Aggressive diuresis with diuretics
Administration of fomepizole
Answer is [hide]a[hide]


The most common side effect of tacrolimus over cyclosporin is
a. More neurotoxic
b. More nephrotoxic
c. More hepatotoxic
d. Gingival hyperplasia
Answer is [hide]a[hide]


Patient with SLE on treatment. She wants to take ant SLE
treatment but also wants to preserve her fertility to get pregnant.
She should use prednisolone plus
a. Azathioprine
b. Mycophenolate
c. Cyclosporin
d. Tacrolimus

Answer is [hide]C[hide]

Answer is [hide]a[hide]

The procedure of veno-venal CRT is suitable for patient with
a. DM
c. Hypertensive emergency & AKI
d. Malignancy & CKD
e. _________________
Answer is [hide]a[hide]


The most appropriate chemistry (ABGs) for salicylate poisoning
a. Respiratory alkalosis & metabolic acidosis
b. ______________
c. ______________
d. ______________

In case of hypernatremia Na=170 & plasma osmolality 320, the
most probable condition will be
a. Increased intracellular volume increased
osmolarity >328
b. Decreased ICV and decreased osmolarity <
c. Decreased ICV and increased osmolarity
d. No change in ICV and osmolarity 420

Male refused from military services because of microscopic
hematuria, but his sensori-neural examination & eye
examination are normal & his other labs are normal, His brother
has the same symptoms without proteinuria. What is the
prognosis in the future
a. Patient will develop CRF in 20 years
b. Needs transfusion at sometime
c. No abnormality will occur usually
d. Will need immediate management
Answer is [hide]c[hide]


Patient with ethanol ingestion fell down & has head trauma. 3
days later he develops confusion & coma. Electrolytes show
hypernatremia (Na=170) from 140 at the time of admission.
Plasma osmolarity is 300. The most common cause
a. Decreased water intake
b. Increased diuresis
c. Nephrogenic DI
d. Central DI
e. Inappropriate saline infusion
Answer is [hide]D[hide]

Answer is [hide]a[hide]

Answer is [hide]a[hide]

A 36 years old male came in ER after suicide attempt &
ingestion of anti-freeze sloution. His HCO3 is 12, PCO2= 22,
Na=138, K=4.8, Cl=98. The immediate management will be
a. Immediate HD
b. No traetment as there is no more acidosis

Please Send Your Nephro Exam MCQs

10. Patient with microscopic hematuria & proteinuria within few
days following upper respiratory tract infection. Renal biopsy
a. Electron dense deposits on electron
b. IgA deposition in the mesangium by
c. Proliferation& increased matrix of the
mesangium with dense deposits
d. All of the above
Answer is [hide]d[hide]
11. The commonest cause of Normal sized kidney despite ESKD is
a. Scleroderma
b. Polycystic kidney

Dr. Zahid Hafeez



The most appropriate method to diagnose unilateral renal vein
thrombosis is
a. Differential renin measurement in renal
b. Differential renin measurement in renal vein
c. Ultrasonography
d. MR/CT venography




Chronic analgesic & scarring kidneys


139/85 mmHg
140/80 mmHg
150/90 mmHg

Answer is [hide]a[hide]
Answer is [hide]a[hide]
12. The most frequent
stenosis is

action of ACEi with unilateral renal artery
Frequently causes renal failure
Is appropriate treatment for hypertension
Inhibition of renin activity of the kidney

18. 5 years boy with ESRD will require HD or Continuous renal
replacement therapy when GFR less than
a. 15%
b. 20%
c. 30%
d. 80%

Answer is [hide]a[hide]
Answer is [hide]a[hide]
13. Diabetic patient with peritoneal dialysis develops severe
peritonitisand C/S shows multiple Gram +ve & Gram –ve
organisms. The most appropriate investigation needed is
a. Transperitoneal angiography
b. CT
c. USG for the lumen of the catheter
d. Placute interstitial nephritis X-Ray abdomen

19. Infant having UTI. The best sensitive investigation for infection
a. High WBC in urine
b. Leukocytosis in blood (CBC)
c. Urea esterase in urine dipstick
d. Presence of leukocytic cast in urine
Answer is [hide]a[hide]

Answer is [hide]a[hide]

15. Pregnant female with UTI. The most correct Answer is
a. 50% have asymptomatic bacteruria
b. No treatment indicated
c. Urgent IVU to detect cause
d. Observe the patient untill the symptoms
appear and then treatment with antibiotics.
e. Immediate
asymptomatic bacteruria
Answer is [hide]D[hide]
16. The best method (gold standard) for estimation of GFR is
a. Cockroft Gault formula
b. 24h creatinine clearance
c. Inulin clearance
d. Modification of diet in renal disease study
Answer is [hide]c[hide]
17. Diabetic patient with ESRD needs to decrease BP less than
a. 130/80 mmHg

Please Send Your Nephro Exam MCQs

Answer is [hide]a[hide]
21. 65 years old male with microscopic hematuria needs to donate
his 54 years old wife with ESRD. His chemsitry is normal. He
asks about your opinion
a. Encourage him as microscopic hematuria is
not significant
b. Discourage him for his isolated hematuria
c. ________________
d. ________________
Answer is [hide]a[hide]
22. The most likely to cause nephrocalcinosis & papillary
calcification. All are true except
a. Sarcoidosis
b. Primary hyperparathyroidism
d. Type-I RTA
e. Medullary cystic disease
Answer is [hide]c[hide]
23. Hemoperfusion is most appropriate treatment in
a. Ethanol intoxication
b. Methanol intoxication
c. Theophylline intoxication
d. NSAIDs intoxication

Dr. Zahid Hafeez



Answer is [hide]D[hide]

20. Drugs that decrease cyclosporine levels in the blood is
a. Fluconazole
b. Trimethoprim
c. ___________
d. ___________


14. Diabetic patient has UTI on treatment. Culture sensitivity,
electrolytes & blood chemistry are normal but computerized
tomography shows gas in renal parenchyma. Which treatment to
a. Clindamycin
b. Amphotericin B
c. Other antibiotics
d. Emergency nephrectomy

Answer is [hide]a[hide]
Answer is [hide]c[hide]

24. In case of hyponatremia Na=128, the least likely to occur
a. Total body Na decreased
b. Total body Na increased
c. Total body water increased
d. Total body Na & water decreased
e. None of the above
Answer is [hide]a[hide]
25. Patient with aortic aneurysm, underwent surgery for aneurysm
correction, shows deteriorated kidney function. The most comon
cause is
a. Acute tubular necrosis
b. Analgesic nephropathy
c. Cholesterol embolization
d. ___________________
Answer is [hide]a[hide]
26. CHF on diuretics developed weakness & carpopedal spasm,
prolonged QT interval & depressed ST segment. The most
common cause is
a. Hyperkalemia
b. Hypomagnesemia
c. Hyperphosphatemia
d. Hypophosphatemia
Answer is [hide]B[hide]
27. In rhabdomyolysis all of the following occurs except
a. Hyperkalemia
b. Hyperphosphatemia
c. Hypercalcemia
d. Hyperuricemia
e. Hypocalcemia

30. Renal agenesis is associated with all except
a. Meckel’s diverticulum
b. Imperforate anus
c. Vertebral malformations
d. Cardiac abnormalities
Answer is [hide]a[hide]
31. All of the following antibiotics are safe in pregnancy except
a. Amoxicillin
b. Quinolone
c. Nitrofurantoin
d. Tetracycline
Answer is [hide]b[hide]
32. How to diagnose UTI in pregnancy
a. 105 bacteria/ml
b. 1000 to 10000 bacteria/ml
c. ……………………..
d. ……………………..
Answer is [hide]a[hide]
33. Patient having diarrhea & dehydration & taking antibiotics. How
to differentiate the pre-renal azotemia from antibiotics toxicity
a. ……………………..
b. ……………………..
c. ……………………..
d. ……………………..
Answer is [hide]……[hide]

Answer is [hide]C[hide]
28. Drugs that decrease the cyclosporin level
a. Trimethoprim
b. Fluconazole
c. Erythromycin
d. Rifampicin

34. How to distinguish action of NSAIDs from Antibiotics on
a. Rash & eosinophilia
b. ……………………..
c. ……………………..
d. ……………………..
Answer is [hide]a[hide]

Answer is [hide]c[hide]
36. What is the acid base disturbance caused by aspirin
a. Respiratory alkalosis & metabolic acidosis
Answer is [hide]a[hide]

Please Send Your Nephro Exam MCQs

Dr. Zahid Hafeez



29. Patient with ESRD due to DM-2 has creatinine clearance
<17ml/min/kg. his transplantation workup shows no obstacles
for transplantation. What will be your decision
a. Transplant now
b. Peritoneal dialysis
c. Hemodialysis
d. Transplant of trial of dialysis


Answer is [hide]D[hide]

35. Which is more characteristic of CKD
a. Hypophosphatemia
b. Hypokalemia
c. Hypocalcemia
d. Hypoglycemia

. Good pasture syndrome c.. Conservative Answer is [hide]a/b??????[hide] 4 41. Add clindamycin b. 45. Microscopic hematuria in family (brother & his sister). PCO2=30. Acute interstitial nephritis c. hemoptysis & B/L opacities in CXR. What is the mechanism of action of Lithium toxicity on kidney a. WBC cast d. Muddy brown cast Answer is [hide]b[hide] 44. Thin basement membrane disease c. Which is characteristic of ATN a.56 a. What is the most likely diagnosis a. It varies with medication e. It varies with weight b. RBCs casts c. ……………………. Cardiovascular calcification in CKD is due to a. 50. Add amphotericin B c. Chronic interstitial nephritis b. Renal transplantation d. Which of the following can best lower serum K immediately a. What is the most likely cause a. Calcium resonium d. pH=7. It varies with diet c. ……………………. Answer is [hide]c[hide] Answer is [hide]d[hide] trimethoprim Answer is [hide]a[hide] Answer is [hide]b[hide] 40. c. Emergency nephrectomy d. Permanent catheter b.com Page 39. Venous graft c.. Recklinghausen disease Answer is [hide]c[hide] 49. High Vitamin D intake Answer is [hide]a[hide] 47. β2 agonists Please Send Your Nephro Exam MCQs Answer is [hide]a/b???[hide] Answer is [hide]B[hide] 48. ……………………. Metabolic acidosis Dr.37. patient not improving with antibiotics. GN d. Pyelonephritis with E. It varies with age d. Hyaline cast b. Serum creatinine is not exact indicator of GFR. Desmopressin b. High calcium intake e. Diabetic patient on HD with multi access failure. Coli isolated... What to do a. What is the best treatment for DI a. Ca gluconate b. . Insulin glucose infusion c.. Hypercalcemia d. …………………………. Acute urinary obstruction d. Tuberous sclerosis complex b. Von Hippel Lindau disease d. HCO3=15. d. Acute interstitial nephritis c. None of the above Answer is [hide]e[hide] 43. IgA nephropathy coronary artery Answer is [hide]a[hide] 42. What is the most likely diagnosis a. Flail chest. ……………………. ATN b. NaHCO3 e. Hyperparathyroidism/hyperphosphatemia?? b. currently having no access. Autosomal recessive Alport’s Syndrome b. CAPD e. A patient developed dusky leg after manipulation. Patient having renal impairment. Which of the following is related to chromosome 3 a. ……………………. Zahid Hafeez zamorih@hotmail. ……………………. Wegener’s granulomatosis b. Diabetes mellitus Answer is [hide]a[hide] 38. What is the mechanism of action of Nephrotoxicity a. Cholesterol embolization 46. ADPKD c. because of all of the following except a. Hypocalcemia c. d. Radiography shows gas in renal parenchyma a.

