Monday 26 October 2015

44 Top Nephrology Objective Type Questions And Answers

1- A 25-year-old man developed bilateral loin pain and frank haematuria. His symptoms had started 24 hours after developing a sore throat. His blood pressure was 138/88 mmHg. Urinalysis was positive for blood (4+) and protein (2+). What is the most likely diagnosis?
1) IgA nephropathy
2) microscopic polyangiitis
3) nephrolithiasis
4) post-streptococcal glomerulonephritis
5) septicaemia
Answers-1

2- A 70 year old female is admitted 12 hours after taking an overdose of aspirin. Investigations revealed: Serum sodium 138 mmol/L (137-144), Serum potassium 5.9 mmol/L (3.5-4.9), Serum bicarbonate 14 mmol/L (20-28), Serum urea 18.1 mmol/L (2.5-7.5), Serum creatinine 238 umol/L (60-110), Serum salicylate 1120 mg/L (8 mmol/L). What is the most appropriate treatment of this patient?
1) Haemodialysis
2) Haemofiltration
3) Intravenous sodium bicarbonate.
4) Peritoneal dialysis.
5) Urine alkalinization.
Answers-1

3- Which of the following is associated with Hyperuricaemia?
1) is usually due to an excess purine consumption
2) occurs in association with acute lymphoblastic leukaemia
3) in primary gout is inherited in an autosomal dominant manner
4) can be reduced with low dose aspirin therapy
5) can be treated with uricosuric drugs even in renal failure
Answers-2

4- A 67 year old man presents with sudden onset atrial fibrillation (ventricular rate of 150/minute). His serum creatinine concentration was 250 umol/L (70-110).
What is the main factor that determines the choice of loading dose of digoxin in this patient?
1) Absorption
2) Apparent volume of distribution
3) Lipid solubility
4) Plasma half-life
5) Renal clearance
Answers-5

5- The following are complications of nephrotic syndrome with the exception of
1) acute renal failure
2) accelerated hypertension
3) hypocalcaemia
4) pneumococcal infection
5) venous thrombosis
Answers-2


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