Multiple Choice Questions (MCQ)

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Category: Prometric--->Nephrology
Page: 2

Question 6# Print Question

A 17-year-old man is referred to the local nephrology unit for investigation. He reports having several episodes of visible haematuria. There is no history of abdominal or loin pain. These typically seem to occur within a day or two of developing an upper respiratory tract infection. Urine dipstick is normal. Blood tests show the following:

  • Na+ 141 mmol/l
  • K+ 4.3 mmol/l
  • Bicarbonate 25 mmol/l
  • Urea 4.1 mmol/l
  • Creatinine 72 μmol/l

What is the most likely diagnosis?

A. Chlamydia
B. Bladder cancer
C. IgA nephropathy
D. Rhinovirus-associated nephropathy
E. Post-streptococcal glomerulonephritis

Question 7# Print Question

A 54-year-old woman with a history membranous glomerulonephritis secondary to systemic lupus erythematous is admitted to hospital. Her previous stable renal function has deteriorated rapidly. The following blood tests were obtained: 

  • Na+ 139 mmol/l
  • K+ 5.8 mmol/l
  • Urea 44 mmol/l
  • Creatinine 867 μmol/l
  • Albumin 17 g/l
  • ESR 49 mm/hr
  • Urinary protein 14 g/24 hours
  • Urine dipstick protein +++
  • blood ++

What has likely caused the sudden deterioration in renal function?

A. Exacerbation of SLE
B. Renal vein thrombosis
C. Bilateral hydronephrosis
D. Acute interstitial nephritis
E. Analgesic nephropathy

Question 8# Print Question

A 25-year-old man has a renal biopsy due to worsening renal function. This reveals linear IgG deposits along the basement membrane.

What is the most likely diagnosis?

A. Systemic lupus erythematous
B. IgA nephropathy
C. Minimal change disease
D. Post-streptococcal glomerulonephritis
E. Goodpasture's syndrome

Question 9# Print Question

A 65-year-old female with a 20 year history of rheumatoid arthritis is referred to the acute medical unit with bilateral leg oedema. The following results are obtained:

  • Urea 11.2 mmol/l
  • Creatinine 205 μmol/l
  • Albumin 26 g/l
  • Bilirubin 12 mmol/l
  • ALP 120 IU/l
  • Urine protein 6.2 g/24 hours

Which investigation is most likely to lead to the correct diagnosis?

A. CT abdomen
B. Plasma magnesium
C. Intravenous urogram
D. Rectal biopsy
E. Renal angiogram

Question 10# Print Question

Which one of the following types of glomerulonephritis is most characteristically associated with partial lipodystrophy?

A. Minimal change disease
B. Diffuse proliferative glomerulonephritis
C. Mesangio-capillary glomerulonephritis
D. Membranous glomerulonephritis
E. Rapidly progressive glomerulonephritis

Category: Prometric--->Nephrology
Page: 2 of 5