These results are compatible with a. Encourage him as hematuria is not associated with Proteinuria c. when you change solute concentration from 2. What is the most likely diagnosis Dr. None of the above 61.. His relative wants to donate him kidney and has no contraindication.3. 50% b. Metabolic alkalosis Metabolic acidosis with respiratory alkalosis Metabolic acidosis with respiratory acidosis Respiratory alkalosis partially compensated Answer is [hide]e[hide] 51. e.. c. Complement levels e. oliguria & renal impairment. More UF Answer is [hide]……. Patient admitted after myocardial infarction & treated with coronary stenting. chloride=96. Answer is [hide]????a[hide] 60.. . CKD-5 is labeled when GFR is decreased to a.com 5 56. PD: when ……………………. Rapid transporter Low transporter Answer is [hide]……. Encourage him as hematuria is not associated with renal injury e. c. 35% c. ……………………... d.. Encourage him as hematuria is microscopic b. Overload d. Her 58 years old wife diagnosed ESRD. K=3. CMV antigen d. CMV should be diagnosed best with a. Increase b. pH=7. Painless hematuria d. ……………………. All of the above e. ……………………. Zahid Hafeez zamorih@hotmail.. A 63 years old male with microscopic hematuria. Answer is [hide]c[hide] 53.[hide] Please Send Your Nephro Exam MCQs Answer is [hide]d[hide] 62. Bartter’s syndrome d. Regarding urinary tract TB. 5% Page a. 15% e.. what can do higher dialysis mortality a. High sugar diet c. RTA Answer is [hide]a[hide] 54.. Isolation of mycobacteria in urine c. Low protein diet b. HCO3=30. he developed a skin rash.. Transplant now b. …………………….7=Kt/V and standard dialyzer with Kt/V 1. ……………………. 25% d. d. all are true except a. e. which thing can be better for patients a. ……………………. Discourage him as he has isolated hematuria 55.25% to 4. Diuretic abuse c. Wait after a trial of dialysis c. Anti DNA c. CRP d. GI loss b. Few days later.73m2. Anti Ds DNA Answer is [hide]e[hide] 57. c. …………………….[hide] 59. ……………………. No change d. b. ANA b. Study HEMO: high flux dialyzer with 1. urinary potassium=10.26. How to follow up SLE a. Isolation of CMV Answer is [hide]c[hide] 58. Anti CMV IgM c. Decrease c. the result is a. What should be done a. Encourage him as he is not hematuria is not associated with HTN d. Anti CMV IgG b. d. He asks about your opinion regarding kidney donation a. d. ……………………. Urinary obstruction b.b.5% glucose. Proteinuria less than 100mg/24h. 60 years old diabetic patient having GFR=17 ml/min/1. Sterile pyuria Answer is [hide]a[hide] Answer is [hide]d/e??????[hide] 52. In peritoneal dialysis. e. In PD. b.a[hide] Answer is [hide]………….

Normal saline e. Before diagnosis of DM b. Diabetic patient having ESRD. High ASO titer e. Hypocalcemia b. Hematuria d. a. Low C4 68. GFR < 20 c. Before doing surgery what should be done a. Increase EPO dose c. Hyperphosphatemia d. Factor associated with poor prognosis in FSGS is a.. What is the best immediate treatment to decrease the potassium levels a. Half normal saline b. IV immunoglobulin pulse therapy a. 1-25 dihydroxy Vitamin D3 deficiency Answer is [hide]a[hide] 72. Normal anion gap metabolic acidosis Answer is [hide]D[hide] 64. Zahid Hafeez zamorih@hotmail. ATN Acute interstitial nephritis Ac. What is the most important in treatment of uremic bleeding a.com 6 Henoch–Schönlein purpura Page a. Albumin Answer is [hide]d[hide] 77. Associated HTN b. Colloids c. Angiography d. Cyclophosphamide used in treatment of a. …………………… d. Humoral or Antibody mediated rejection Please Send Your Nephro Exam MCQs 78. What is the initial cause of renal osteodystrophy in CKD a. Antiglomerular basement membrane disease (Good pasture’s syndrome) Answer is [hide]d[hide] 71. NaHCO3 Answer is [hide]c[hide] 76. Properdine d.a. Ca gluconate b. dehydrated having Na=110. Indomethacin a. Low CH50 b. Ca resonium c. When to start renal replacement therapy a. Insulin & glucose infusion d. Diarrhea Answer is [hide]a[hide] 74. MRI abdomen b. Patient diagnosed having renal cell carcinoma of upper pole of the left kidney. b. Anemia in CKD patient on erythropoietin therapy & allergic to for IV iron……. Urinary catecholamine levels c. Conjugated estrogen Dr. ……………… 73. Low C3 c. …………………… Answer is [hide]a[hide] 67. Plasmapheresis is used in treatment of a. Cyclosporine Answer is [hide]e[hide] 69. All of the following are present in post streptococcal GN except a. GFR <10 Answer is [hide]c[hide] 75. GN Cholesterol embolization 70. c. …………………. Answer is [hide]a[hide] 66. Hyperparathyroidism c. . Dextrose d. FFPs c. Which solution is best treatment for the patient a. High anion gap metabolic acidosis Answer is [hide]a[hide] Answer is [hide]a[hide] 65. d. Cryoprecipitate b. cANCA (Wegener’s granulomatosis) 63. Methanol intoxication a. GFR <15 d. Heavy Proteinuria c. Change iron sucrose or iron… b. Type IV Renal tubular acidosis a. A patient with BP=80/50mmHg.

Dipyridamol d. A case of upper respiratory tract infection & hematuria within 2 days & normal BP. Polycystic kidney disease b. Acute tubular necrosis d. Zahid Hafeez zamorih@hotmail. Radical cystectomy 85. Increased WBCs in urine d. Dipstick esterase & nitrate + Answer is [hide]e[hide] Please Send Your Nephro Exam MCQs 90. _____________ c. Stone b. On examination numbness (thumb. Carpal tunnel syndrome Answer is [hide]a/c???[hide] 83. Renal failure b. Hypomagnesemia e. Treatment of non invasive transitional cell carcinoma of bladder is a. Ultrasound can be diagnostic in all of the following except a. All of the following can be associated with normal or increased size kidneys on U/S except a. Uremic osteodystrophy c. IgA deposition in mesengium c. What is the microscopic finding a. Hypoparathyroidism c. Obstructive uropathy can be present in U/S in all of the following except a. Captopril uptake test Peripheral renin measurement Answer is [hide]d[hide] Answer is [hide]b[hide] 79. radiating to volar aspect of the hand & marked at night & early morning. Ectopic ureter c. Urinary tuberculosis Answer is [hide]c[hide] 89. Radiotherapy b. Nephrogenic DI Answer is [hide]d[hide] 80. Palliative radiotherapy d. What is the most predisposing cause of CA bladder a. Polycystic kidneys Answer is [hide]c[hide] 88. Wilm’s tumor c. Epithelial cell proliferation d. Best treatment of diabetic nephropathy with Proteinuria a. A patient on HD for 7 years has pain in both hands started in antecubital fossa. Renal artery stenosis c. Erythropoietin is increased in all of the following except a. Leukocyte esterase + b. All of the following can cause hypocalcemia except a. _____________ d. Increased WBCs in blood e. Which of the following is most diagnostic of UTI a. Captopril c. Frusemide b. Renal cell carcinoma d. Diabetes insipidus d. Grave’s disease Answer is [hide]b[hide] Answer is [hide]e[hide] 81. Scleroderma d. Diabetic nephropathy c. All of the above Dr. Stones b. index & middle fingers) & hand grip is normal. What is the most likely finding a. Mesangial proliferation b. β 2 microglobulinemic deposition in flexor retinaculum d. Nifedipine 87. Desmopressin c. _____________ Answer is [hide]a[hide] 82. Hydronephrosis e. History of smoking & cyclophosphamide b.com Page 84. B/L measurement of rennin from renal artery b. What is the most useful diagnostic test to differentiate unilateral renal artery stenosis from bilateral renal artery stenosis a.d. Dipstick nitrate + c. Amyloidosis b. Transluminal urethral resection of bladder tumor c. Pseudohypoparathyroidism d. Nephrocalcinosis Answer is [hide]d[hide] 86. Osteophytes in cervical vertebra C5-C6 b. d. Differential renin measurement from both veins 7 Answer is [hide]b[hide] .

Hyperaldosteronism d. What is the cause a. All are associated with renal osteodystrophy except a. All can cause hypercalcemia except a. Ibuprofen c.25 dihydro cholecalciferol deficiency d. Paracetamol b. US abdomen b. Plasmapheresis c. 90% responding to steroids b. Zahid Hafeez zamorih@hotmail. All are present in minimal change glomerulonephritis a. Urine dipstick analysis ++ protein. Colloids e. ………………… Answer is [hide]……. Microscopic hematuria b. Cisplatin d. Bartter syndrome e. Primary hyperparathyroidism b. Urine C/S e. Urine Protein electrophoresis d. Urine analysis from first urine voiding Answer is [hide]b[hide] 95. 1. Diuretics b. Poststreptococcal GN b. A case of hypokalemia with normal BP.com 8 102. Aqueous vasopressin Answer is [hide]b[hide] Answer is [hide]a[hide] 94. urine osmolarity < 600. Urinary K is 10 mmol. and plasma osmolarity 321. Dysmorphic RBCs e. What is the treatment a. Cisapride 98. (K=3) & HCO3=32. All can cause acute nephritic syndrome except a. Conduction deafness e. Supportive 97. Mesengiocapillary GN c. Microscopic Proteinuria c. proteinuria & hematuria. 100. c. Calcitonin . Tubular casts 101. NaHCO3 infusion metabolic acidosis a. What is the most common preceding symptom of Alport’s syndrome a. No other pathology in urine. Most diagnostic test in acute glomerulonephritis a. WBC casts d. Sarcoidosis Page is used in which of the high anion gap Diabetic Ketoacidosis Alcoholic intoxication Acute kidney injury Renal tubular acidosis Answer is [hide]d[hide] Answer is [hide]c[hide] Answer is [hide]b[hide] 96. RBCs in urine b. Malignant metastasis e. Hyperphosphatemia c. Tertiary hyperparathyroidism d. Healthy female 41y. A case of Henoch–Schönlein purpura. History of acute gastroenteritis & purpuric rash upper thighs & buttocks. 24h urine for proteinuria c. Corticosteroids b. A case of head trauma & urine output 300 ml/h. RBC casts c. Hypocalcemia b. Both microscopic hematuria & Proteinuria d. Vomiting c. Frequent relapse occur in 1st 4 years Answer is [hide]b[hide] 103. Hemodialysis d. IgA nephropathy d. Normal saline b. Which is the best treatment to replace urine output a. Best solution to give in contrast nephropathy Please Send Your Nephro Exam MCQs Dr. Dextrose saline c. Macroscopic hematuria Answer is [hide]d[hide] Answer is [hide]a[hide] 92.[hide] Answer is [hide]e[hide] 93. What is the next valuable test a. All of the following drugs are nephrotoxic except a. Age from 2-5 years c. Normal saline in dextrose d. Corticosteroids 99. Low C4 d. b. Cyclophosphamide e. d. 2ndry hyperparathyroidism c.Answer is [hide]………[hide] Answer is [hide]B[hide] 91.

. Zahid Hafeez zamorih@hotmail. Bartter syndrome Answer is [hide]d[hide] DR. Supportive b. Intrauterine fetal death d. A case of Wegener’s granulomatosis. What is the treatment a. Hypercalcemia d. Decreased ECF ??? 113. Pheochromocytoma a. Acute appendicitis d. Increased renin & aldosterone 112. Scoliosis is present c.pH=7. ABGs --. Bartter syndrome a. Hypokalemia c.com . Increased renin & aldosterone Decreased renin & aldosterone Answer is [hide]b[hide] 108. c. Na= 160. Other name Eagle Barrette Syndrome b. PCO2=30.a. What is the diagnosis a. What is the abnormality in ABGs a. O/E bilateral edema & BP=145/95mmHg. Diabetes mellitus a.27. Aspirin can cause all of the following except a. Hemolytic uremic syndrome??? Answer is [hide]………. Normal saline b. Answer is [hide]b[hide] Answer is [hide]a[hide] 104. d. b. CXR showing bilateral opacities. Glomerulonephritis Answer is [hide]a[hide] 115. In renal failure. Barter syndrome Page 111. A patient with loss of skin turgor. Obstructed prostatic urethra 114. Alcoholic toxicity b. d. Regarding prune belly syndrome a. Corticosteroids & cyclophosphamide d. RANA ZAHID Answer is [hide]a[hide] Please Send Your Nephro Exam MCQs 9 117. Diabetic ketoacidosis c. Mesenteric adenitis c. Aspirin Supportive Increased renin & aldosterone Answer is [hide]a[hide] 105. Metabolic acidosis b. Hyperglycemia b. A case in ICU with flail chest on ventilator. IgA nephropathy d. Plasmapheresis Answer is [hide]c[hide] Answer is [hide]………[hide] 106. Metabolic alkalosis c. Water 150 cc/h Answer is [hide]d/a????[hide] 109. What is the treatment a. b. hematuria & renal impairment. NaHCO3 d. obtundation & normal BP. ABGs Dr. A case of repeated upper respiratory tract infection. Penicillin 118. Pneumococcal peritonitis is present in which of the following a. Antiglomerular basement membrane disease c. Metabolic alkalosis with respiratory alkalosis Answer is [hide]…….[hide] 116. Normal saline D5% Half normal saline Crystalloids c. Minimal change GN b. HCO3=15.[hide] Answer is [hide]a[hide] 107. All are true except a. Increased ECF b. A case of hyperkalemia with metabolic acidosis. Metabolic acidosis with respiratory acidosis d. Diagnosed case of post streptococcal GN. hypertension is due to a. Corticosteroids b. You should give dextrose with which of the following a. Acute cholecystitis Answer is [hide]a[hide] 110. hemoptysis with hematuria. Hemodialysis c. Aspirin toxicity d. Half normal saline c. Wegener’s granulomatosis b.

