NEET PG Medicine MCQs 75 – Renal System Disorders

1. A feature of glomerular hematuria (select two options):

  1. Dysmorphic R.B.C
  2. Fragmented R.B.C
  3. Full of R.B.C
  4. Gross hematuria
  5. B.C. cast


2. Recurrent gross hematuria is seen in (select two best options):

  1. Alport’s syndromw
  2. IgA nephropathy
  3. Focal segmental glomerulosclerosis
  4. Membranous nephropathy


3. Which of the following is indicative of renal tubular disease:

  1. Hyaline casts
  2. Coarse granular casts
  3. Cystine oxalate cells
  4. White cell casts


4. In differentiating glomerular proteinuria from tubular proteinuria, Glomerular proteinuria is indicated best by:

  1. Proteinuria > 3.0 -3.5 g/day
  2. Globulin > Albumin
  3. Albumin to beta-2 microglobulin ratio of 100:1
  4. Tomm Harsfall protein


5. Which of the following statements about orthostate proteinuria is true:

  1. Seen in a recumbent position
  2. In benign
  3. Future risk of the nephritic syndrome
  4. > 300 mg/day


6. In which of the following condition serum creation is increasingly out of proportion to BUN?

  1. Tetracycline
  2. Muscular body
  3. High protein diet
  4. Sickle cell anemia


7. A patient presented with ARF with complete anuria, but a normal ultrasound. Next investigation is:

  1. IVP
  2. Antegrade pyelography
  3. Retrograde pyelography
  4. DTPA renogram


8. Which of the following is a contraindication to do a kidney biopsy?

  1. Ectopic kidney
  2. Horseshoe kidney
  3. End-stage kidneys
  4. All of the above


9. Most unlikely cause of acute tubular necrosis amongst the following is:

  1. Severe-bacterial-infection
  2. Massive burn
  3. Severe crush injury in the foot
  4. Rupture of an aortic aneurysm


10. The most common cause of Post Operative ARF occurs due to?

  1. Direct renal injury
  2. Decreased renal perfusion
  3. Due to nephrotoxic antibiotics
  4. Due to renal toxicity of anesthetic agents


11. Which of the following values are suggestive of acute tubular necrosis:

  1. Urine osmolality >500
  2. Urine sodium >40
  3. Blood urea nitrogen/plasma creatinine >20
  4. Urine creatinine/plasma creatinine>40


12. Prerenal and renal azotemia is differentiated on the basis of:

  1. Creatinine clearance
  2. Serum creatinine level
  3. Sodium fraction excretion
  4. Urine bicarbonate level


13. Which of the following is true about Acute Tubular Necrosis:

  1. Urine specific gravity > 1.020
  2. Urine osmolality >350 mosmol/kg
  3. Urine Na < 10meq/L
  4. Blood urea: creatinine ratio < 20


14. All of the following are true about Oliguric ARF EXCEPT:

  1. Hyperkalemia
  2. Metabolic Acidosis
  3. Uremia
  4. Hypercalcemia


15. All of the following are seen in the oliguric phase of Acute Tubular Necrosis, Except:

  1. Hypernatremia
  2. Hypermagnesemia
  3. Hyperuricemia
  4. Hyperphosphatemia


16. Which of the following is an indication of urgent dialysis in a case of ARF:

  1. Pericarditis
  2. Severe hyperkalemia
  3. Pulmonary edema

4, All of the above


17. Signs and symptoms of CRF appear when GFR goes down below how much?

  1. 50%
  2. 25%
  3. 75%
  4. 42%


18. Cockcroft Gault equation is used to calculate?

  1. Creatinine clearance
  2. Renal mass
  3. Renal blood flow
  4. Blood urea level


19. What is seen in CRF?

  1. Hyperkalemia
  2. Hypokalemia
  3. Normal potassium level
  4. All


20. Which of the following is true about CRF?

  1. Burr cell
  2. Hypersegmentation of the neutrophil nucleus
  3. Normocytic normochromic anemia
  4. All of the above


21. Treatment of restless leg syndrome is?

  1. Phenytoin
  2. Valproate
  3. Gabapentin
  4. Carbamazepine


22. Nail and half nail sign, seen in uremia are:

  1. Due to melanin deposition
  2. Increased capillary density at the distal half of nails
  3. Hypoproteinemia
  4. Circulating toxin


23. In urinary system disease, GI symptoms appear because of :

  1. Chemical reaction
  2. Renogastric reflex
  3. Peritoneal reaction
  4. Reflux phenomenon


24. In which of the following condition there is CRF with enlarging kidney size?

  1. Chronic glomerulonephritis
  2. Chronic pyelonephritis
  3. Hypertension
  4. Diabetes


25. All improve after dialysis except:

  1. Pericarditis
  2. Peripheral neuropathy
  3. Metabolic acidosis
  4. Seizure


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