Free PreviewSample Nephrology questions
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Sample MCQ 1A patient with advanced CKD has persistent metabolic acidosis. Which chronic complication can acidosis worsen?
A. Bone and muscle catabolism
B. Polycythemia
C. Hypercalcemia from excess calcitriol
D. Respiratory alkalosis only
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Correct Answer: Option AChronic metabolic acidosis in CKD contributes to muscle wasting and bone buffering/demineralization.
Sample MCQ 2A 28-year-old woman develops cola-colored urine 2 days after an upper respiratory infection. Which diagnosis is most likely?
A. IgA nephropathy
B. Poststreptococcal glomerulonephritis
C. Membranous nephropathy
D. Amyloidosis
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Correct Answer: Option AIgA nephropathy classically causes synpharyngitic hematuria occurring during or within a few days of a respiratory infection.
Sample MCQ 3A patient with edema has urine protein 5 g/day, hypoalbuminemia and hyperlipidemia. This pattern is called:
A. Nephrotic syndrome
B. Nephritic syndrome
C. Prerenal azotemia
D. Fanconi syndrome
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Correct Answer: Option AHeavy proteinuria, hypoalbuminemia, edema and hyperlipidemia define the nephrotic syndrome.
Sample MCQ 4Which change is expected shortly after starting an ACE inhibitor in bilateral renal artery stenosis?
A. Marked rise in creatinine
B. Severe hypoglycemia
C. Nephrotic-range proteinuria always resolves
D. Serum potassium always falls
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Correct Answer: Option AIn bilateral renal artery stenosis, filtration depends on angiotensin II-mediated efferent arteriolar constriction, so ACE inhibition can sharply reduce GFR.
Sample MCQ 5A patient with autosomal dominant polycystic kidney disease should be counseled about increased risk of which extrarenal condition?
A. Intracranial berry aneurysm
B. Achalasia
C. Myasthenia gravis
D. Celiac disease
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Correct Answer: Option AADPKD is associated with intracranial aneurysms, hepatic cysts and certain valvular abnormalities.