EPO increased in which conditions 120. Zahid Hafeez zamorih@hotmail. Transplant Rejection 143. Post-Infectious Nephropathy 141. 139. Alport’s Syndrome (Recurrence after Renal Transplant) 144. Treatment of Calcium stones is normal calcium intake 132.com Page 10 140. ………………. CMV (2-3 MCQs) 169. Side effects of ACEi/ARBs 126. Differences between cyclosporine & tacrolimus toxicity 170. Waxy casts 165. Bacterial endocarditis Dr. Ethanol poisoning 150. Renal artery stenosis diagnosis 157. Anion Gap 146. Calcium Oxalate stones (75%) 154. Treatment of hypertension 125. SLE treatment 167. If plasma osmolality is 330mosm/kg what happens to intracellualr & extracellualr compartments 147. Henoch Schonlein Purpura . How to remove chloramine from dialysis water 123. Amyloidosis 135. KT/V 124. UTI in Pregnancy 153. What happens to the opposite normal unaffected kidney in Renal artery stenosis 158. Causes of calcium oxalate crystals in urine 134. Pheochromocytoma 155. EPO Deficiency in CKD pathogenesis & effects Please Send Your Nephro Exam MCQs 171. UTI in infancy & early childhood 152. Pre-Renal & ATN differences 161. Amphoterecin c. AIDS (Ifosfamide in HIV) 168. 2ndy hyperparathyroidism 160. Interstitial nephritis (Difference between NSAIDs & Antibiotics induced TIN) 162.119. ADPKD (2-3 MCQs) 148. Treatment of Ascites in CKD 131. Analgesic Nephropathy 137. Paracetamol b. Nephrotic syndrome 136. Salicylate Toxicity 149. Dialysis (4-5 MCQs) 122. Best treatment for Anemia in CKD 145. Hyperkalemia 130. IgA Nephropathy Vs Post-streptococcal 166. Nephritic syndrome 138. Which one is nephrotoxic a. Hypokalemia Treatment 129. Mechanism of kidney injury by sulfamethoxazole 142. Renal artery stenosis (3-4 MCQs) 156. Hyponatremia 127. Renal tubular acidosis 133. Hypocalcemia 151. Serum complement levels is not decreased in which conditions a. What happens to the remaining kidney after nephrectomy 159. Screening in ADPKD 121. Cholesterol Embolization 164.. Multiple myeloma 163. Hypokalemia ECG Changes 128.

Sterile pyuria Answer is [hide]a[hide] 178. Increased Ca intake Answer is [hide]a[hide] 186. PD c. Emphysematous pyelonephritis b. CTA c. MRA b. DTPA scan d. Patient diagnosed with unilateral renal artery stenosis. Respiratory acidosis + metabolic acidosis b. what is the best treatment: a. NAVEED MIRZA EXAM 188. HDF d. Osteomalacia Adynamic bone disease Osteoporosis Osteopetrosis Answer is [hide]d[hide] Answer is [hide]a[hide] 172.com 11 DR. Perinephric abscess Answer is [hide]b[hide] 189. the best next investigation: a. Vitamin D deficiency is associated with: Please Send Your Nephro Exam MCQs 191. Patient has DM has right flank pain & fever: USG shows gas in renal parenchyma a. Ureter tumor b. Psoas abscess e. Patient has lithium toxicity. HD b. Dialysis reaction 173. Inappropriate dry weight b. Cranial DI c. What is the cause of calcification in HD a. Patient with DM on HD developed hypotension. Respiratory alkalosis + metabolic alkalosis Page ARMED FORCES HOSPITALS IN SOUTHERN REGION KHAMIS MUSHAIT SCFHS MCQs . Xanthomatomas c. Bladder carcinoma risk factors 181. ACEI b. d. Hypo & Hyperphosphatemia 175. c. Transurethral cell cancer d. Hypernatremia 174. Calcium oxalate Dr. ARBs c. Renal Cell carcinoma 187. The treatment of unilateral renal artery stenosis is: a. Plasmapheresis 179. Vitamin D intake c. Commonest cause of death in CKD (infections & CV diseases) Answer is [hide]b[hide] 176. Calcium channel blockers d. Complications of NSAIDs nephropathy 185. echo is normal. Patient with salicylate poisoning has which type of abnormality: a. b. Autonomic neuropathy c.b. what is the most likely cause: a. Which stone is radiolucent: a. SLE Post-infectious GN IgA nephropathy a. Hyperphosphatemia b. Respiratory alkalosis + metabolic acidosis c. Zahid Hafeez zamorih@hotmail. The most common renal tumor in children is: a. Glomeulonephritis 177. Stone disease d. Nephrogenic DI b. BPH & urinary obstruction Answer is [hide]a[hide] 182. Treatment of bladder carcinoma involving muscle wall 180. Beta blockers Answer is [hide]a[hide] Answer is [hide]b[hide] 184. d. Squamous cell cancer **The most common cancer is Wilm’s tumor (nephroblastoma) Answer is [hide]a[hide] 190. RTA type 2 d. Renal cell cancer c. Captopril scan Answer is [hide]a[hide] 183. Lithium is associated with: a. c.

Peripheral neuropathy **Recurrent peritonitis may damage the peritoneum causing sclerosing encapsulating peritonitis (SEP) leading to UF failure. Poor control of blood pressure d. CD2AP AR FSGS caused by defect in NPHS1 encodes a membrane protein – nephrin NPHS2 encodes a membrane protein – podocin Dr. Start ARB d. SLE on HD is associated with: a. d.TRCP6. Anti phospholipid syndrome d. Poor quality of dialysis c. DM is associated with: a. Heparin induced thrombocytopenia 2 c. UF failure b. HD b. Autosomal dominant FSGS is associated with defect in: a. Patient initiated HD 2 weeks ago and developed DVT in leg & purpura. RTA 3 d. HDF is associated with: a. Calcium phosphate Cystine stone Uric acid stone thrombocytopenia (usually mild to moderate). Hypercoagulopathy d. Recurrent peritonitis is associated with: a. Poor quality of HD **HDF is associated with decreased mortality and morbidity Answer is [hide]a[hide] 201. AVF b. HDF c. c. Temporary catheter 200. Increase mortality c.com 12 197. RTA 2 c. DIC **Clinical features of heparin-induced thrombocytopenia (HIT) that help distinguish it from other forms of thrombocytopenia include the timing of onset (usually 5-14 d after beginning an immunizing exposure to heparin). PD d. DC ACEI b. TRCP6 **AD FSGS caused by defect in ACTN4 encodes a membrane protein – α-actinin-4 . the most likely diagnosis: a. The best access for HD: a. Patient has unilateral RAS Answer is [hide]b[hide] 196. Permanent catheter d. the severity of the Page Answer is [hide]a[hide] 202. Heparin induced thrombocytopenia 1 b. Hydration & N-acetyl cystein d. RTA 4 Answer is [hide]b[hide] Answer is [hide]….b. Decrease mortality b. Sodium bicarbonate c. Podocin b. Zahid Hafeez zamorih@hotmail. Graft failure **SLE patients on HD have high risk for vascular access thrombosis 192. Patient with DM started with ACEI. Answer is [hide]a[hide] Answer is [hide]c[hide] 195. Hydration b. The best treatment of tumor lysis syndrome: a. Poor quality of HD c. RTA 1 b.[hide] 193. Conservative treatment d. RTA 4 199. what is the next step: a. Theophylline Answer is [hide]a[hide] 194. RTA 1 b. CVVHDF Answer is [hide]a[hide] Please Send Your Nephro Exam MCQs Answer is [hide]d[hide] 203. Continue ACEI c. HD b. PD patient developed abdominal hernia. patient developed <20% rise in creatinine. Ifosfamide is associated with: a. The best treatment for methanol poisoning is: a. Increase mortality and morbidity d.. and the presence of thrombosis or other sequelae Answer is [hide]b[hide] Answer is [hide]d[hide] 198. HD and hernia repair . RTA 2 c. the next step is: a. Continue PD c. AVG c. Recurrent thrombosis b.

Mesengioproliferative GN d. Hypermagnesemia 205. The most common cause of nephrotic syndrome in children is: a. Membranous nephropathy c. Renal Failure. HTN IV – Diffuse LN – HEMATURIA. the best management is: a. Conservative treatment Answer is [hide]a[hide] Answer is [hide]a[hide] 211. proteinuria& mild renal impairment. MNP d. PU. Hydration & Frusemide c. IgA Nephropathy 210. HD & PP d. Conservative treatment Answer is [hide]b[hide] 215. normal urine analysis and creatinine II – Mesangial proliferative LN – HEMATURIA. Sickle cell disease is associated: a. PD d. renal papillary necrosis.Answer is [hide]c[hide] Answer is [hide]b[hide] 204. UTI. the treatment is: a. Heroin 213. Renal biopsy b. HIV b. Hypernatremia c. no HTN III – Focal LN – HEMATURIA. CMV c. MNP c. multiorgan failure. FSGS e. Normal Anion gap metabolic acidosis d. PU. Patient with SLE has hypertension. HD c. HLA d. Hydration b. Conservative treatment Answer is [hide]a[hide] Answer is [hide]a[hide] 207. Diarrhea is associated with: a. Secondary FSGS d. Minimal change disease b. Female b. EBV e. PU. RI not progressive. Plasmapheresis b. HTN. The poor prognostic factors in nephropathy are all except: a. Heavy proteinuria c. Zahid Hafeez primary membranous zamorih@hotmail. what is most common: a. Hepatitis C is associated with: a. Collapsing FSGS is associated with: a. MPGN b. High AG metabolic acidosis b. The best initial treatment of hypercalcemia is: a. HTN V – Membranous LN – can be clinically silent!!! VI – Advanced sclerosing LN – slowly progressive RI. MPGN 2 c. Metabolic alkalosis & acidosis Answer is [hide]a[hide] Answer is [hide]c[hide] Please Send Your Nephro Exam MCQs Dr. The best treatment for anti-GBM along with steroids is: a. Cryoglobulin **SCD causes (renal): renal infarction. hypotension. What is the WHO classification? **Stages are (WHO classification) I – Minimal mesangial LN – mild. ARF. Patient has sepsis. RTA 2. apart from steroids. CVVHD b. hematuria. Patient with transplant has antibody mediated rejection. Hyponatremia b. FSGS Answer is [hide]a[hide] Answer is [hide]a[hide] 212. HCV d. RI. Plasmapheresis b. HTN Page 209. renal medullary carcinoma. Hyperkalemia d. bland urine sediment 208. Hemodialysis c.com 13 216. HD c. The next best step in adult nephrotic syndrome: a. PU. MPGN 1 b. Plasmapheresis & HD Answer is [hide]a[hide] 214. Patient on thiazide diuretics. Bisphosphonates d. Calcitonin 206. Renal biopsy + steroids c. MPGN . Low anion gap metabolic acidosis c.

Sterile pyuria is characteristic features of all except: a. ASMA EXAM 225. Beta blockers b. larger flow from ICF to ECF occurs. the most likely drug is: a. presented with coma and pH 7. BP > 140/95. AVF b. AVG c. what would be the change on ICF: a. resulting in decrease of ICF and increase ICF osm 228. Malignant HTN is associated with: a. elevation of immunoglobulin G excretion or beta2-microglobulin excretion. What is specific treatment for asymptomatic hematuria: (CWA) a. Protein loss c. Nephrocalcinosis Answer is [hide]d[hide] 223.23.2. Hydralazine Answer is [hide]c[hide] Answer is [hide]a[hide] 226. CAPD is associated with: a.5 to 4.5% solution Answer is [hide]b[hide] Answer is [hide]a[hide] 221. Temporary line . HLA type DR3+/B8+. Icodextrin use is more favorable the conventional glucose b. Ca 3. In addition.** Many risk factors have been found. ACEI d. Small kidneys Please Send Your Nephro Exam MCQs 229. Change of glucose from 1. advanced age. Analgesic nephropathy b. high serum cholesterol. Non anion gap acidosis Dr. and. white race. Zahid Hafeez zamorih@hotmail. Analgesic nephropathy is associated with all except: (CWA) a. Patient started on treatment for high BP.com 14 219. 50 y/o patient with DM 2. None Page 218. Calcium channel blockers b. Plasmapheresis d. Acute LVF d. Alcoholic ketoacidosis b. Acute interstitial nephritis b. Steroid b. Amyloidosis d. labs???. Fluid overload b. he is likely to have: a. None of the above Answer is [hide]d[hide] Answer is [hide]d[hide] 220. finally. hypertension are associated with a higher risk of renal function deterioration during follow-up Answer is [hide]a[hide] 217. Immunosuppressive treatment c. the anti-hypertensive of choice is: a. What is the best access for HD? a. Vision loss b. develops the following labs: Na 125. Transitional carcinoma of ureter c. Tenchkoff catheter d. Small kidneys are hallmark of all except: a. Increase UF c. Beta blockers c. If ECF osmolality is 320. what you would expect: a. Renal Tuberculosis c. low serum albumin. Malignant HTN b. an elevation of urinary excretion of complement activation products. Decrease UF b. Increase ICF & osm 320 b. and tubulointerstitial changes or focal sclerosis found with renal biopsy. More solute clearance Answer is [hide]a[hide] Answer is [hide]b[hide] 222.5% solution is better than 1. Thiazides c. Frusemide 227. All of the above e. Patient with alcohol intake history. Regarding glucose solution used in CAPD. Glucose intolerance d. such as male sex. 2.25% solution in CAPD regimen. impaired renal function at diagnosis. CRF secondary to GN c. the following statement is most appropriate: a. Chronic pyelonephritis Answer is [hide]c[hide] 224. nephrotic syndrome. Acute GN Answer is [hide]a[hide] Answer is [hide]c[hide] DR. Calcium channel blockers d.1. Decrease ICF & osm < 290 **When ECF osm increases. K 3.

