Monday 26 October 2015

Tricky Nephrology Multiple Choice Questions And Answers

31- In chronic untreated renal failure which of the following findings is characteristic?
1) Metabolic alkalosis
2) Hypokalaemia
3) Hyperosmolar dehydration
4) Hypercalcaemia
5) Hypercalcinuria
Answers-5

32- A 46-year-old woman develops nephrotic syndrome and is awaiting further tests to establish the underlying aetiology. In which circumstance would corticosteroids be most effective in reversing the nephrotic syndrome?
1) Membranous nephropathy
2) Minimal change disease
3) Primary amyloidosis
4) Renal vein thrombosis
5) Mesangial IgA disease
Answers-2

33- Which of the following is true concerning a 68 year old male with type 2 diabetes diagnosed with type IV renal tubal acidosis?
1) Aminoaciduria would be expected.
2) Fludrocortisone treatment is effective
3) Increased Glomerular filtration rate is expected.
4) Increased urinary bicarbonate would be expected.
5) Normal renal handling of K+ and H+
Answers-2

34- Which of the following is least likely with the HLA complex?
1) Class I products recognised by CD8
2) Class II products used to activate CD4
3) polymorphism in Class I genes, but not Class II
4) multiple sclerosis associated with HLA DR2
5) HLA matching more important in kidney/pancreas transplant than liver transplant
Answers-3

35- The following are features of pseudohypoparathyroidism:
1) Increased urinary phosphate and cAMP with PTH infusion
2) Low serum PTH
3) Low serum calcium and low serum phosphate
4) Low serum calcium and high serum phosphate
5) Shortened 2nd and 3rd metacarpals
Answers-4

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