Nephrology Flashcards
1
Q
Which statement is false about SIADH
- Urine Osm > Plasma Osm
- Urine sodium> 20 Meq/L
- Urine output is diminished
- Plasma Osm < 270
- Serum uric acid is high
A
- Serum uric acid is high
2
Q
Regarding proximal RTA, which statement is true
- associated with hyperkalemia
- associated with glycosuria, aminoaciduria, phosphaturia, urine PH 6.0
- serum bicarbonate can be as low as 8
- associated with nephrocalcinosis
A
- associated with glycosuria, aminoaciduria, phosphaturia, urine PH 6.0
3
Q
Which feature is not seen in distal RTA
- positive urinary anion gap
- urine PH 5.5
- Plasma bicarbonate 8
- nephrocalcinosis (stones)
- Plasma k+ =3.5
A
- urine PH 5.5
4
Q
VCUG: Which statement is false?
- Never indicated in children with normal US
- Should undergo prophylaxis peri-test
- Is associated with risk of UTI post test
- Can diagnosed megaureters
A
- Never indicated in children with normal US
5
Q
Which statement is true about antenatal hydronephrosis?
- Seen in close to 5 % of pregnancy
- Associated with VUR in < 10% of cases
- HN < 10 mm in third trimester does not require further testing
- More common in girls
A
- HN < 10 mm in third trimester does not require further testing
6
Q
A 2 months old boy presents with a renal mass in his left flank . What is the most likely Dx?
- Ureteral pelvic junction obstruction (UPJ)
- Posterior uretral valve obstruction
- Multicystic kidney disease
- Dysplastic kidney
- Wilms tumour
A
- Ureteral pelvic junction obstruction (UPJ)
7
Q
Orthostatic proteinuria: Which statement is false?
- Orthostatic proteinuria is associated with proteinuria > 1 gm/24 hrs
- Is a common cause of proteinuria in adolescence
- Is not associated with HTA, hematuria
- Should undergo a biopsy
- Often resolve with time
- May be associated with left renal vein entrapment or exaggerated HD response to the upright position
A
- Orthostatic proteinuria is associated with proteinuria > 1 gm/24 hrs