Cortisol level b. Patient with colonic carcinoma. the management is: a. Renal Transplantation patient with pharyngitis. Na-139. Answer is [hide]……. underwent renal biopsy. Diff renin activity in renal vein e. Erythromycin Answer is [hide]c[hide] 242. attacks of nervousness. FSGS b. VATERL. Caudal dysgenesis. and central nervous systems. Renal tubular acidosis-4 d. Change to polysulfone dialyzer **Minimum of sp Kt/V > 1. admitted in hospital. structural malformations of the heart (eg. the cause is: a. RL Answer is [hide]a[hide] 235. genital. 50 years old male has RBC+ in urine dipstick. next investigation is: a. on cellulose acetate dialyzer. BP 174/112. Answer is [hide]a[hide] 232. septal defects). CT scan abdomen Answer is [hide]b[hide] 240. Podocin c. UPJO. what would you suggest: a. Nephrin b. Patient with unilateral RAS. BP 180/110. and a target of Kt/V >1.com 15 230. Diff renin activity in renal artery Answer is [hide]d[hide] 241. 30 yrs old female. therefore dialysis is adequate.4. Meckle’s diverticulum b. 34 yrs old female. FSGS AR type is associated with gene mutation: a.45S c.4. High sp gravity of urine c.2 is required for a 3x/wk dialysis. 60 yrs female with h/o alcoholic over dose admitted to hospital. UVJO. anal atresia). 70 yrs old male with diarrhea. Cefazolin c. and isolated anomalies of the cardiovascular. Renal tubular acidosis-2 b. D5 0. next investigation is: a. K-3.42. Following drugs need to increase the dose of CNI if used: a. gastrointestinal tract (eg. Carbamezepine Dr. Alpha actinin 4 **Refer to explanation above Answer is [hide]a[hide] 238. Renal tubular acidosis-1 c. High osmolarity of urine Answer is [hide]a[hide] 234. Zahid Hafeez zamorih@hotmail. has Kt/V 1. Ifosfamide is associated with: a. Augmentin b. 3x per wk with 1. Hb in urine b.8. metabolic alkalosis. Change to high flux dialyzer c. but microscopy for RBC is negative. CTA c. renal US normal for RAS. Sirenomelia Unilateral renal agenesis – VUR. and no need to change anything. Aldoterone:renin ratio b. MNP Answer is [hide]c[hide] 233. presented with proteinuria. Urinary catecholamines c. MRA b. MRI abdomen + gadolinium d. Phenytoin b. K 3. and volume loss. the expected acid base changes: a. Na—K—Cl—HCO3—pH levels b. Aldoterone:renin ratio Answer is [hide]b[hide] 239. Renal agenesis is associated with: a. Caudal dysplasia syndrome (CDS). Normal AG metabolic acidosis Answer is [hide]a/e???[hide] Please Send Your Nephro Exam MCQs 237. High AG metabolic acidosis c. INH c. MCD c. Normal saline b. Hypermagnesemia e. Change to low flux dialyzer b. the expected diagnosis: a. 45 years old lady on HD since 3 yrs. labs show: Na 170.[hide] Page Answer is [hide]a[hide] . Hyperkalemia 236.Answer is [hide]a[hide] 231. skeletal. Metabolic acidosis + alkalosis e.5m2 dialyzer. develops diarrhea. Nephroblastoma **These abnormalities include a variety of syndromes: Chromosomal anomalies. diagnostic method: (CWA) a. Metabolic alkalosis d. all can be prescribed except: a. or skeletal systems.

BP 110/70. HTN. Acute pyelonephritis occurs in 1-2% of all pregnancies b. Stool culture d. ADPCKD b. Regarding UTI in pregnancy. . 40 yrs old male underwent live related renal transplantation.of these patients more than 40% will develop pyelonephritisoverall pyelonephritis is 1-2% of all pregnancies. thrombotic disease Dr. Hyperphosphatemia b. diarrhea. Rifampicin c. diagnosed with CMV disease. Hypomagnesemia **Hemolysis & rhabdomyolysis will cause hyperPO4 Diarrhea & alcoholism can cause hypoPO4 HypoPO4 can lead to respiratory depression and it can be caused by resp alkalosis Severe hypoPO4 will lead to rhabdomyolysis Answer is [hide]b[hide] 253. ARPCKD c. US abdomen Answer is [hide]c[hide] 244. undergoes biopsy – normal on LM. likely diagnosis is: a. Heavy proteinuria for 6 months **Refer to explanation above Answer is [hide]c[hide] 252. anticoagulation use. 50% will develop asymptomatic bacteruria **2-10% will develop asymptomatic bacteruria. pregnancy. IHD. Amyloid component in…** **The Amyloid found in bone cysts is different.Rifamicin **INH will decrease CNI level Answer is [hide]b[hide] 243. CLD. what investigation to order: a. Thiazides c. 25 yrs old male with microscopic hematuria. High Na diet Answer is [hide]c[hide] 250. GFR < 80 c. neurological disease. Paracetamol b. HTN b. Low Ca diet intake b. MNP b. to confirm: a. Thin basement membrane disease Answer is [hide]c[hide] 245. Hypophosphatemia c. but the B2M levels are not indicative Answer is [hide]……. NSAID Answer is [hide]a[hide] 246. 36 yrs old male with family h/o ADPCKD.[hide] 247. to confirm the test is: a. most likely diagnosis: a. 30 yrs old female with 14 wks gestational amenorrhea and mild proteinuria. uncle with CKD and deafness. CT scan abdomen b. neoplasm. Answer is [hide]a[hide] 251. most correct statement is: a. malignancy. Bad prognostic factor in MNP: a. abnormal renal anatomy. the option for anti hypertensive is: a. Genetic study c. you advise for: a. 24 yrs old female with microscopic hematuria. X rays bones b. one month later presents with gastritis. US Answer is [hide]b[hide] 254. no proteinuria. CMV Ag c. FSGS c. HTN b. CMV Ab b. ACEI b. Patient with HD for 8 yrs with shoulder & bone pains. Zahid Hafeez zamorih@hotmail. DM. vomiting. All of the following can cause acute interstitial nephritis except: a. stones. Patient with calcium oxalate stone. An alcoholic man with diarrhea & vomiting. High Ca diet c. infection.com 16 Answer is [hide]b[hide] Please Send Your Nephro Exam MCQs 249. Labetolol Answer is [hide]c[hide] 248. B2 amyloidosis is provisional diagnosis. RI c. normal RFT. Age > 60 **Absolute CI: psychiatric disorder. came to ER with hemolysis and rhabdomyolysis. renal disease. Absolute contraindication for living kidney donation is: a. respiratory depression. Alport’s syndrome Page d. what abnormality expected: a. cute interstitial nephritis. h/o grandfather on HD. Pyelonephritis is very common c.

you should give him: a. Plasmapheresis 268. next step is: a.com 17 Answer is [hide]a[hide] Page 266. impaired RFT: a. lower limb edema (? Pre-eclampsia) BP 160/110. Patient with IgA NP. and the second cause is distal RTA (type 1) 273. Most common cause of nephrotic syndrome in children is: a. what’s next step: a. WEAM EXAM 271. is primary hyperparathyroidism. Alport’s syndrome. has failed AVF on both upper limbs. Drugs that increase Cyclosporine level: a. 24 hours urine collection for catecholamines 265. Secondary hyperparathyroidism DR. low HCO3: a. X-linked male **X-linked is > 80%. proteinuria. Dextrose 5%L 258. Patient with Na 160. DM. Fluids 255. the most common cause is: a. Reverse osmosis 267. Cyclosporine 280. Nephrocalcinosis is: a. Zahid Hafeez zamorih@hotmail. admitted with HTN. NG suction **NG suction will cause vomiting. Carbon adsorption b. Pre-eclampsia 279. Membranous nephropathy DR. chloramine is removed by: a. Pregnant woman with hypertension. Tall peaked T wave Answer is [hide]a[hide] 256. lupus cerebritis. impaired RFT: a.Relative CI: ABO incompatibility. Ascending paralysis 257. Patient with dialysis with UF failure: a. Patient with high PTH on HD. Young male with episodic hypertension & nervousness. smoking Answer is [hide]b[hide] 270. ATN 263. the cause: a. Patient with rhabdomyolysis. the treatment is: a. mild HTN. always HTN. Hypertonic saline 259. diagnosed by: a. females are less affected than males AR is 15%. females are affected like males AD is 5% 274. low K. Child with nephrotic syndrome not responding to steroids: a. Fluconazole Answer is [hide]a[hide] 278. causing hypokalemia and hyponatremia. 3rd trimester. IV enalapril c. SIADH 262. Mesangial proliferation 281. Patient with SLE. Patient with peritonitis. Patient on NSAID. biopsy will show: a. not responding to cyclophosphamide and steroids: a. MCD 277. what is the next step: Please Send Your Nephro Exam MCQs Dr. Give oral hydralazine then continue on labetalol to DBP < 90 b. Shift to nocturnal APD 275. IV nitroprusside 264. 40 years old male with nephrotic syndrome. Acute Interstitial Nephritis . Patient with symptomatic hypovolemic Na 116. Patient with Na 162 on NGT. RTA-1 **The most common cause of hypercalcemia and nephrocalcinosis. bad prognosis is: a. Do echo 269. Most common cause of post-RTX for delayed graft function is: a. Dialysis patient. Hyperkalemic manifestation: a. In HD. SHAHER EXAM 261. ESRD. Patient with euvolemic hyponatremia: a. hyperphosphatemia: a. what is next? a. The most common cause of hypercalcemia. Age <18 or >65. single episode of stones. Patient with general weakness. Bartter syndrome 272. Pregnant lady. fluid intake is: a. maybe if severely dehydrated will cause hypernatremia 260. Pain & culture (+) 276. Manifestation of hyperkalemia on ECG: a. for the last few months has predialysis pressure of 100/50.

Give fomepizole b. CT scan w/o contrast 295. Main site of reabsorption of Mg+2: a. Block epithelial Na channel b. but type is according to WDT and ADH response If U osm increase to 750 after ADH --. Plasma volume is: a.3 – HCO3 16 – PCO2 22 288. NaHCO3 shows decrease mortality: a. Hyperglycemia c.NDI If U osm increase to 750 after WDT --. CDI c. RTA the same but with hyper or hypoK Answer is [hide]a[hide] 282. CAPD has the following complications: a. Septic shock b.Perm catheter CAPD Kidney transplant Observation b. All of the above Answer is [hide]d[hide] Answer is [hide]b[hide] 290.com 18 Answer is [hide]e[hide] Page a. Trimethoprim can cause high serum creatinine by: a. h/o stone disease. Distal RTA Please Send Your Nephro Exam MCQs 292. positive urine anion gap. and HD is the last resort Fomepizole has replace ethanol (due to CNS manifestation) If ingestion is since 2 – 3 hours. c.[hide] 293. father is ESRD. next step: a. Hyperkalemia with renal failure e. ADPKD b. Young boy with hematuria. c. has polyuria and polydipsia. d. most likely diagnosis is: a. Renal biopsy .9. Protein loss d.Polydipsia Answer is [hide]????…. nausea but no vomiting. Which of the following ABGs you can fit for patient with RA on and salicylate toxicity: a. his sister also has hematuria. In which of the following condition with high AG metabolic acidosis. Pulmonary edema Answer is [hide]c[hide] 285. Keep on same treatment Answer is [hide]d[hide] 291. it is more superior to ethanol. sugar normal. Patient with severe hyperkalemia K = 7. 1/3 ECF 284. Patient presents with picture of renal colic. Hepatic encephalopathy c. Thin basement membrane disease Dr. next step: a. Minimal amount of ECF c. has serum Osm 330. no crystals in urine.CDI If no change --. NDI b. non anion gap metabolic acidosis. Young patient with hematuria. Ca gluconate 286. normal renal function. HCO3 22. Patient with K – 4. Alport’s syndrome c. then gastric lavage with charcoal should be performed. A young man with suspicion of ethyl glycol toxicity. what’s next: a. Psychogenic DI **From U osm. Urine osmolality 160. HTN with encephalopathy d. pH 7. she has DI. Ethanol toxicity e. Patient on HD. 2/3 ECF b. Inhibiting tubular ecretion of creatinine Answer is [hide]a/c[hide] 287.2. Acetazolamide Diarrhea **Acetazolamide cause non anion gap metabolic acidosis. . what’s next: a.l Answer is [hide]a[hide] 289. EM for GBM 297. Uremic pericarditis b. Decrease aldosterone secretion c. Na 133. Most common kidney stone: a. single pool Kt/V 1. CVVHD is the best modality for the following patients: a. the most likely diagnosis: a. (? Suggestive of TBMD). Acute kidney injury d. DM d. Thick loop of Henle 296. Fluid overload b. Heroin toxicity 283. Na 140. what is the diagnosis a. Follow up because this is mostly ethanol toxicity **Fomepizole is given in this case. Zahid Hafeez zamorih@hotmail. Female on OCP. Ca oxalate 294. b. Alcoholic ketoacidosis c. what’s the next step: a.

