NEET PG Medicine MCQs 76 – Renal System Disorders

1. The fluid used in peritoneal dialysis is rich in?

  1. Potassium
  2. HCO3
  3. Na
  4. Dextrose

Ans(4)


2. Following are features of Acute GN except:

  1. Hypotension
  2. Hematuria
  3. Red cell cast
  4. Oliguria

Ans(1)


3. Ultrafiltration is done mainly to remove?

  1. K+
  2. H ions
  3. Urea
  4. Water

Ans(4)


4. Which of the following is the commonest complication of hemodialysis?

  1. Hypotension
  2. Hepatitis
  3. Leucopenia
  4. Dialysis dementia

Ans(1)


5. In which of the following drug poisoning dialysis is not done?

  1. Methanol
  2. Salicylate
  3. Digoxin
  4. None of the above

Ans(3)


6. A feature of CRF include:

  1. Impotence
  2. Restless legs
  3. Isosthenuria
  4. Broadcast in urine
  5. All of the above

Ans(5)


7. Band shape/keratopathy is most commonly seen in?

  1. ARF
  2. CRF
  3. RPGN
  4. RTA type

Ans(2)


8. Renal osteodystrophy differs from nutritional and genetic forms of osteomalacia in having:

  1. Hypocalcemia
  2. Hypercalcemia
  3. Hypophostaemia
  4. Hyperphosphatemia

Ans(4)


9. Restless leg syndrome (RLS) is seen in:

  1. Hypercalcemia
  2. Hyperphosphatemia
  3. Chronic renal failure
  4. Hyperkalemia

Ans(3)


10. Which is not a feature of CRF?

  1. Hypertension
  2. Hyperkalemia
  3. CHF
  4. Painful pericarditis

Ans(4)


11. The metabolic complication in CRF includes all of the following except:

  1. Hyperkalemia
  2. Hypophosphatemia
  3. Hypocalcemia
  4. Hypermagnesemia

Ans(2)


12. The best initial test to know about CRF is?

  1. Serum creatinine
  2. Blood urea
  3. GFR
  4. Serum potassium

Ans(3)


13. Which of the following types of glomerulonephritis is least likely to cause CRF:

  1. Minimal change glomerulonephritis
  2. Membranous GN
  3. Membrane proliferative GN
  4. Focal segmental glomerulosclerosis

Ans(1)


14. Fastest treatment of hyperkalemia is:

  1. Chelating resin
  2. Na HCO3
  3. Dextrose insulin drip
  4. Dialysis

Ans(3)


15. The oliguric phase of renal failure, all are TRUE, EXCEPT:

  1. Hypercalcemia
  2. Hyponatremia
  3. Acidosis
  4. Hyperkalemia

Ans(1)


16. Which differentiating prerenal azotemia with ATN features favoring pre-renal azotemia (select two options):

  1. Urine osmolality > 500 most lol/kg
  2. Urinary Sodium <10 mmol/I
  3. Fractional excretion of sodium > 1%
  4. Plasma BUN/creatinine ratio < 20

Ans(1,2)


17. In tubular necrosis, the ratio of urine to plasma creatinine is:

  1. <20
  2. >40
  3. 20-30
  4. 30-40

Ans(1)


18. Fractional excretion of sodium <1 is seen in:

  1. Prerenal azotemia
  2. Acute tubular necrosis
  3. Acute ureteral obstruction
  4. Interstitial nephritis

Ans(1)


19. As per Rifle criteria, for acute kidney injury urine production <0.5 ml/kg for 12 hours indicates?

  1. Risk
  2. Injury
  3. Failure
  4. End state renal disuse

Ans(2)


20. Causes of Acute tubular necrosis include:

  1. Radiocontrast agents
  2. Bence zone protein
  3. Amphotericin B
  4. Toxemia of pregnancy
  5. All of the above

Ans(5)


21. Creatinine clearance measures which of the following?

  1. Renal blood flow
  2. GFR
  3. Functional renal mass
  4. None of the above

Ans(2)


22. A patient presents with acute renal failure with normal ultrasound abdomen report. Next most useful investigation is:

  1. Intravenous pyelography
  2. DTPA scan
  3. Retrograde pyelography
  4. X-ray abdomen and CT scan

Ans(2)


23. In the child, the non-functioning kidney is best diagnosed by:

  1. Ultrasonography
  2. IVU
  3. DTPA renogram
  4. Creatinine clearance

Ans(3)


24. In all of the following condition, BUN is increase out of proportion to serum creatinine except?

  1. GL bleed
  2. Dehydration
  3. Steroid therapy
  4. Liver disease

Ans(4)


25. Bence Jones protein mostly derived from who chains?

  1. ALFA
  2. Gamma
  3. MEU
  4. Dets

Ans(2)


26. A boy is suffering from acute pyelonephritis. The most specific urinary finding will be:

  1. B.C. casts
  2. Leucocyte esterase test
  3. Nitrite test
  4. Bacteria in gram stain

Ans(4)


27. A 55-year-old man presents with a history of 5 episodes of hematuria each lasting for about 4-5 days in the past 5 years. What will be the best investigation to arrive at a diagnosis?

  1. Urine examination and microscopy
  2. X-ray KUB
  3. Abdominal USG
  4. DTPA scan

Ans(3)


28. In hematuria of glomerular origin, the urine is characterized by the presence of all of the following except:

  1. Red cell casts
  2. Acanthocytes
  3. Crenated red cells
  4. Dysmorphic red cells

Ans(2)


29. Presence of which of the following in the urine is diagnostic of glomerular injury:

  1. Bright red cells
  2. 20% dysmorphic RBC’s
  3. 100 RBC per high power field
  4. Beta 2 microglobulin

Ans(2)


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