Nephrology Flashcards

1
Q

Which statement is false about SIADH

  1. Urine Osm > Plasma Osm
  2. Urine sodium> 20 Meq/L
  3. Urine output is diminished
  4. Plasma Osm < 270
  5. Serum uric acid is high
A
  1. Serum uric acid is high
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2
Q

Regarding proximal RTA, which statement is true

  1. associated with hyperkalemia
  2. associated with glycosuria, aminoaciduria, phosphaturia, urine PH 6.0
  3. serum bicarbonate can be as low as 8
  4. associated with nephrocalcinosis
A
  1. associated with glycosuria, aminoaciduria, phosphaturia, urine PH 6.0
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3
Q

Which feature is not seen in distal RTA

  1. positive urinary anion gap
  2. urine PH 5.5
  3. Plasma bicarbonate 8
  4. nephrocalcinosis (stones)
  5. Plasma k+ =3.5
A
  1. urine PH 5.5
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4
Q

VCUG: Which statement is false?

  1. Never indicated in children with normal US
  2. Should undergo prophylaxis peri-test
  3. Is associated with risk of UTI post test
  4. Can diagnosed megaureters
A
  1. Never indicated in children with normal US
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5
Q

Which statement is true about antenatal hydronephrosis?

  1. Seen in close to 5 % of pregnancy
  2. Associated with VUR in < 10% of cases
  3. HN < 10 mm in third trimester does not require further testing
  4. More common in girls
A
  1. HN < 10 mm in third trimester does not require further testing
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6
Q

A 2 months old boy presents with a renal mass in his left flank . What is the most likely Dx?

  1. Ureteral pelvic junction obstruction (UPJ)
  2. Posterior uretral valve obstruction
  3. Multicystic kidney disease
  4. Dysplastic kidney
  5. Wilms tumour
A
  1. Ureteral pelvic junction obstruction (UPJ)
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7
Q

Orthostatic proteinuria: Which statement is false?

  1. Orthostatic proteinuria is associated with proteinuria > 1 gm/24 hrs
  2. Is a common cause of proteinuria in adolescence
  3. Is not associated with HTA, hematuria
  4. Should undergo a biopsy
  5. Often resolve with time
  6. May be associated with left renal vein entrapment or exaggerated HD response to the upright position
A
  1. Orthostatic proteinuria is associated with proteinuria > 1 gm/24 hrs
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