microalbuminuria. IgA nephropathy c.Answer is [hide]a[hide] 298. HTN patient. PO4. all can happen except: (CWA) a. One of the following is not characteristic of Henoch Schonlein purpura: a. No risk b. CKD patient with generalized bone pains (PTH. Drug affecting Cr without affecting GFR: a. GI involvement Answer is [hide]a[hide] 310. High protein diet 314. Liver b. One is characteristic urine findings in ESRD: (CWA) a. normal RFT. WBC casts Answer is [hide]a[hide] 309. All cause of RPGN except: a. ATN b. what is the risk of pregnancy on renal function: a. Poststreptococcal GN e. Frusemide b. Papillary necrosis b. low Na: a. 20 years old patient DM 1. IgA NP 303. Block epithelial Na channel in cortical collecting tubules & ducts 316. GN 306. Goodpasture's syndrome 302. serum creatinine is rising. EM showed deposits in mesangium: a. started allopurinol. Reassure Please Send Your Nephro Exam MCQs Dr. Hyaline cast c. Renal biopsy b. Patient with Burkett’s lymphoma. Which of the following is diagnostic of acute interstitial nephritis: a. the cause is: a. Cimetidine Answer is [hide]a[hide] 317. RBC cast d. Mechanism of amiloride: a. HD 308. Acute interstitial nephritis c. ALP) all normal: a. Acute GN 304. Ovary c. High BP. Waxy cast b. Arthritis d. GFR 90. Thiazide 305. hematuria. Splenomegaly b. In analgesic nephropathy. Acute interstitial nephritis Answer is [hide]d[hide] Answer is [hide]a[hide] 311. Zahid Hafeez zamorih@hotmail. ADPKD is mostly associated with cyst in: a. biopsy LM showed mesangioproliferation. All of the following are characterized by low complement except: (CWA) a. PD c. HIV patient on ceftazidime and sulfamethaxazole. Nephrocalcinosis c.com 19 313. Cr increased to 115. Adynamic bone disease 307. Palpable non TPP c. he presented with picture of tumor lysis syndrome: a. Mesenteric Answer is [hide]a[hide] 301. IgA nephropathy Answer is [hide]a[hide] 299. Sterile pyuria c. Patient has oliguria. Lupus nephritis b. Ca. Post strep GN is cause by: a. low K. High Ca. Group A strep Page Answer is [hide]b[hide] . WBC cast 315. Membranous nephropathy d. Malignant HTN 312. AKI. started of ACEI. muddy brown casts: a. what is next: a. RBC casts: a. Patient with hematuria. RFT will deteriorate during pregnancy the improve after delivery Answer is [hide]c[hide] Answer is [hide]a[hide] 300. All of the following will slow progression of CKD except: a.

Plasmapheresis **If a female patient asks about pregnancy then give her AZA. Patient with MI has cardiac catheterization. the best immunosuppressant: a. CAPD Answer is [hide]a[hide] Answer is [hide]b[hide] 335. Hypercalcemia 333. Adult <400 Answer is [hide]d[hide] 330. AVG c. > 90% normomorphic RBC. FSGS 325. Early morning dipstick 320. she cannot tolerate statin. the diagnosis is: a. Tumor lysis syndrome Answer is [hide]a[hide] Answer is [hide]d[hide] 324. ESRD & DM patient has failure of AVF on both arms. MMF in comparison with AZA: a. no stones. Contrast induced nephropathy c. what’s next: a.3 c. 1 **Infants <1ml/kg/hr. what’s next: a. Cisplatin induced nephrotoxicity can be prevented by: a. underwent 1st renal transplantation. MMF b. Skin nodule c. Abdomen CT scan 321. what is the treatment? a. isolated hematuria. Lithium d.com 20 327. no proteinuria. A CKD patient with PTH 350. In infancy. Perm catheter b. normal creatinine. Paracetamol b. no UTI. proteiuria 2+. 0. no hematuria. 0. None of the above . Ca 2. Cholesterol emboli 323. Cyclosporine c. Mg replacement c. Conservative d. Livido reticularis b. Less episodes of acute rejection Please Send Your Nephro Exam MCQs 328. if normal proceed for transplant 334. Patient with nephrotic syndrome developed ESRD after 2 years (no biopsy).5. Renal transplantation with h/o hyperlipidemia. NAVEED EXAM 318.5. failed after 2 months. IgA nephropathy Page 326. Rhabdomyolysis associated with all except: a. underwent repair. Cisplatin Answer is [hide]a[hide] 319. Hypercalcemia 322. hematuria. AAA. has Hirsutism. ALP 594. mTOR + TAC c. normal Cr.1 ml/kg/hr b. AZA c. MMF + TAC b. Cholesterol emboli b. Zahid Hafeez zamorih@hotmail. 12 years old. 6 month later developed nephrotic syndrome. Patient with SLE. Ca acetate c. One of the following is not nephrotoxic: a. oliguria is defined as: (CWA) a. In rhabdomyolysis. what is the most likely cause: a. 60 years male. Cystoscopy and CT abdomen. 3 weeks later he presented with painful blue toes and fatigue. Sevelamer d.DR. heavy smoker. Rhabdomyolysis d. All of the above Answer is [hide]c[hide] 329. mTOR + AZA Answer is [hide]a[hide] 331. Forced diuresis Answer is [hide]a[hide] 332. if male patient asks about sterility then give MMF Dr. biopsy showed needle shape crystals: a.63. developed AKI. what to do: a. all except: a. Elderly patient with atherosclerosis. Which is true regarding cholesterol emboli: a. has DPGN active. Eosinophilia d. Calcitriol b. alcohol abuser. but she is concerned about sterility. children <0.5 d. All associated with low compliment except: a. Hydration b. then did 2nd renal transplantation. PO4 2. IVP b. what’s next: a. Potential kidney donor. what’s next: a. 0.

A Cadaveric renal transplantation in 3 months develop fever. Wait for uremic manifestation 350. HCV Answer is [hide]b[hide] Answer is [hide]a[hide] 342.9% NS do: a. normal saline is osmotically balance Answer is [hide]b[hide] 345.com Page Answer is [hide]a[hide] 21 Answer is [hide]b[hide] .Answer is [hide]b[hide] 336. Ultrasound will show all the following abnormalities except: a. GFR < 10 b. CMV b.. Mechanism of action for amiloride a. Postinfectious glomerulonephritis b. Theoplylline c. Blocks epithelial Na channels in collecting tubules 347. CMV Ag c. the diagnosis is: a. Decrease osmolality b. ACEI b. All associated with large kidneys except: a. Acute pyelonephritis 337. IgA nephropathy c. CXR Answer is [hide]b[hide] 349. Medullary dysplastic kidney b. develop fever.2. Patient with CKD and DM. Stool culture d. diabetic retinopathy. 7yr child has Hypertension. Renal stone c. diabetic nephropathy. GFR < 20 Answer is [hide]b[hide] 343. The most transmittable donor disease: a. No change in osmolality c. loose motion. Membranous nephropathy 348. None of the above Answer is [hide]…. DM on ACEI. What will 0. how it increase creatinine Answer is [hide]c[hide] 340. Will decrease osmolality first then increase **In mammals. Hb < 9. HBV d. what is the next treatment / precaution for contrast induced nephropathy: a. what is the best anti hypertensive Rx: a. CMV Ab b. CXR bilateral infiltration. hematuria. Indication to start HD in diabetic a. for coronary angiography. ATN d. Analgesic nephropathy Answer is [hide]c[hide] 338. Adenosisn d. the likely cause of metabolic acidosis: a. TLC 3. GFR 20. metformin. Gold standard to measure GFR a. Renal transplantation patient in 2nd month. Vascular access b. PCP b. DTPA scan **DMSA scan is for morphology and structure 351. DM & CKD with Cr 40. 31 years old male. Thiazide diuretics Answer is [hide]a[hide] 341. CMV c. glucose normal.[hide] Please Send Your Nephro Exam MCQs Dr. Mesengiopriliferative GN d. cough. cough. None of the above **PCP is usually 6 months post transplant 344. Beta blockers c. Start HD c. next step: a. EBV c. next step: a. next: a. Drug induced 339. BP 150/90. episodic HTN. Patient with DM 15yrs. Mechanism of action of TMP/SMX. HCO3 15. DKA b. 24 hrs urine collection for catecholamines 346. Inulin b. Isothalamate c. Zahid Hafeez Answer is [hide]d[hide] zamorih@hotmail. what is the diagnosis: a. GFR < 15 c. NaHCO3 e. Alcohol c. develop MI. PLT 100. proteinuria. Fungal d. Hydration b. glipizide.

urinary Na 59. Patient with lung carcinoma. and ADH. labs show urinary Na 29. Nephrogenic diabetes inspidus c. Urine osmolality after ADH 780 a.com 22 and Page 352. vomiting. has hematuria. Urine osmolaity 760.a. c. Renal biopsy Answer is [hide]a[hide] 358. glucose normal. cystoscopy normal. excessive urine. HCO3 32. 40 y/o age. What shows the glomerular origin of hematuria: a. Following water deprivation test. Antimicrobial difference is: . NDI c. Neurotoxicity b. Salmonella c. 32 years female. Ampicillin d. DR. Amoxicillin e. the acid base is: a.5 – 5. U Na 20. coli 157 b. h/o smoking and analgesia. plasma Na 129. Patient with rheumatoid arthritis on aspirin. Vomiting 356. urinary potassium 30. Diarrhea c. CKD is classified according to: a. Plasma osmolaity 295. arthralgia. The most common shiga toxin: a. Polydipsia Answer is [hide]c[hide] 362. what is the diagnosis: a. Zahid Hafeez zamorih@hotmail. b. NAEEM EXAM normal size kidneys in all of the following Analgesic nephropathy Sarcoidosis ADCKD Amyloidosis Answer is [hide]a[hide] Answer is [hide]a[hide] Please Send Your Nephro Exam MCQs 368. Less diabetogenic c. Nitofurantoin b. RBC isomorphic. c. Ciprofloxacin c. what is the treatment: a. Na 143. HTN.9. MNP is cause by which of the following drug? a. the next step is: a. Best antibiotics for asymptomatic UTI in pregnancy: a. RBC casts b. NSAID cause tubulointerstitial. The most common renal stones: a. Patient with DM. Vincristine 369. Shigella d. thyroid function tests normal. b. rash present in 20% of NSAID and 80% in antibiotics Answer is [hide]c[hide] 353. The characteristic findings in CKD: a. Cause gingival hypertrophy 361. the best antihypertensive drug is: Dr. the diagnosis is: a. E. Diuretics b. The difference between tacrolimus & cyclosporine: a. plasma osmolality 258. deny diuretic abuse. K 5. Calcium oxalate 367. the next investigation: a. 40 yrs. d. urinary osmolality < 100. Penicillamine b. the Acidification defect in Antibiotics. Central diabetes inspidus b. concentrating defect in NSAID Recovery is different Fever. Hypo Ca 360. ESRD on HD has except: a. Cr 268. None of the above Answer is [hide]a[hide] Answer is [hide]a[hide] 359. passes urine 20-30 times/day. GFR Answer is [hide]a[hide] 357. WBC casts 365.[hide] Answer is [hide]c[hide] 363. CT scan + contrast b. Differential renal venous renin level 366. Unilateral RAS. weakness. None of the above Answer is [hide]a[hide] 354. Polydipsia d. Respiratory alkalosis + metabolic acidosis 355. previously healthy. CDI b. Fluid restriction 364. normotensive. TMP/SMX Answer is [hide]d????.

