NEET PG Medicine MCQs 83 – Renal System Disorders

1. Azotemia appears when residual GFR is:

  1. 50% – 80% of normal
  2. 20-50% of normal
  3. 10-20% of normal
  4. < 5% of normal

Ans(2)


2. Nail and half nail sign, seen in uremia is

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

Ans(2)


3. Sign and symptoms of a Renal Failure first appear when Renal function deteriorates by more than:

  1. 20%
  2. 40%
  3. 60%
  4. 80%

Ans(3)


4. All of the following are indications of emergent dialysis, except:

  1. Uremic encephalopathy
  2. Persistent Hyperkalemia
  3. Refractory volume overload
  4. Azotemia

Ans(4)


5. Overt symptoms of renal failure become evident when renal function Deteriorates by more than

  1. 40-50%
  2. 50-60%
  3. 70-80%
  4. > 90%

Ans(3)


6. CRF with anemia best treatment

  1. Oral Iron Therapy
  2. Erythropoietin stimulating Agent
  3. Blood transfusion
  4. Androgenic Steroids

Ans(2)


7. Chronic Renal Failure is defined as residual renal functional mass less than

  1. 50%
  2. 80%
  3. 20%
  4. 5%

Ans(3)


8. The initial treatment of choice for secondary hyperparathyroidism in renal osteodystrophy is:

  1. Cinacalcet
  2. Bisphosphonates
  3. Calcium restriction
  4. Phosphate binders

Ans(4)


9. The most common cause of CRF in adults is:

  1. Tuberculosis
  2. Hypertension
  3. Diabetes Mellitus
  4. Glomerulonephritis

Ans(3)


10. The most common cause of death in chronic dialysis patient is:

  1. Cardiovascular Disease
  2. infection
  3. Malignancy
  4. Anemia

Ans(1)


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

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

Ans(3)


12. The most common cause of death in patients on dialysis for acute renal failure is:

  1. Cardiovascular disease
  2. Infection
  3. Malignancy
  4. Anemia

Ans(2)


13. Central nervous system manifestations in chronic renal failure are a result of all of the following except

  1. Hyperosmolarity
  2. Hypocalcemia
  3. Acidosis
  4. Hyponatremia

Ans(2)


14. Trace elements in Dialysis patient associated with risk of Osteomalacia:

  1. Lead
  2. Iron
  3. Aluminum
  4. Zinc

Ans(3)


15. Chronic renal disease/ failure is commonly associated with

  1. Metabolic Acidosis
  2. Metabolic Acidosis
  3. Respiratory Acidosis
  4. Respiratory Acidosis

Ans(1)


16. Dialysis disequilibrium occurs due to:

  1. Reverse Urea effect
  2. Hypertension
  3. Alimunium toxicity
  4. Amyloid deposition

Ans(1)


17. Which of the following electrolyte abnormalities not seen in CRF:

  1. Hypercalcemia
  2. Hyperkalemia
  3. Hyperphosphatemia
  4. Hyperuricemia

Ans(1)


18. A girl aged 8 years has been admitted for dialysis she has serum K of 7.5meq/l, Which is the fastest way to reduce the hyperkalemia?

  1. Kayexalate enema
  2. Infusion of insulin
  3. IV calcium insulin+ glucose
  4. IV NaHCO3

Ans(2)


19. Which of the following metabolic complications is not seen in Chronic renal failure

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

Ans(3)


20. A patient in Chronic renal failure presents with tall peaked T waves on ECG. Management includes

  1. IV K -bicarbonate
  2. KCI
  3. Ca CI2
  4. Sodium bicarbonate

Ans(3,4)


21. A metabolic complication in CFR includes all of the following except

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

Ans(2)


22. All of the following are used for the treatment of hyperkalemia except]

  1. Calcium gluconate
  2. Sodium Bicarbonate
  3. Intravenous infusion of glucose-insulin
  4. Beta-blockers

Ans(4)


23. Renal osteodystrophy differs from the nutritional and genetic form of osteomalacia in having

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

Ans(4)


24. A most common viral infection after kidney Transplantation is:

  1. EBV
  2. HSV
  3. CMV
  4. HBV

Ans(3)


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

  1. Post-streptococcal glomerulonephritis
  2. Membranous GN
  3. Medrano proliferative GN
  4. Focal segmental glomerulosclerosis

Ans(1)

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