Your-Doctor Multiple Choice Questions (MCQ)

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Category: Q&A Medicine--->Nephrology
Page: 3

Question 11#Print Question

A 66-year-old woman presents to her physician for her annual examination. Her medical history is significant for hypertension and osteopenia. She is compliant with her medications and takes benazepril and a daily multivitamin with high calcium and vitamin D. She does not smoke and does weight-bearing exercises 4 times weekly. She denies any falls or previous fractures. On examination, her blood pressure is 164/94 mmHg and her heart rate is 89 beats per minute.

Which of the following medications should be added to her current regimen?

a. Hydrochlorothiazide
b. Furosemide
c. Metoprolol
d. Alendronate


Question 12#Print Question

A 57-year-old man presents to his physician for his annual examination. He has a history of hypertension, chronic obstructive pulmonary disease (COPD), and benign prostatic hyperplasia (BPH). On examination, there is hyper-resonance to percussion of both lung fields and a diffusely enlarged, nontender prostate on rectal examination. His blood work is unremarkable, but urine studies show 12 RBCs per high power field. There are no dysmorphic RBCs or RBC casts, and there are no other cells or protein. He denies any fevers, flank or groin pain, episodes of gross hematuria, or dysuria. A repeat urinalysis 1 week later confirms the presence of microscopic hematuria, and his urine culture is negative. He elects to undergo further workup with a CT scan of the abdomen and pelvis with and without contrast, which is unremarkable.

What is the next step in management?

a. Measure PSA
b. Transrectal ultrasound and biopsy of the prostate
c. Intravenous pyelogram
d. Renal biopsy
e. Cystoscopy


Question 13#Print Question

The Internal Medicine service at a hospital requests that one of their patients receive dialysis. Which of the following is NOT an indication for dialysis?

 

a. End-stage renal disease (GFR < 15 mL/min)
b. Hyperkalemia
c. Uremic pericarditis
d. Volume overload
e. Bleeding from uremia


Question 14#Print Question

A 19-year-old girl is brought into an eating disorder clinic for a several year history of anorexia nervosa. She agrees to undergo an intensive inpatient rehabilitation service. She is started on a monitored feeding program, but after eating several meals she begins to feel nauseous and develops some edema. Her laboratory values are significant for a serum potassium level of 2.8 mEq/L, phosphorus level of 1.2 mg/dL, and magnesium level of 0.8 mEq/L.

Which of the following is the most serious complication that can result from this syndrome?

a. Heart failure
b. Respiratory failure
c. Renal failure
d. Central pontine myelinolysis


Question 15#Print Question

As part of a study, a healthy volunteer with no medical problems is asked to hyperventilate for a few minutes, after which laboratory values are drawn.

Which of the following findings would you expect?

a. (A)
b. (B)
c. (C)
d. (D)




Category: Q&A Medicine--->Nephrology
Page: 3 of 8