Nephrology Home Internal Medicine 0% 4 votes, 0 avg 15 Nephrology 1 / 50 1. Isosthenuria is found in: A. Acute glomerulonephritis B. Nephrolithiasis C. Nail-patella syndrome D. Chronic renal failure 2 / 50 2. Alport’s syndrome is associated with all except: A. Recurrent haematuria B. Autosomal recessive inheritance C. Sensorineural deafness D. Interstitial foam cells 3 / 50 3. All of the following may develop nephrolithiasis except: A. Hypervitaminosis D B. Primary hyperparathyroidism C. Proximal renal tubular acidosis D. Intestinal hyperoxaluria 4 / 50 4. All of the following may give rise to RPGN except: A. Subacute bacterial endocarditis B. SLE C. Wilson’s disease D. Goodpasture’s disease 5 / 50 5. Oliguria is: A. < 400 mL urine/24 h B. < 200 ml urine/24 h C. < 50 ml urine/24 h D. < 100 ml urine/24 h 6 / 50 6. The most important diagnostic point in favour of CRF by USG is: A. Loss of corticomedullary differentiation B. Increase in size of kidney C. Renal pelvis full of urine D. Diminished ultrasonic density of cortex 7 / 50 7. All of the following are associated with hypercalciuria except: A. Sarcoidosis B. Milk-alkali syndrome C. Progressive systemic sclerosis D. Hyperparathyroidism 8 / 50 8. Subendothelial dense deposits are found by electron microscopy in: A. SLE B. Membranous glomerulopathy C. Post-streptococcal glomerulonephritis D. Fabry’s disease 9 / 50 9. The commonest cause of renal vein thrombosis in a child is: A. Antiphospholipid antibody syndrome B. Dehydration C. Acute glomerulonephritis D. Minimal lesion nephropathy 10 / 50 10. Absolute indication for dialysis: A. Serum K+ level >6 mEq/l B. Clinical evidence of pericarditis C. Serum creatinine level >4 mg/ dl D. Serum urea level >200 mg/dl 11 / 50 11. Which of the following is not a cause of ‘sterile pyuria’? A. Interstitial nephritis B. Cystitis C. Papillary necrosis D. Renal tuberculosis 12 / 50 12. Chronic phenacetin intake may lead to: A. Cortical necrosis B. Tubular necrosi C. Glomerulosclerosis D. Papillary necrosis 13 / 50 13. 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. Angiotensin II receptor blocker B. Amiloride C. Furosemide D. ACE inhibitor 14 / 50 14. Polyuria is produced by all of the following except: A. Chronic renal failure B. Diabetes insipidus C. Hypercalcaemia D. Congestive cardiac failure 15 / 50 15. All of the following drugs may produce nephrotic syndrome except: A. Penicillamine B. alpha-interferon C. Troxidone D. Colchicine 16 / 50 16. The blood level of all rises in ARF except: A. Uric acid B. Na+ C. K+ D. Creatinine 17 / 50 17. After how many years of onset of type 1 or 2 diabetes, microalbuminuria appears? A. 10-15 years B. 5-10 years C. 1-5 years D. 15-20 years 18 / 50 18. Alport’s syndrome may have: A. Lenticonus B. Band keratopathy C. Thrombocytosis D. Hyperammonaemia 19 / 50 19. The urine in obligatory diuresis following relief of urinary obstruction is: A. Concentrated B. Low in sodium C. Dilute and alkaline D. Highly acidic 20 / 50 20. For a definitive diagnosis of vesicoureteric reflux, the investigation of choice is: A. IVP B. Radionuclide studies C. Micturating cystourethrography D. Ultrasonography 21 / 50 21. A child with rickets, nephrocalcinosis, hyperchloraemic acidosis and alkaline urine is suffering from: A. Proximal renal tubular acidosis B. Distal renal tubular acidosis C. Nephrogenic diabetes insipidus D. Vitamin D sensitive rickets 22 / 50 22. All of the following can present as nephritic-nephrotic syndrome except: A. SLE B. Diabetes mellitus C. Post-infectious glomerulonephritis D. Henoch-Schonlein purpura 23 / 50 23. Diabetes mellitus complicated by nephrotic syndrome has all the following features except: A. Retinopathy B. Increased palsma renin activity C. Initially GFR may be increased D. Hypertension 24 / 50 24. Hypernephroma is associated with all except: A. Renal vein thrombosis B. Polycythaemia C. Haematuria D. High incidence of hypertension 25 / 50 25. Regarding erythropoietin therapy in CRF, which is not correct? A. During treatment, haemoglobin should not cross 12 g/ dl B. Patients with ferritin level 50-100 μg/l respond well C. Subcutaneous administration may give rise to pure red cell aplasia D. Average dosage is 50 U/kg, IV, thrice weekly 26 / 50 26. 