Part-7: Medicine MCQ and SBA |Nephrology 

MCQ and SBA Questions and Solutions for MBBS Final year students in Bangladesh. FCPS sample question for Bangladeshi Doctors.MBBS Final Prof MCQ and SBA: Part -7

Part 7: FCPS Medicine sample Question of Nephrology  

Marks: 30
Duration:30
Topics:Nephrology 

Medicine question 1-21

1. Which one is correct?

  • Ketone body-Hay’s surface tension test
  • Blood-benedict’s test
  • Sugar-benedict’s test
  • Ketone body-Rothera’s test
  • Creatinine clearance test-Glomerular function test

2.D/D of scanty micturation?

  • Spinal anesthesia
  • Diabetis insipitus
  • Pulmonary embolus
  • Excessive sweating
  • portal vein obstruction

3.Causes of hematuria?

  • Intake of high amount of alcohol.coffee,
  • Hypercalcaemia
  • Glomerulonephritis
  • Anticoagulant drugs
  • Renal stone

4.Nephrotic Syndrome is characterized by:

  • Generalized edema
  • High blood pressure
  • 1st ascities then generalized edema
  • Hypoalbuminaemia
  • Mild proteinuria

5.Causes of Anasarca:

  • Deep vein thrombosis
  • Protein energy malnutrition
  • Left ventricular failure
  • Nephrotic syndrome
  • Pancreatitis

6.which one is correct?

  • Acute pyelonephritis-Pus cell present
  • AGN- by Streptococcus organism
  • AGN-Hematuria present
  • CKD- Anemia may present
  • Nephritogenic strains- Throat serotype 14

7.Causes of CKD-

  • Diabetis mallitus
  • Renal vein stenosis
  • Consequence of AKI
  • Hypotension
  • SLE

8.In case of Nephrotic Syndrome-

  • Presence of history of throat infection:
  • RBC cast present
  • Can treat with prednisolone
  • Relapse is common
  • High color Urine

9. Which statements are false about AGN?

  • Hypokalemia
  • Low BP
  • Treatment-Diuretics,Anti hypertensive drugs
  • Generalized body swelling
  • Vasculities a cause

10. Classical features of Acute pyelonephritis-

  • Loin pain radiates to back
  • Continuous fever without chills and rigor Culture of MSU is done
  • Hypertension
  • Antihypertensive drug is given

11. correct answers are-

  • RIFLE criteria is for Diagnosis and staging of AKI
  • End stage renal disease-is irreversible , worse prognosis
  • Smoky urine in proteinuria
  • Glycosuria in DM
  • End stage renal disease needs Renal replacement therapy

12.Pre renal causes of AKI

  • Cardiac failure
  • Urinary calculi
  • Blood loss
  • Drugs and toxins
  • AGN

13. which are correct?

  • In a DM patient-reduced eGFR,increased Creatinine
  • End stage renal disease-Loss of renal failure more than 1month
  • CKD-is a case of medical emergency
  • AKI-no need of immediate hospital administration
  • In case of AKI patient-avoid potassium containing food

  • 14.Conditions of proteinuria other than Glomerular dises-
  • After heavy exercise
  • Vasculities
  • UTI
  • Liver failure
  • Heart failure

15.Advice of a pt of recurrent UTI-

  • Water intake at least 3.5L/day
  • Regular intake of high protein
  • Emptying of bladder before and after sex
  • Treatment-diuretics
  • Treatment of underlying cause is necessary

16. following measurements are correct-

  • Dipstick positive-0.5-0.7 g/24 hr urine
  • Normal albumin passing – <.03 mg
  • Microalbuminemia-0.03-0.3 g
  • In glomerular disease->2.5 g/day
  • Bence jones protein-presence of Ig in urine

17.complications of AKI-

  • Metabolic alkalosis
  • Hyperkalemia
  • Pulmonary effusion
  • Hyponatremia is uncommon
  • Uremic encephalopathy

18. Why UTI is common in woman?

  • Close proximity of urethra to vagina
  • Sexual intercourse cause trauma
  • Short urethra 
  • Absence bacterial secretion from urethra 
  • Presence of lactobacilli in vagina

19.Causes of polyuria

  • DM
  • Diuretics
  • TB
  • CCF
  • Hypo thyroidism

20. Nocturia in-

  • CKD
  • Prostate enlagement
  • Antidepressant drugs
  • Insomnia
  • Porphyria

21. typical features of Nephrotic syndrome-

  • Generalized edema
  • bilateral loin pain
  • massive proteinuria
  • Hypertension
  • Hypoalbuminaemia

Medicine SBA (1-9)

1. Below of which are not Renal replacement therapy?

  • Hemodialysis
  • Peritoneal dialysis
  • Renal hemodynamics
  • Haemofiltration
  • Transplantation

2.Most common cause of CKD-

  • Alports syndrome
  • DM
  • High intake of water
  • Renovascular disease
  • Liver failure

3.in AKI which of the following respiratory condition is consider as a complication of it?

  • Asthma
  • Pneumonia
  • COPD
  • Pulmonary edema
  • Pulmonary infarction

4.Anuria means-

  • <10 ml urine/day
  • <100 ml
  • <50ml
  • <1 L
  • <75 ml

5.investigation of UTI not includes

  • Dipstick test.
  • Urine,b lood culture
  • Cystoscopy
  • Rectal rexamination
  • CBC

6.predisposing factor for kidney stone-

  • Hypocalcemia
  • Low sodium intake
  • Low fluid intake
  • Low protein intake
  • Intestinal obstruction

7.diuretics act over DC:

  • Indapamide
  • Frusemide
  • Mannitol
  • Spironolactone
8.azotemia-
  • Increase GFR
  • Decrease creatinine
  • Elevation of blood urea nitrogen
  • Clinical signs present

9. cause of high creatinine production-

  • Renal failure
  • Large muscle mass
  • TB
  • Liver failure

Solutions of above Questions 

Comming…….
Author:
Susmita Roy
MBBS, Rangpur Medical College, Rangpur 
Dr Susmita roy,is medical student of Rangpur Medical College.
Susmita Roy 
Doctors Gang
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