80 years old male cause of his labs: a. DM b. What is the percentage of asymptomatic hematuria in children? 374. IgA nephropathy Answer is [hide]a[hide] 372. brain hypernatremia. I-131 & I-125 decrease. AVG c. the diagnosis is: a. Shunt nephritis b.a. urea 2. Will worsen along pregnancy c. urine – no proteinuria. Lady with DM. Most common cause of hypernatremia and polyuria is: a. Cryoprecipitate b. KFT normal. Hypocalcemia c. Transplant with MI creatinine 80. d. with Answer is [hide]c[hide] 378. NSAID 373. 377.[hide] Please Send Your Nephro Exam MCQs 385. b. ESRD & DM patient has failure of AVF on both arms.5. Hyperkalemia b. Most common cause of seizures in hematuria is: a. Skin manifestations of atheroembolic disease? 379. what’s the most likely option for this patient: a. a. Zahid Hafeez zamorih@hotmail. SLE e. Patient with head trauma. DI Answer is [hide]b[hide] Answer is [hide]e[hide] 381. Salmonella c. what is the Answer is [hide]e[hide] Old age Ischemia DM Dehydration Answer is [hide]……. All can cause acute interstitial nephritis except: a. Estrogen Answer is [hide]b[hide] 382. Platelets d. Ca oxalate Page 376. Increase renin b. polyuria. Best method for controlling bleeding diathesis in HD is: a. the rennin & RBF decrease. What is the effect of pregnancy on her KFT. Increase aldosteron c. The most common renal stones: a. MPGN c. What are the ECG changes in hyperkalemia? Answer is [hide]b[hide] 371. 63 years old male with asymptomatic hematuria wants to donate his kidney to his wife. mild proteinuria on ACEI.com 23 384. asking about pregnancy. Increase FDP Answer is [hide]c[hide] 375. what is your decision: a. what happens with the other kidney? a. Decrease renin **In the contralateral kidney. ACEI ARBs Frusemide Amiloride Propranalol Answer is [hide]c[hide] 370. The most common shiga toxin: a. CAPD e. Cyclosporin c. Answer is [hide]c[hide] . b. DDAVP c. E coli 157 b. KFT will improve 380. Proceed after ruling out any malignancy or glomerular disease. c. Shigella Dr. Conservative d. SBE d. Lithium d. Azathioprine b. DM b. No effect b. Causes of low compliments except: a. e. Exclude from donation b. and it all improves after revascularization of the stenotic kidny Answer is [hide]c[hide] 383. d. Proceed with donation c. DI hemorrhage. c. Hyponatremia d. Perm catheter b. In unilateral RAS.

Patient with renal colic.None of the above Answer is [hide]a[hide] 386. Manifestations of distal RTA? 389. Lupus nephritis b. Block epithelial Na channel in cortical collecting tubules 393. PCP b. Thiazides 400. Antibiotics c. the diagnosis is: a. Percutaneous drainage 387. BMT. Can be found in normal persons c. no proteinuria. KUB free. Uric acid stone a. LDH. SLE. FSGS Answer is [hide]b[hide] Answer is [hide]a[hide] 390. Drug affecting Cr without affecting GFR: a. UTI is commonly due to: a. All cause of RPGN except: a. Patient on CAPD. Calcium oxalate b. AST. low Na: a. Goodpasture’s syndrome Answer is [hide]d[hide] 402. TMP/SMX can cause hyperkalemia in patients with AIDS: **Reduce renal potassium excretion through the competitive inhibition of epithelial sodium channels in the distal nephron. None of the above **PCP is usually 6 months post transplant. High Ca. CXR bilateral infiltration. US showed gas around kidney. the main common cause is: a. the cause is: a. 7 y/o male with hematuria. MCD e. Post infectious glomerulonephritis e. Alport’s syndrome d. CAPD. Observe d. RA. Patient with suprapubic pain. Osteoporosis 395. Membranous nephropathy d. Increase of all of the following will cause stones except: a. work up is negative. genital tract infection in women 401. Emergency nephrectomy b. Cimetidine 399. Osteitis fibrosa cystica c. Benign familial hematuria** 391. cough. Present in acute interstitial nephritis **Always found in CKD/ESRD. ALT are high. Enterocoocus b. IVP filling defects. Pseudomonas 394. Never found in normal urine b. brother has the same issue. Minmal change disease 392. develop fever. Mechanism of amiloride: a. Renal transplantation patient in 4th month. Oxalate d. father has the same issue. IgAN b. Patient with abdomen pain. Phosphate Answer is [hide]b[hide] 388. Pneumococcal peritonitis is commonly found in: a. due to cirrhosis. nephrotic syndrome. Fungal d. low K. E. with bone pain. rare in adults. 7 y/o male with asymptomatic hematuria. the diagnosis is: a. this is mainly due to: a. CMV c. Nitrates + leukocytes **The diagnosis is emphysematous pyelonephritis Answer is [hide]a[hide] 397. in a manner identical to the potassium-sparing diuretic amiloride **Common in children. Enterobacter c. . coli d. how to treat? a. but LDH & LFT are high Answer is [hide]a[hide] 398.com 24 Answer is [hide]c[hide] Page d. Calcium b. no crystals. Citrate c. dysuria. Waxy casts are: Please Send Your Nephro Exam MCQs Dr. Uric acid e. Mesangioproliferative GN c. mild hematuria. expected to find on urine analysis: a. KUB free. Zahid Hafeez zamorih@hotmail. never found in normal urine analysis Answer is [hide]a[hide] 396. Adynamic bone disease b. IgA nephropathy c.

Undescended testicles in males. Patient with shortness of breath. Common cause of PD peritonitis: a. or tissue biopsy from renals (linear stacute interstitial nephritising of the basement membrane secondary to immunoglobulin G deposition) or lung (extensive hemorrhage with accumulation of hemosiderin-laden macrophages within alveolar spaces) cANCA can be positive in GPS and may precede the anti-GBM.[hide] 405. CXR showed infiltrates.5 x 2 exchanges. especially with more expensive. Bartter syndrome c. and pyrogen reactions Bleach used during reprocessing causes a progressive increase in dialyzer permeability to larger molecules. (worse volume and BP control ) Rapid loss of residual renal function. all of the following may be the cause except: a. The benefit of dialyzer re-use is: **The reuse of dialyzers is associated with environmental contamination. PET given Cr = 0. Lung biopsy b. 4. then developed hemoptysis. residual chemical infusion (rebound release). ANCA c.92. normal sinus X-ray. Zahid Hafeez zamorih@hotmail. Hirsutism b. the next step is: a. 31 y/o male had a car accident and sustained a head trauma. NS d.com Page Answer is [hide]d[hide] (sorry but no idea about it due to shock ) A partial or complete lack of abdominal muscles. Nephrotoxic d. All the following causes hyponatremia except: a. on 2. accumulation and backflow of urine from the bladder to the ureters and the kidneys Frequent urinary tract infections due to the inability to properly expel 25 412. and the diagnosis is done by anti-GBM levels. aureus C. including albumin No differences in mortality between reusing and those not reusing dialyzers The cost savings associated with reuse is substantial. Neurotoxic 407. albicans S. inadequate concentration of disinfectants.2 Next step is: a. S. Urinary tract abnormality such as unusually large ureters. Patient on CAPD.Answer is [hide]a[hide] 403. CAPD Low Slow Good CAPD **APD also associated with: Lower daily sodium removal. Hepatotoxic c. next step is: a. More expensive Less peritonitis Answer is [hide]……[hide] 404. thematurias environmental impacts are lessened 409. A question about prune-belly syndrome . Screen all pregnant women for symptomatic bacteruria b. No treatment required if asymptomatic c. Aqueous vasopressin c. Pregnancy and bacteruria. allergic reactions.25 x 2 exchanges. Lithium Answer is [hide]c[hide] 411. with SOB and LL edema. Chloropramide b. Gordon disease d. Dysuria can be to non urinary causes b. Answer is [hide]……. d. There may be wrinkly folds of skin covering the abdomen. Water restriction e. high-flux synthetic membrane dialyzers Waste disposal is definitely decreased with the reuse of dialyzers.25 x 4 exchanges **PET Test Level Waste removal Water removal Regimine High Fast Poor APD (short dwells. The difference between tacrolimus & cyclosporine is: a. SLE Answer is [hide]b[hide] 410. Compliments **The case goes with Goodpasteurs disease. Vincristine c. Replace urine output Answer is [hide]b[hide] Answer is [hide]b[hide] 406. D4/D0 S = 0. Addison disease b. the urine output is 300cc/hr and Na = 170. Change to nocturnal exchange 10 – 12 hrs b. rise in creatinine. D5W b. all true except: a. S. frequent exchange) Average Okay Okay APD. Ur = 1. 12 y/o boy with general weakness and hyperkalemia. c. distended bladder. epidermidis Please Send Your Nephro Exam MCQs Dr. Change to 4. typhi Answer is [hide]b[hide] 408. Higher protein losses with multiple night time exchanges.

ECF decrease osmolarity & ICF increase. Lithium – NDI. cr450. nutrofurantoin. CIN improved but lab result creatinine 450. ………………. with severe respiratory infection C&S Pseudomonas. Pt. Change pH intracellular. Interstitial nephritis c. No other diagnostic test Answer is [hide]c[hide] DR. c. CAPD 2l 2. +protein. Increase freq. Change to 4. vancomycin. Patient on PD. but did not take allopurinol before the dose. 7 year old child on PD . minimal change disease. what you suspect: a. TIPPS c. Next step: a. found to have fungal inf.C/O peritonitis. CT abdomen b. best Rx: a. Continue hydration and monitor KFT b. Interstitial nephritis c. Patient underwent chemotherapy dose. it lasts about two hours. Cr 400. Pt with chronic hyponatremia. UTI in pregnancy – amoxicillin. Most likely a bladder spasm. uric acid very high. d. if HELLP then delivery Urine Osmolality After Dehydration After ADH Vasopressin Level Normal >700 < 10% increase >2 CDI < 300 > 50% increase <1 NDI < 300 < 50% increase >5 Diagnosis 423. Now no urine output. Papillary necrosis Answer is [hide]b[hide] 422. Sensitive to Gentamycin which was given for 7 days.. serum sugar & albumin normal. the best preventive method to avoid nephrotoxicity is: a. not improving with dialysis…LFT normal. creatinine 90. urine free what dx: a.urine. 413.9. Leeven shunt. Change to nocturnal PD 10-12 cycles Answer is [hide]……. of dialysis. developed lower limb edema best Rx: a.com Page 420. RTA 1. abdominal pain. +culture staph aureus. Pt. cephalexin 418. ECF increase osmolarity & ICF decrease. what to do next? a. c. Isolate hypodipsia – Uosm > 700 417. ESRD on HD 3/WK develop ascites. turbid color fluid aspirate. b. Brain produces new organic osmolytes with no shift. Later in life. Preeclampsia – hospitalization and rest. FeNa >2%. Shift of electrolytes & minerals from brain out side b. Patient is scheduled for cisplatin dose. serum albumin 3mg. U/S for tunnel c. ATN b. No change in osmolarity 425. acute kidney injury. Start giving allopurinol c. previously. Zahid Hafeez zamorih@hotmail. b. was normal. and took hydration before the dose. a common symptom is post-ejaculatory discomfort. Develops 1st time peritonitis. condition improved.5% 2l . Answer is [hide]a[hide] Please Send Your Nephro Exam MCQs 426. FSGS. No particular prevention from cisplatin b. Pt in ICU sepsis receive nafcillin. Start HD Answer is [hide]c[hide] 415. the cause of AKI is: a. Volume depletion d. Gentamycin toxicity b.5%&4. Hydration pre and post CTX dose Answer is [hide]c[hide] 414. Answer is [hide]a[hide] 421. Infusion of normal saline to healthy person results in: a. symptoms 26 Answer is [hide]c[hide] . Change to CAPD Answer is [hide]d[hide] 424. Pt CKD on PD. Second choice: a. b. after 10 days creatinine 185. ASAD EXAM 419. received antibiotic treatment. pt.[hide] 416. fever. Give Mg supplements pre dose c. Dr. Received flucanazol according to culture but no response after 2wk Rx. Wait 2wk then resume PD dialysis. urine WBC. p/p0.5% 3l X4.

