RENAL DISEASE

Question 1

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

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-Schonlein purpura

Answer 2

C. Chronic pyelonephritis

Question 3

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

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

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

Answer 5

B. GPA

Question 6

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

Answer 6

A. IgA nephropathy

Question 7

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

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

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

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

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

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

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

Answer 13

B. Uromodulin

Question 14

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

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

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

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

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

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

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