NEET PG Medicine MCQs 81 – Renal System Disorders

1. Urinalysis shows RBC casts; likely source is:

  1. Kidney
  2. Ureter
  3. Bladder
  4. Urethra

Ans(1)


2.  In a child, a non-functioning kidney is best diagnosed by

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

Ans(3)


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

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

Ans(2)


4. 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)


5. In hematuria by the presence of all of the following except

  1. Red cell casts
  2. Acanthocytes
  3. Created red cell
  4. Dysmorphic red cell

Ans(2)


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

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

Ans(2)


7. Which of the following mucoproteins forms the matrix of a Hyline cast

  1. Bence Jones protein
  2. Beta Microglobulin
  3. Tomm-Horsfall protein
  4. Arginine Glycoprotein

Ans(3)


8. Which of the following best methods of urine collection is associated with the least contamination

  1. Suprapubic aspiration
  2. Midstream collection
  3. Catheterization
  4. Urinary Ba specimen

Ans(1)


9. Recurrent gross hematuria is seen in all of the following except

  1. Alport’s syndrome
  2. IgA nephropathy
  3. Focal segmental glomerulosclerosis
  4. Thin Glomerular Basement membrane disease

Ans(1,2)


10. The most common agent causing catheter-induced urinary tract infection is:

  1. E.coli
  2. Pseudomonas
  3. Staphylococcus epidermidis
  4. Proteus

Ans(1)


11. Presence of which of the following correlates best which chronic renal failure

  1. Hyline cast
  2. Coarse granular cast
  3. Broad waxy cast
  4. Epithelial cast

Ans(3)


12. Colored urine is not seen in:

  1. Quinine
  2. Rifampicin
  3. Nitrofurantoin
  4. Pyridium

Ans(1)


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

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

Ans(1)


14. Anuria in clinical practice is defined as:

  1. Urine ouput< 100ml/hr
  2. Urine output<400 ml/hr
  3. Urine output< 800ml/hr
  4. Urine output<1200ml/hr

Ans(1)


15. Acute pyelonephritis and uncomplicated UTI may be differentiated by all of the following Except

  1. WBC cast
  2. Concentrating defect
  3. Organisms in excess of 100,000 cfu/ml
  4. Antibody to Tomm Horsfall protein

Ans(3)


16. Which of the following best defines Microscopic Hematuria as:

  1. 3 or More RBC/HPF
  2. 5 or More RBC/HPF
  3. 25 or More RBC/HPF
  4. 50 or More RBC/HPF

Ans(1)


17. In differentiating Glomerular proteinuria from Tubular proteinuria, Glomerular proteinuria is indicated by:

  1. Proteinuria > 3.0-3.5 g/day
  2. Globulin> Albumin
  3. Albumin to β2 microglobulin ratio of 100:1
  4. Tomm Horsfall protein

Ans(1)


18. Chyluria is associated with the passage of urine which is:

  1. White
  2. Drak yellow
  3. Straw cloured
  4. Brown

Ans(1)


19. Which of the following statements about orthostatic proteinuria is true:

  1. Seen in the recumbent position
  2. Is being
  3. Future risk of nephrotic syndrome
  4. < 300 mg/day

Ans(2)


20. The most common cause of Chyluria is

  1. Carcinoma
  2. Tuberculosis
  3. Filariasis
  4. Trauma

Ans(3)


21. Bence Jones proteins are derived from:

  1. Alpha Globulins
  2. Beta Globulins
  3. Gamma Globulins
  4. Delta Globulins

Ans(3)


22. Milky urine is most commonly observed with which of the following crystals

  1. Uric Acid Crystals
  2. Cysteine Crystals
  3. Calcium Oxalate Crystals
  4. Calcium phosphate crystals

Ans(4)


23. Bence Jones proteinuria may be seen in:

  1. Alpha heavy chain disease
  2. Gamma heavy chain disease
  3. ‘Mu’ heavy chain disease
  4. Epsilon heavy chain disease

Ans(3)


24. Which of the following Urinary crystals are rectangular prisms and resemble coffin lids:

  1. Calcium Carbonate
  2. Uric acid
  3. Cystine
  4. Struvite

Ans()


25. Leucocyte esterase dipstick test is done for

  1. Bacteria
  2. Pyuria
  3. Hematuria
  4. Proteinuria

Ans(2)

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