HCO3 low. Perm catheter 434. Then coma best Rx: a. Obese pt having DM.com 27 Answer is [hide]d[hide] Page 433. urine osmolarity. dry skin. Old age male with history of decrease oral intake. A 35 year old female previously well. vomiting & diarrhea. Decrease water & increase water. Cr 150. HTN.>160 the cause is: a. CABG.b. Sarcoidosis b. Renal U/S d. c. sugar normal. Phy. Hyponatremia may be present in all conditions except: a. Dehydration b. Bilateral cortical necrosis c. The most common cause: a. DM 439. NS. Hirsutism b.45% NS c. cupping. Theophylline Dr. Na172. c. Gingival hypertrophy c.9 Answer is [hide]a[hide] Answer is [hide]c[hide] 430. He is on Rx enalapril. Increase Frusemide 80-120 mg. Frusemide c. Children with MCN on cyclosporine what unlikely S/E: a. atenolol. NS. c. What next step: a. Membranous nephropathy b. Best to decrease renal failure: a. b. creatinine 170: a. Na 143. Increase water & increase Na d. Dehydration b. Nephrosclerosis Answer is [hide]b[hide] 438. Zahid Hafeez zamorih@hotmail. Minimal change disease c. on HD failed his fistula both arm next step: a. all was normal including urine analysis. outer scar suspect: a. not HTN or DM. Pt.9% Answer is [hide]c[hide] Answer is [hide]c[hide] 432. Increase water & decrease Na. A 5-year-old child has Steroid resistant nephritic syndrome. A 37 years old male came for investigations. DW5% b.: a. take only OCC pill. creatinine normal. IVP c. creatinine 79 mmol.5. polydypsia. DM. metformin. {high anion gap metabolic acidosis] the cause: a. vitamins. Change to PD. Genetic testing Answer is [hide]c[hide] 435. urinary spot Na<10. Drug induced Answer is [hide]a[hide] 431. Answer is [hide]……[hide] 429. A 17-year-old male brought by family after high dose salicylic acid starts with vomiting nausea. Pt do IVP found papillary necrosis. Graft. going for catheter whose c/o chest pain. Mannitol b. Best to prevent AKI for pt. Pt. Old age c. All cause normal size kidney in CKD except: a. HD Answer is [hide]c[hide] 436. Scleroderma c. increase hyponatremia . spot urinary Na 10. Acute interstitial nephritis 437. pH low. Infusion NaHCO3 b. CT scan b.75 year old C/O chest pain at catheter. Frusemide b. lab result due to: a. DI. Low protein diet Answer is [hide]……[hide] 428. b. NDI c. Na140. IHD. Change to itracanazol Remove catheter & start HD till treated Answer is [hide]c[hide] 427. c/o 20-30 time polyuria. b. found to have urea 2. Charcoal c. Best Rx. His father and uncle are on HD because of ADPKD. DW5% +. complaining abdominal pain. FSGS Answer is [hide]c[hide] Answer is [hide]c[hide] Please Send Your Nephro Exam MCQs 440. Pt DM. Chloride low. normal BP. Analgesic nephropathy b.

FSGN Answer is [hide]c[hide] 456. pH7.com . Pt alcoholic. CMV IgG. 100. 443. Treatment of hyperkalemia: Dr. Most likely cause: a. HTN c. HCO3=32. fever which of the following true.[hide] 442. Zahid Hafeez 28 Answer is [hide]……[hide] 454. PCO2 22. Treatment Answer is [hide]c[hide] 450. Reassure. his ABGS: a. dysuria next step: a. Affect on principle cells on Na channel. and creatinine high. IgA 451. All can cause decreased serum components except: a.000-1000 c collected under aseptic technique may diagnostic in asymptomatic bacteruria Please Send Your Nephro Exam MCQs Answer is [hide]b[hide] 455. c. WBC cast. Supportive 457. In GN most found: a. Pt known case of Nephrotic syndrome refused previously kidney Biopsy. Amyloidosis Answer is [hide]b[hide] 445. The cause: a. GI losses. Pt normotensive K=3. He is hypotensive. found to have fever & SOB. after 2year rejection the most common cause of his disease: a. All the following proteins decrease in nephritic syndrome except: a. Ceruloplasmin d. Patient has DM on losartan for 36 month what the most control point: a. This is related to: a. In pregnant c/o dysuria. Pregnancy 28 weeks. Pt after CABG without follow up 0 days came complaining of abdominal pain. CMV PCR. Answer is [hide]……. Normal light microscopy b. On treatment with trimethoprim the cause of hyperkalemia: a. MNP b. CMV IgM.. Ferritin zamorih@hotmail. Albuminuria b. HCO3 16. Recipient live related donor. Alcoholic pt came to ER with severe diarrhea & recurrent vomiting. Complains of fever. big toe blue. High anion gap metabolic Acidosis + Respiratory alkalosis Routine screening is indicated for all pregnant women with asymptomatic bacteruria Answer is [hide]b/d[hide] 449. RBC cast 444. livido reticularis. All CKD With small kidney size except: a. transplanted. urinary K> 30. Thick ascending loop of Henle 458. Barters syndrome b. flank pain. Low C3 Page 446. c. In minmal change disease. Non anion gap metabolic acidosis. vomiting. Renal US b. all can be found except: a. 459.000 colonies collect in aseptic tech almost diagnostic of inf. Kidney Biopsy showing needle shaped crystals. confused. 10. Atheroembolism Answer is [hide]d[hide] 447.c.2. Kidney transp. c. b. b. Volume expansion d. tachycardia. MCN c. 452. d. Fever is diagnostic. b. Albumin b. normal anion gap]the acid base is: a. Answer is [hide]c[hide] 441. Fibrinogen c. a. In isolated hematuria best treatment: a. Atheroembolism 453. The main site for Mg+2 reabsorption a. suspect CMV best diagnosis is: a. [lab ABGS……pH low. CMV Ag. Patient post catheterization develops high creatinine. Cholesterol Answer is [hide]a[hide] 448.

a. Cerebral salt wasting 29 475. Alcoholic acidosis b. Most common complication of erythropoietin is: a. K 5. Acquired renal cyst c. Patient having DM. the diff between Azathioprine Mycophenolate mofetil a. Patient alcoholic. Hypertension . NS. Fever and rash 20% in NSAID 80% in antibiotic 464. Hypocalcaemia Answer is [hide]a[hide] Answer is [hide]a[hide] 461. Young patient with severe hypertension has suspicion of renovascular stenosis: a.com Page Answer is [hide]b[hide] 476. Nephrgenic diabetes insipidus c. K6. Renal artery stenosis d. Good selected pt. Which of the following treatment with NaHCO3 decreases mortality: a. Frusemide Answer is [hide]c[hide] 463. Propranalol b.5-5. Pt with CKD follow up lab Ca10. c. post head trauma 7 days later develops polyuria Na171.2. PTH 351 best Rx: a. Doppler US c. Treatment a nosocomial carrier of staph aureus Answer is [hide]d[hide] Answer is [hide]c[hide] 467. Seizure b. NaHCO3 c. Ethylene glycol c. Decrease 1. CT scan b. Most common stone: Please Send Your Nephro Exam MCQs Dr. Insulin + glucose b. Should not found in normal person 473. All cause increase erythropoietin except: a.a. All of the following came with CKD except: a. Decrease 1-25 D c.9 best Rx: a. PO4 6. Sevelamer 466. Retention of PO4 b.2 best shift K from ECF IS: a. Secondary hyperparathyroidism Answer is [hide]c[hide] 469. Heroin 470.25 D c.5. Calcium resonium Salbutamol HD All of the above a. ACEI c. Deceases mortality b. u. Increase calcitriol Answer is [hide]b[hide] 462. b. Hypophosphatemia b. b. Answer is [hide]d[hide] 460. Renal angiogram Answer is [hide]c[hide] 465.osm<160 most common cause: a. d. Nephrogenic diabetes insipidus Answer is [hide]d[hide] 474. Central diabetes insipidus b. Folic acid c. Zahid Hafeez zamorih@hotmail.9% Ca oxalate 468. ARBs d. Good hygiene c. Rate of peritonitis decrease in rate because of. Renal Osteodystrophy comes with: a. Best treatment for CKD-4 anemia: a. Transplantation pt. On acute interstitial nephritis difference between NSAID and antibiotic case: a. Less episodes of rejection & Answer is [hide]c[hide] 471. Prolong survival c.HTN. Recombinant erythropoietin Answer is [hide]d[hide] 472. Patient with tiredness found creatinine 450 mmol it is associated with: a. ADPKD b. still high BP. Parentral iron b. Waxy cast which true: a. 42-pt with dehydration Na163.

Irbesartan Answer is [hide]b[hide] 481. FERAS EXAM 488. Metabolic acidosis 480. Decrease GFR b. Cisplatin d. One of the following indicate for urgent dialysis: a. A case of congestive heart failure with hyponatremia. Alport’s syndrome inheritance a. In HTN pt the effect of thiazide is: a. Frusemide 30 Answer is [hide]b[hide] Answer is [hide]c[hide] Please Send Your Nephro Exam MCQs 493. Hyperphosphatemia c. Treatment of choice for DM-1 nephropathy a. Pt operated for hemongioblastoma. c/o loin pain. 24 hr urine for catecholamines Answer is [hide]c[hide] 478. Pt hypertension receive ACE treatment his creatinine now 115 after 1 wk what next: a.39. develop diarrhea…lab PH 7. Gold c. All of the following can have small kidneys on USG except a. pulse 110 beats/min most diagnostic: a. fatigue…lab high creatinine. Cystinosis d. In Alport's syndrome all true except: a. diarrhea. Reassure inform that reach plateau with 1 month 484. All of the following are risk factors for renal stone formation except a. PD c. Amoxicillin b. NaHCO3 d. What is the best treatment/cause?? a. Lithium blocks ADH receptors b. later found infiltration Lung. 25% 491. Hypertension is found in how many minimal change disease patients a. Affect the concentration of distal convoluted tubules 486. Cyclophosphamide 482. Lithium cause acute interstitial nephritis c. Normal saline 487. Lithium cause marked diuresis Answer is [hide]a[hide] DR. Renal US c. NSAID Answer is [hide]b[hide] 485. Slow deterioration of renal function b. Pt treated for tumor with chemotherapy not treated before with allopurinol. Male c. Spironolactone d. All of the following are nephrotoxic except a. Dehydration . HD Answer is [hide]d[hide] 479. Captopril c.…the result is: a. In membranous nephropathy which is most bad prognosis: a. Zahid Hafeez zamorih@hotmail. Heavy Proteinuria Answer is [hide]d[hide] Answer is [hide]c[hide] 483. X-linked 489. RTA b. Amyloidosis 490. All of the following decease Frusemide response except: a. IVF b. urea. decrease urine output most next step: a.com Page 494. Sever hyperkalemia Dr. Aspirin b. Antibody against Frusemide c. MRI b. AR most inherited type 492. Old pt left hemiparesis on thiazide treatment skin turgor. Diclofenac c. HTN b. Increase protein bond to Frusemide on tubule d. The cause will be a. Na135 best treatment: a. A patient with bipolar disorder on lithium treatment develops nephrogenic diabetes insipidus. bilateral renal cyst with mass in the Left kidney BP150/90.Answer is [hide]a[hide] 477. Pt on ICU chest trauma fail chest.

Gentamicin toxicity 507. Answer is [hide]………[hide] a. What is likely 5 years 31 503. Increased risk of transitional cell carcinoma 499. ADPKD b. Henoch Schonlein purpura. Insulin Answer is [hide]c[hide] 496. Frusemide d. An 82 years old survival a. Calcium gluconate c. A case of recurrent upper respiratory tract infections. Acute interstitial nephritis Answer is [hide]a[hide] 505. Answer is [hide]e[hide] Please Send Your Nephro Exam MCQs Dr. b. Calcium oxalate stone Answer is [hide]b[hide] 509. IV cyclophosphamide b. Goodpasture's syndrome Answer is [hide]a[hide] 497.5. 26 years old female presents to ER with worsening of fatigue. Zahid Hafeez man started on HD. Papillary necrosis d. 10-20% 30-40% 50-60% Page Answer is [hide][hide] zamorih@hotmail. Best treatment is a. CT scan showing a 2 cm opacity. b. Hirsutism d. A case of diabetic nephropathy & hyperkalemia. What is the best treatment to get rid of hyperkalemia a. Analgesic nephropathy can be associated with all except a. Uric acid stone c. A patient developed rash & impaired RFTs after antibiotics use. Henoch Schonlein purpura c. c. Nephrocalcinosis b. ……………… c. Mesangial proliferation 511. Isolation of mycobacteria c. Sarcoidosis b. She has HTN. PSGN 501. Chronic interstitial nephritis b. Cyclosporine is associated with all except a. What is the cause a. Hb 15. Cystine stone b. Hb 9. Ureteral stenosis d. histopathology a. Plasma exchange 508. nausea. ………………. What is the best treatment a.com . Wegener’s granulomatosis b. RANA ZAHID EXAM 502.3. Na 128. Sterile pyuria b. urea 114. creatinine 2. ……………. A patient has right sided flank pain radiating to groin & associated urinary symptoms. 9 years old has generalized weakness & diarrhea. Calcium resonium Answer is [hide]a[hide] 500. What is the cause a. and pruritus. …………. d. Chronic interstitial nephritis a. All of these diseases cause hyperkalemia except a. What is most likely diagnosis a. What is the gold standard for acute interstitial nephritis diagnosis 512. Renal biopsy Urine analysis Serum complement USG abdomen Answer is [hide]a[hide] 504. Answer is [hide]d[hide] 506. ………………. Malignant hypertension c. Hypertension c. Oral prednisolone d.3. IgA nephropathy d. …………… c. Painless hematuria e. Abdominal xray is normal. high renal parameters.. Salbutamol b. d. Tuberculosis of urinary tract can present with all except a. Multiple myeloma 498. What is most likely diagnosis a. Ciprofloxacin c. K=6. hemoptysis & hematuria. c. platelets 28. Chronic interstitial nephritis DR. Answer is [hide]d[hide] 510. urine analysis showing hematuria & proteinuria.495.

