. Magnesium ammonium phosphate B. Cystine C. Uric acid D. Calcium oxalate 39 / 50 39. ANCA-positive pauci-immune glomerulonephritis is seen in: A. Churg-Strauss syndrome (CSS) B. Polyarteritis nodosa (PAN) C. Systemic lupus erythematosus (SLE) D. Henoch-Schoenlein purpura (HSP) 40 / 50 40. Which of the renal stones is radiolucent? A. Calcium oxalate B. Triple phosphate C. Cystine stone D. Uric acid 41 / 50 41. The commonest presentation of renal cell carcinoma is: A. Haematuria B. Distant metastasis C. Palpable abdominal mass D. Flank pain 42 / 50 42. Hyperuricaemia is not a feature of: A. Lactic acidosis B. Active psoriasis C. Nicotinic acid therapy D. Fanconi's syndrome 43 / 50 43. A child with rickets, nephrocalcinosis, hyperchloraemic acidosis and alkaline urine is suffering from: A. Distal renal tubular acidosis B. Vitamin D sensitive rickets C. Proximal renal tubular acidosis D. Nephrogenic diabetes insipidus 44 / 50 44. Prognosis of which of the following is excellent? A. Chronic nephritis B. Interstitial nephritis C. Acute glomerulonephritis D. Nephrotic syndrome 45 / 50 45. The medullary cystic disease is not associated with: A. Hyponatraemia B. Polyuria C. Hypochloraemia D. Stunted growth 46 / 50 46. Normal urinary osmolality in mOsm/kg of water is approximately: A. 200-350 B. 150-200 C. 200-350 D. 400-700 47 / 50 47. All are true in bladder carcinoma except: A. Schistosoma haematobium produces transitional cell carcinoma B. Predominantly affects males C. Haematuria is the commonest presentation D. Cigarette smoking is a predisposing factor 48 / 50 48. Haemoptysis associated with renal failure is found in all except: A. Pulmonary arteriovenous fistula B. Goodpasture's disease C. Wegener's granulomatosis D. Henoch Schonlein purpura 49 / 50 49. Serum add phosphatase level is increased in all except: A. Prostatic carcinoma B. Amyloidosis C. Hairy cell leukaemia D. Gaucher's disease 50 / 50 50. ‘Ring shadow’ on IV Pyelography diagnoses: A. Medullary cystic kidney B. Gouty nephropathy C. Hypercalcemic nephropathy D. Papillary necrosis LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Next Post Cardiology