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 27 / 50 27. ‘Complete’ anuria is found in: A. Chronic Kidney disease B. Acute gastroenteritis C. Diffuse cortical necrosis D. Acute renal failure 28 / 50 28. X-ray pelvis shows iliac horns in: A. Nail-patella syndrome B. Medullary sponge kidney C. Alport’s syndrome D. Fabry’s disease 29 / 50 29. The commonest renal lesion in diabetic nephropathy is: A. Chronic interstitial nephritis B. Diffuse glomerulosclerosis C. Nodular glomerulosclerosis D. Arterionephrosclerosis 30 / 50 30. Gitelman syndrome is the syndrome which has effects on nephron just like the use of: A. Acetazolamide B. Loop Diuretics C. Potassium sparing diuretics D. Thiazide diuretics 31 / 50 31. All are true in urethral syndrome except: A. No bacteria are cultured from urine B. Post-coital urethral congestion may be an etiology C. Antibiotics are always indicated D. Predominantly affects females 32 / 50 32. All are true in acute renal failure (ARF) except: A. Raised Calcium B. Raised Creatinine C. Raised [H+] D. Raised K+ 33 / 50 33. Acidic urine is produced in: A. Renal tubular acidosis B. Chronic renal failure C. High vegetarian diet D. UTI by Proteus 34 / 50 34. Which of the following is usually unresponsive to corticosteroid therapy? A. Membranoproliferative nephropathy B. Focal glomerulosclerosis C. Membranous nephropathy D. Minimal lesion nephropathy 35 / 50 35. Which does not produce ‘sterile pyuria’? A. Pregnancy B. Renal transplant rejection C. UTI by Proteus D. Cyclophosphamide administration 36 / 50 36. Chronic interstitial nephritis may lead to all of the following except: A. Acidosis B. Hypertension C. Small kidneys D. Hypokalemia 37 / 50 37. Tubular proteinuria is assessed by measuring: A. Albumin B. Tamm-Horsfall mucoprotein C. Transferrin D. Beta-2 microglobulin 38 / 50 38. Rapidly progressive glomerulonephritis is not produced as a result of: A. Post-streptococcal glomerulonephritis B. Granulomatosis with polyangiitis C. Henoch-Schonlein purpura D. Dexamethasone 39 / 50 39. Prognosis of which of the following is excellent? A. Acute glomerulonephritis B. Chronic nephritis C. Interstitial nephritis D. Nephrotic syndrome 40 / 50 40. 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 41 / 50 41. All are true in ‘dialysis dementia’ except: A. Myoclonus B. Related to aluminium toxicity C. Seizures D. Raised intracranial tension 42 / 50 42. IgA nephropathy commonly presents with: A. Hematuria B. Nephrotic syndrome C. Systemic hypertension D. Acute renal failure 43 / 50 43. Recurrent haematuria is not classically seen in: A. Diabetes mellitus B. Haemophilia C. Berger’s disease D. Sickle cell disease 44 / 50 44. Renal tubular acidosis is not seen in: A. Medullary sponge kidney B. Leprosy C. Galactosemia D. Sickle cell disease 45 / 50 45. ‘Fruity odour’ in urine is found in: A. Chyluria B. Urinary tract infection (UTI) C. Alkaptonuria D. Diabetic ketoacidosis 46 / 50 46. Dehydration should be strictly avoided before performing IVP in: A. Multiple myeloma B. Renal cell carcinoma C. Lymphoma D. Acute myeloid leukemia 47 / 50 47. Bartter’s syndrome should not have: A. Hypokalemia B. Acidosis C. Normotension D. Elevated plasma renin activity 48 / 50 48. Renal biopsy is contraindicated in all except: A. Membranous nephropathy B. Big renal cyst C. Severe uncontrolled hypertension D. Serum creatinine >0 mg/dL 49 / 50 49. ‘Ring shadow’ on IV Pyelography diagnoses: A. Hypercalcemic nephropathy B. Medullary cystic kidney C. Gouty nephropathy D. Papillary necrosis 50 / 50 50. Renal vein thrombosis in adults is seen in: A. Interstitial nephritis B. Horseshoe kidney C. Amyloidosis D. Acute glomerulonephritis LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Dr Abu-Ahmed Dr Abu Ahmed, an Internist & Graphic Designer, has brought this website to help Medical Students in the subject of Internal Medicine. Articles: 25 Next Post Cardiology