Analysis revealed Gram + & Gram – bacteria. Wait until becomes symptomatic c. A patient DM-1 for 10 years on insulin treatment. Splenomegaly . Immediate treatment Answer is [hide]c[hide] 517. The most common initial presentation of IgA nephropathy is a. Nephron b. Target BP in CKD/ nephropathy is a. developed microalbuminuria & started on enalapril 6 months ago. Podocin c. HSP is associated with all except a. Asymptomatic bacteruria a. Rash c. Grave’s disease 523. Do MRA brain d. A patient has bilateral renal cell carcinoma. 60-80% Answer is [hide]d[hide] Answer is [hide]……[hide] 513. Regarding Minimal change disease all are true except Please Send Your Nephro Exam MCQs Dr. Microscopic hematuria b.com 32 Answer is [hide]b[hide] Page 518. Ampicillin b. <140/90 mmHg b. A PD patient developed abdominal pain & ascetic fluid is turbid. Collapsing GN 526. steroids resistant nephrotic syndrome is associated with a. Progression to CKD c. MRI d. A patient of SLE with DPGN.. Previously. Present in 50% of pregnancies b. taking steroids & cyclophosphamide. Vitamin D deficiency c. Before tumor resection. Mycophenolate c. Do genetic testing Answer is [hide]a[hide] 515. USG d. Cefalexin d. Microscopic hematuria with proteinuria c. he was operated for brain tumor. Cyclosporine Answer is [hide]……[hide] 522. <135/85 mmHg c. Recurrent macroscopic hematuria Answer is [hide]…. What will be the effect of pregnancy on renal disease a. Abdominal pain b.d. Hypocalcemia is seen in all except a. Autosomal recessive. No effect b. Amoxicillin c. Do USG of PD catheter b. Repeat USG c. ADPKD is almost excluded b. Zahid Hafeez zamorih@hotmail. Renal angiography c. What is the alternative a. A 35 years old male patient with normal BP & no cysts on USG. He was put on antibiotics. Pseudohypoparathyroidism d. HIV is associated with a. < 125/80 mmHg Answer is [hide]c[hide] 521. Quinolones Answer is [hide]d[hide] Answer is [hide]e[hide] 524. Azathioprine b. What is the most appropriate statement a. Nitrofurantoin e. Patient is refusing later due to sterility. Do nothing as diagnosis is almost confirmed Answer is [hide]d[hide] 514. CT scan with contrast c. what should be done a. Hypoparathyoidism b. Alfa actin 4 525. What is the next step a. Arthralgia d.[hide] Answer is [hide]c[hide] 516. TRCP6 d. All antibiotics are safe in pregnancy except a. His grandfather & uncle have ADPKD. <130/80 mmHg d. Deterioration of renal function till delivery then improvement after delivery 519. Now her RFTs are normal & 24 hours proteinuria is 150 mg. Urinary catecholamines Answer is [hide]d[hide] 520. MRI b.

Thick ascending loop of Henle 536.8. dry skin. there is postural drop. Respiratory acidosis c. Insulin glucose infusion c. What will not lower serum K levels a. What is side effect a. Half normal saline 533. Urinary Na 10. BP 80/50 mmHg. urinary K= 36. Ferritin c. AKI b. Normal anion gap metabolic acidosis 534. Mannitol c. Post streptococcal GN Dr. vomiting presented with generalized weakness. A 35 years old man denying any H/O nausea. Normal saline d. What is the most likely treatment a. Fibrinogen Answer is [hide]c[hide] Answer is [hide]d[hide] 538. Thiazide abuse d. Zahid Hafeez zamorih@hotmail. Urine analysis showing red cell casts.a. Decreased complement is not seen in a. By blocking collecting duct apical Na channels 529. has oliguria. Hypocalcemia Please Send Your Nephro Exam MCQs Answer is [hide]a[hide] 544. What is most appropriate initial IV fluid a. NaHCO3 is helpful in which of the following metabolic acidosis a. Pulse 120 bpm. 5% DW with Normal saline c. Fluid expansion d. Mucous membranes dry low skin turgor. Frusemide b. How trimethoprim causes hyperkalemia a. What is the most likely cause a. Ethylene glycol poisoning c. A regular patient on HD came with K= 7. Wegener’s granulomatosis b. Shunt nephritis c. Rhabdomyolysis is associated with all of the following except a. An elderly stroke patient. Metabolic acidosis with metabolic alkalosis d. Diabetic ketoacidosis d. A patient on mechanical ventilator due to flail chest developed diarrhea 8-10 times a day. Hypocomplemtemia seen in all except a. Self induced vomiting Answer is [hide]c[hide] Answer is [hide]b/a[hide] 532. NaHCO3 d. GI loss 535. Albumin b. A case of reperted upper respiratory tract infection with renal impairment. A patient with hypokalemia. Major site of Mg+2 absorption a. Theophyline Page Answer is [hide]d[hide] . SLE d. hypertensive on thiazides came with obtundation. HCO3. pH=7. metabolic alkalosis with urinary K=10. all proteins are decreased except a. Gitelman’s syndrome c. In nephrotic syndrome. A patient taking ifosfamide treatment due to breast cancer. 5% DW b. Metabolic acidosis b. all are true except a.8. IgA Nephropathy c. CXR showing B/L opacities. Lactic acidosis Answer is [hide]……[hide] 542. HCO3=33. Bartter syndrome b.com 33 530. IgA nephropathy 540. Low C3 537. Calcium gluconate 528. Metabolic acidosis with respiratory alkalosis 541. Patient post CABG. Henoch Schonlein purpura d. What will not be in immediate management plan a. BP 100/60 mmHg. On examination. Side effects of acetazolamide a. Post streptococcal GN b. Labs K=2. Emergent dialysis 527.2. Calcium gluconate b. what is the most likely cause a. Flattening of T wave Answer is [hide]……[hide] 531. ECG findings of hyperkalemia. Fanconi’s syndrome 543. Ceruloplasmin d. pCO2=30. What is the most likely diagnosis a. What is the abnormality a. IgA nephropathy 539.

Isoniazide d. A patient on HD 3/week. …………. Icodextrin is more advantageous glucose b. Metocloperamide e. Best way to diagnose CMV in post transplant patients a. Eosinophilia d. Fluconazole b. Old age b. Urinary Na c. what is the best step a. He is taking azathioprine. ………………… . A years old diabetic patient on HD for 1 year developed ascites. Clinical features of atheroembolic renal disease are a.[hide] Answer is [hide]…. What is the most likely reason a.[hide] Answer is [hide]d[hide] 549.25 dihydroxy Vitamin D3 deficiency b. Protein energy malnutrition d. What is the most beneficial initial investigation Dr. Decreased Calcitonin Answer is [hide]e[hide] 555. Diuretics c. Leeven’s shunt c. Glucose increases hyperlipidemia d. All of the above Page Answer is [hide]………[hide] Please Send Your Nephro Exam MCQs 556. TIPPS d. ……………… b. After one week his creatinine 115 mmol/L.[hide] 546.Answer is [hide]a[hide] 545. now deteriorating RFTs & oliguria. What is the most likely immediate action a. Stop ACEi b. Reduce the dose d.. c. Hyperphosphatemia d. NSAIDs b. Mechanism of action of cyclosporine & tacrolimus a. Glucose causes obesity e. Which one is better indicator of AKI a. Urine osmolarity Answer is [hide]c[hide] Answer is [hide]d[hide] Answer is [hide][hide] 560. Uric acid is 8. Answer is [hide]b[hide] 548.. Difference between pre-renal & renal AKI 558. Glucose causes UF failure c. Volume expansion b. CMV PCR 554. Livido reticularis b. Reassure & continue ACEi c. Urinary FENa d. ………………. A post transplantation patient developed sudden pain in his big toe. Hemoperfusion Answer is [hide]……. In PD. 2ndry hyperparathyroidism e. Drugs which decreases cyclosporine levels a. has developed ascites.. which statement is most appropriate a.5. Decrease dose of cyclosporine Answer is [hide]d[hide] 551. ………………. Type-I RTA 547. Patient having IHD underwent CABG.com 34 552. Various investigation……. Renal osteodystrophy includes all except a. Aggressive UF 553. A young patient started on ACEi. 559. Hypocalcemia c. Low protein diet c. Mannitol d. CMV Ab IgM c. Ascitic tap b. Serum BUN/creatinine ratio b. Colchicine c. 1. Hyperglycemia than Answer is [hide]……. What is the most likely treatment a. Erythromycin c. Zahid Hafeez zamorih@hotmail. CMV Ab IgG b. A 72 years old man having oliguria but urea & creatinine are almost normal. A 62 years man wants to donate his kidney………………… 550. Subcutaneous nodules c. Nifedipine Answer is [hide]a[hide] 557. what is the most appropriate treatment a. Allopurinol d. steroids & cyclosporine. CMV Ag d.

570. d. A young patient has hypertension. No change in ICV and osmolarity 420 Dr. Fever e. Left 2nd intercostals space midclavicular line c. He is smoker for last 30 years. KHALID NASER EXAM 573. CT-Scan d. IVU b. Antibodies to Frusemide 1/3 of ECF 2/3 of ECF Almost all of ECF Half of ECF 571. Which drug will cause hyponatremia a. Fluid restriction c. White cell cast in urine c. which investigation you will perform a. USG kidneys Please Send Your Nephro Exam MCQs 572. d. What is the most sensitive test for UTI in children a. Dextrose water d. Diabetic nephropathy c. responding well to Frusemide 40mg. What is the least likely cause a.[hide] Answer is [hide]d[hide] 563. Analgesic nephropathy d. Increased intracellular volume increased osmolarity >328 b. In case of hypernatremia Na=170 & plasma osmolality 320.. MI b. Left side ant axillary line d. Amyloidosis b. c. Decreased ICV and increased osmolarity 328 d. c. Leukocyte esterase in urine Answer is [hide]e[hide] DR. Left side posterior axillary line Answer is [hide]c[hide] 567. c. e. WBCs in urine b. Oral iron b. Hypoglycemia c. What is the most likely treatment a. b. Granular casts (2 MCQs) .a. Erythropoietin 562. Decreased ICV and decreased osmolarity < 328 c. Air embolism d. Right 2nd intercostals space midclavicular line b. Duplex of renal arteries CT scan of kidneys Renal angiography Answer is [hide]d[hide] Answer is [hide]……[hide] 561. the most probable condition will be a. USG abdomen Ascitic tap Viral serology Echocardiography Liver function tests b. Normal sized kidney in all conditions except a. b. A diabetic patient had cardiac arrest during dialysis. Chest tube must be inserted where a. DMSA scan Answer is [hide]d[hide] Answer is [hide]b[hide] 569. Labs showing Na 128. Lithium b. Leukocytosis d. A patient of Nephrotic syndrome. Plasma volume is a. Micturating cystourethrogram e. Chlorpropamide Answer is [hide]…. d. Best treatment of anemia in CKD-4 a. Hypertonic saline b. but now increasing dose is required.com 35 Answer is [hide]a[hide] Page 564. Folic acid d. To confirm the renovascular hypertension. Excessive UF Answer is [hide]a[hide] 566. An elderly asymptomatic patient having hypertension & asthma. Zahid Hafeez zamorih@hotmail. IV iron c. Normal saline 568. Came for follow up. ADPKD Answer is [hide]c[hide] 565. USG c. Child with UTI having features of recurrent reflux nephropathy. What is the most likely cause a. Patient developed left sided pneumothorax after internal jugular catheter insertion. What is the investigation of choice a.

Admit to hospital & observe c. 24 hours urinary proteins c. ……………………. Gum hyperplasia e. Creatinine clearance b. HD trial c.com . What should be the next management plan a.. Wait Answer is [hide]c[hide] 577. No further investigations Page 36 Answer is [hide]b[hide] Please Send Your Nephro Exam MCQs Dr. USG d. What is the best management plan a.Answer is [hide]c[hide] 574. All are side effects of cyclosporine except a. What is the next most appropriate investigation a. He has no contraindication for renal transplantation. A 62 years old diabetic patient has GFR 17ml/min. …………………. Terminate pregnancy b. PD b. Tremors d. Answer is [hide]a[hide] 575. Hirsutism b. 12 years old boy dipstick urine +1 protein.. Zahid Hafeez zamorih@hotmail. Atenolol d. Interstitial nephritis c.[hide] 576. Transplantation d. A 30 weeks pregnant female has BP= 150/100 mmHg. Answer is [hide]….