Nephrology

Question 1

Hypokalemia + Alkaline Urine + Hypercalciuria + Nephrocalcinosis + Hyperphosphaturia

Answer 1

Type 1 Renal Tubular Acidosis (Distal)

Question 2

Metabolic Acidosis + Hyponatremia + Hyperkalemia

Answer 2

Type 4 Renal Tubular Acidosis

Question 3

Positive Urine Cyanide Nitroprusside Test + Hexagon Shaped Crystals in Urine

Answer 3

Cystinuria or Cystine Stones

Question 4

Rhomboid Shaped Crystals + Acidic Urine

Answer 4

Uric Acid Stones

Question 5

Renal Biopsy showing Subepithelial Deposits are seen in

Answer 5

Membraneous Nephropathy

Question 6

Headache, Nausea and Blurred Vision which is Seen in First session of dialysis

Answer 6

Dialysis Disequilibrium Syndrome

Question 7

Management of Incotinence due to autonomous bladder activity

Answer 7

Doxazosin

Question 8

Sensorineural Hearing Loss + Hematuria + Anterior Lenticonus

Answer 8

Alport Syndrome (Defective type 4 collagen)

Question 9

Type of Amyloid deposit in Multiple Myeloma

Answer 9

Light Chain Amyloidosis

Question 10

Type of Amyloid deposit in Long term hemodialysis

Answer 10

Beta 2 microglobulin

Question 11

History of Lung Cancer + Now pedal edema + Protein in Urine

Answer 11

Membraneous Nephropathy

Question 12

Lung biopsy finding of Goodpasture’s disease

Answer 12

Hemosiderin Laiden Macrophages

Question 13

Investigation of Choice for Renal Artery Stenosis

Answer 13

MR Angiography

Question 14

Antihypertensive with least effect on RAAS System

Answer 14

Alpha Blockers (Doxazosin)

Question 15

Antihypertensive of choice in glomerular disease

Answer 15

ACE Inhibitors - Ramipril

Question 16

Hematuria + Elevated Creatinine + Raised Eosinophil count + Eosinophiluria

Answer 16

Acute Interstitial Nephritis

Question 17

Chronic Back Pain + Bilateral Ureteric Obstruction + Elevated Creatinine

Answer 17

Retroperitoneal Fibrosis

Question 18

Post Kidney Transplant patient with Hyperkalemia

Answer 18

Elevated Tacrolimus Levels

Question 19

Diuretic with greatest retention of Lithium

Answer 19

Hydrochlorothiazide

Question 20

Drug of Choice for CMV infection

Answer 20

Ganciclovir

Question 21

The only antibiotic that can interact with lithium.

Answer 21

Metronidazole

Question 22

Pollakiuria (increased day time urine frequency) seen in

Answer 22

Risperidone Treatment

Question 23

Asymptomatic Bacteriuria management

Answer 23

7 day course of Nitrofurantoin

Question 24

Protein Associated with Polycystic Kidney Disease

Answer 24

Polycystin

Question 25

Crohns Disease Associated type of Kidney Stone

Answer 25

Calcium Oxalate Stone

Question 26

Complication of Long term Hemodialysis

Answer 26

Carpel Tunnel Syndrome

Question 27

Recent Throat Infection + Hematuria and Proteinuria

Answer 27

IgA Nephropathy

Question 28

Parkinson’s disease with Hydronephrosis and Full Bladder

Answer 28

Neurogenic Bladder

Question 29

Old textile worker with painless hematuria and Anemia

Answer 29

Bladder cancer

Question 30

Causative Organism for Peritoneal Dialysis Peritonitis

Answer 30

S. aureus

Question 31

3 week after Throat Infection + Hematuria and Proteinuria

Answer 31

PSGN

Question 32

Recent Throat Infection + Hematuria and Proteinuria

Answer 32

IgA Nephropathy

Question 33

Site of Production of Erythropoietin

Answer 33

Interstitial Fibroblast

Question 34

DMARD Causing Nephrotic Syndrome

Answer 34

Penicillamine

Question 35

Wilsons Disease -> Renal Parameter Findings

Answer 35

1. Hypokalemia 2. Hypophosphatemia

Question 36

ADPKD Gene Located in Chromosome

Answer 36

Chromosome 16

Question 37

Kidney Disease Associated with Syphillis

Answer 37

Rapidly Progressive Glomerulonephritis

Question 38

Drug of Choice to Reduce Urinary Calcium Excretion

Answer 38

Thiazide Diuretics

Question 39

Kidney Disease associated with Malignancy

Answer 39

Membraneous Glomerulonephritis

Question 40

Management of Membraneous Glomerulonephritis

Answer 40

1. Anticoagulation 2. Sodium Restriction 3. Diuretics

Question 41

Mononeuritis + Glomerulonephritis + Neurological Decline

Answer 41

Microscopic Polyangiitis

Question 42

In Long standing kidney disease which electrolyte levels are low

Answer 42

Calcium (Hypocalcemia)

Question 43

Investigation for young person with proteinuria

Answer 43

Measurement of urine protein immediately after getting out of bed in the morning

Question 44

Management of Minimal change disease with relapses

Answer 44

Cyclophosphamide

Question 45

Pathophysiology of CKD Patients having anemia

Answer 45

Increased Hepcidin

Question 46

Site of Injury of Gentamicin in Nephrons

Answer 46

Proximal Convoluted Tubule

Question 47

Most characteristic electrolyte imbalance in CKD

Answer 47

Hypocalcemia

Question 48

Magnesium deficiency associated with imbalance of which electrolyte

Answer 48

Hypocalcemia

Question 49

Antibody associated with Membranous Nephropathy

Answer 49

Anti-phospholipase A2

Question 50

Long standing CKD + systemic arteriolar calcification + soft-tissue calcium deposition

Answer 50

Calciphylaxis

Question 51

Investigation of choice for reflux nephropathy

Answer 51

Micturating cystography

Question 52

Time taken for A-V Fistula to fully function

Answer 52

2 months

Question 53

Site of Reabsorption of Phosphate

Answer 53

PCT

Question 54

Initial management of IgA Nephropathy

Answer 54

Observation

Question 55

Management of Hyperphosphatemia in CKD

Answer 55

Calcium Acetate