Renal

Question 1

P-aminohippuric acid

Answer 1

Used to measure renal blood flow

Question 2

Action of AngII in the kidney

Answer 2

Decreases GFR and renal blood flow

Question 3

Blood flow in vasa recta compared to renal cortex

Answer 3

Very low to maintain hypo-osmotic gradient and form concentrated urine

Question 4

Treatment of kidney stones:

a) 5mm
c) With signs of sepsis

Answer 4

a) Passes spontaneously, Tambsulon can help aid with spasms
b) Extra-corporeal shock wave lithotripsy for fragmenting stones
c) Percutaneous Nephrostomy

Question 5

Investigation of choice for renal colic

Answer 5

CTKUB

Question 6

What is renal papillary necrosis associated with?

Answer 6

Sickle cell anaemia

Question 7

Eosinophils in urine

Answer 7

Drug induced interstitial nephritis

Question 8

On renal biopsy: Wire looping

Answer 8

a)Diffuse membranous glomerulonephritis

Question 9

HIV Nephropathy

Answer 9

Focal Segmental Glomerulonephritis

Question 10

Curved penis

Answer 10

Peyrione’s disease

Question 11

Dilation of the pampiniformplexus

Answer 11

Varicocele

Question 12

Large horn shaped calculi and alkaline urine

Answer 12

Proteus

Question 13

Test for painless scrotal swelling

Answer 13

Beta HCG- elevated in all testicular cancers

Question 14

LDH

Answer 14

Seminoma

Question 15

Beta-HCG

Answer 15

All testicular cancers

Question 16

Stones on x-ray:

a) Can be seen
b) Can’t be seen

Answer 16

a) Pure uric acid and cysteinic stones

b) Urinary oxalate due to IBD

Question 17

On renal biopsy: Splitting of BM

Answer 17

Alports

Question 18

On renal biopsy: “Lumpy bumpy”

Answer 18

Post Streptococcal glomerulonephritis

Question 19

On renal biopsy: IgG deposits

Answer 19

Goodpastures