8 RENAL DISEASE

Question 1

Most glomerular disorders are caused by:
A. Sudden drops in blood pressure
B. Immunologic disorders
C. Exposure to toxic substances
D. Bacterial infections

Answer 1

B. Immunologic disorders

Question 2

Dysmorphic RBC casts would be a significant finding with all of the following except:
A. Goodpasture syndrome
B. AGN
C. Chronic pyelonephritis
D. Henoch-Schönlein purpura

Answer 2

C. Chronic pyelonephritis

Question 3

Occasional episodes of macroscopic hematuria over periods of 20 or more years are seen in patients with:
A. Crescentic glomerulonephritis
B. IgA nephropathy
C. Nephrotic syndrome
D. GPA

Answer 3

B. IgA nephropathy

Question 4

Antiglomerular basement membrane antibody is seen
with:
A. GPA
B. IgA nephropathy
C. Goodpasture syndrome
D. Diabetic nephropathy

Answer 4

C. Goodpasture syndrome

Question 5

ANCA is diagnostic for:
A. IgA nephropathy
B. GPA
C. Henoch-Schönlein purpura
D. Goodpasture syndrome

Answer 5

B. GPA

Question 6

Respiratory and renal symptoms are associated with all
of the following except:
A. IgA nephropathy
B. GPA
C. Henoch-Schönlein purpura
D. Goodpasture syndrome

Answer 6

A. IgA nephropathy

Question 7

The presence of fatty casts is associated with all of the following except:
A. Nephrotic syndrome
B. FSGS
C. Nephrogenic DI
D. MCD

Answer 7

C. Nephrogenic DI

Question 8

The highest levels of proteinuria are seen with:
A. Alport syndrome
B. Diabetic nephropathy
C. IgA nephropathy
D. NS

Answer 8

D. NS

Question 9

Ischemia frequently produces:
A. Acute renal tubular necrosis
B. MCD
C. Renal glycosuria
D. Goodpasture syndrome

Answer 9

A. Acute renal tubular necrosis

Question 10

A disorder associated with polyuria and low specific gravity is:
A. Renal glucosuria
B. MCD
C. Nephrogenic DI
D. FSGS

Answer 10

C. Nephrogenic DI

Question 11

An inherited disorder producing a generalized defect in tubular reabsorption is:
A. Alport syndrome
B. AIN
C. Fanconi syndrome
D. Renal glycosuria

Answer 11

C. Fanconi syndrome

Question 12

A teenage boy who develops gout in his big toe and has a high serum uric acid should be monitored for:
A. Fanconi syndrome
B. Renal calculi
C. Uromodulin-associated kidney disease
D. Chronic interstitial nephritis

Answer 12

C. Uromodulin-associated kidney disease

Question 13

The only protein produced by the kidney is:
A. Albumin
B. Uromodulin
C. Uroprotein
D. Globulin

Answer 13

B. Uromodulin

Question 14

The presence of RTE cells and casts is an indication of:
A. AIN
B. CGN
C. MCD
D. ATN

Answer 14

D. ATN

Question 15

Differentiation between cystitis and pyelonephritis is
aided by the presence of:
A. WBC casts
B. RBC casts
C. Bacteria
D. Granular casts

Answer 15

A. WBC casts

Question 16

The presence of WBCs and WBC casts with no bacteria is indicative of:
A. Chronic pyelonephritis
B. ATN
C. AIN
D. Both B and C

Answer 16

C. AIN

Question 17

ESRD is characterized by all of the following except:
A. Hypersthenuria
B. Isosthenuria
C. Azotemia
D. Electrolyte imbalance

Answer 17

A. Hypersthenuria

Question 18

Prerenal acute renal failure could be caused by:
A. Massive hemorrhage
B. ATN
C. AIN
D. Malignant tumors

Answer 18

A. Massive hemorrhage

Question 19

The most common component of renal calculi is:
A. Calcium oxalate
B. Magnesium ammonium phosphate
C. Cystine
D. Uric acid

Answer 19

A. Calcium oxalate

Question 20

Urinalysis on a patient with severe back pain being evaluated for renal calculi would be most beneficial if it
showed:
A. Heavy proteinuria
B. Low specific gravity
C. Uric acid crystals
D. Microscopic hematuria

Answer 20

D. Microscopic hematuria