NEPHRO FINALS
APRIL 7, 2005
1. The part of the nephrono that reabsorbs 80%
of sodium and majority of the amino acids
and glucose is
a. Glomerulus
b. Proximal tubule
c. Distal tubule
d. Loop of Henle
2. Renal function is basically assessed by getting
a. Urinalysis
b. Ultrasound of the kidney ureter
bladder
c. Serum creatinine and BUN
d. Kidney biopsy
3. A kidney biopsy report includes the ff., except
a. Light microscopic examination
b. Immunoflourense studies
c. Electron microscopic examination
d. Gram staining
4. Edema is the accumulation of fluid in the
a. Plasma
b. Intravascular compartment
c. Interstitial space
d. Serosal space
5. Hypertension is defined in pediatrics as
a. Blood pressure of greater than 110/80
b. A blood pressure that is greater than
95% percentile for age and sex
c. a blood pressure that is greater than
95% percentile for height
d. a blood pressure of greater than
140/90
6. Hypertension, Hematuria, Oliguria and
Azotemia are symptoms of
a. Acute glomerulonephritis
b. Nephritic syndrome
c. UTI
d. Henoch Schoenlein Purpura
7. One of the ff. statements about Alport
Syndrome is true
a. It is common on the first decade of life
b. Females are more affected than males
c. Patients with Alport Syndrome are
good transplant candidates
d. Conductive hearing loss is usually
present
8. In Idiopathic Hypercaluria, drug of choice is
a. Oral Cyclophosphamide
b. Oral thiazides
c. Fish oil
d. Prednisone
9. The pathophysiology of acute
glomerulonephritis is
a. Complement activation
b. Immune – complex mediated
c. Hypersensitivity type 1
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d. Idiopathic
10. One of the ff. statements is true of Acute
Glomerulonephritis
a. Very common among non developed
countries
b. Boy’s are affected more than girls
c. Pyoderma related AGN is common
during cold months
d. Subclinical cases are not common
11. This is the most common cause of Nephrotic
Syndrome in adults
a. Minimal change disease
b. Membranous glomerulopathy
c. Mambranoproliferative glomerulopathy
d. Focal segmental glomerulonephritis
12. A 14 year old female was noted to have
hematuria. She later on developed edema.
Laboratory findings revealed a decrease C3.
Other symptoms noted were the presence of
a round distinct rash at the extremities and
was noted to have oral ulcers. The probable
diagnosis of the patients is
a. Acute glomerulonephritis
b. Henoch Schoenlein Purpura
c. Hemolytic Uremic Syndrome
d. Systemic Lupus Erythematosus
13. The drug of choice for patient with Nephrotic
Syndrome, minimal change is
a. Penicillin
b. Cyclophosphamide
c. Prednisone
d. Furosemide
14. Proteinuria which warrant further
investigation is
a. Transient
b. Orthostatic
c. Persistent
d. Minimal
15. A chronic renal patient has
a. Normal sized kidney by ultrasound
b. Delayed bone aging
c. A height a bigger than usual children
d. Low blood pressure
16. The type of renal failure in patients with
posterior urethral valve is
a. Pre – renal
b. Renal
c. Post – renal
17. Problems noted in patient with renal failure
are
a. Alkalosis
b. Hypokalemia
c. Uremia
d. Hypocalcemia
NEPHRO FINALS
APRIL 7, 2005

18. The best treatment option for children with 1. Pre- renal failure is usually seen in patient
end stage renal disease is with
a. peritoneal dialysis a. MPGN
b. hemodialysis b. PUV
c. conservative management c. Nephritic Syndrome
d. transplantation d. HUS
19. The absolute need for a donor is 2. Alport Syndrome is characterized by
a. ABO compatible a. Sensorineural hearing defect
b. HLA typing compatible b. Usually with Nephrotic Syndrome
c. DNA matching c. Seen at birth
d. No absolute need d. Usually more severe among females
20. The usual screening test for obstruction 3. The most common cause of hematuria in the
a. Ultrasound of the kidney ureter and world among children
bladder a. IgA nephropathy
b. DMSA Scan b. UTI
c. DTPA Scan c. Acute Glomerulonephritis
d. VCUG d. Isoniazid
21. A positive urine culture in a mid stream clean 4. Proteinuria among adolescent is
catch collection a. Most of the time pathologic
a. 100,000 cfu of multiple organism b. Associated with severe hypertension
b. 10,000 cfu of multiple organism c. Good prognosis
c. 100,000 cfu of single organism d. Associated with pain
d. 10,000 cfu of single organism 5. Urgency, incontinence and dysuria are
22. Initially depressed C3 and normalizes after 6 symptoms of
– 8 weeks is seen in patients with a. Acute glomerulonephritis
a. Acute glomerulonephritis b. Nephritic syndrome
b. Membranoproliferative disease c. UTI
c. Systemic Lupus Erythematous d. HUS
d. Bacterial Endocarditis 6. Blood pressure is affected by a SMALL CUFP
23. The ff. statements about Nephrotic Syndrome in which manner
is true a. Inc BP
a. It is commonly seen in the adolescent b. Dec BP
age group c. No change at all
b. It is more common in females than in 7. The best screening tool in the diagnosis of
males urinary abnormality is
c. Increased cholesterol --- of the main a. Urinalysis
feature b. Ultrasound of the kidney ureter and
d. They are usually prone to infection bladder
caused by encapsulated bacteria c. DMSA
24. Patients presenting with microangiopathic d. VCUG
anemia, increasing BUN and Crea is usually 8. In patients with post streptococcal acute
diagnosed to have Glomerulonephritis
a. Goodpasture syndrome a. Renal biopsy is routine
b. Hemolytic Uremic Syndrome b. It is more common in males
c. Henoch Schoenlein Purpura c. Edema is the most common complaint
d. SLE d. It is associated with heavy proteinuria
25. The ff. are the features of acute renal failure 9. Among children it is the most common
a. It is irreversible histologic finding in patient with Nephrotic
b. It is mostly renal in etiology among Syndrome
children a. Minimal change Nephrotic Syndrome
c. It has a sudden onset b. Membranous nephropathy
d. It necessitates transplantation all the c. Membranoproliferative nephritic
time syndrome
d. Focal Segmental glomerulonephrosis
FINALS 2002
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NEPHRO FINALS
APRIL 7, 2005

10. A (+) urine culture in a mid stream clean b. ANA

catch collection c. LE prep
a. 100,000 cfu of multiple organism d. C3
b. 10,000 cfu of multiple organism 20. Kidneys are usually
c. 100,000 cfu of single organism a. Bilateral structures
d. 10,000 cfu of single organism b. Retroperitoneally located
11. The best way to collect urine in child 6 c. Can regenerate
months of age is d. A, C not fully developed
a. --- 21. Pyuria is defined as
b. Suprapubic tap a. WBC >10/hpf
c. Catherization b. WBC > 5/hpf
d. Bag collection c. WBC >10/hpf
12. Systemic Lupus Erythematosus is d. WBC > 5/hpf
a. A disease that most satisfy 4 out of 22. Age of continence among Filipino is
the 11 criteria a. 2 y/o
b. Illness that has 4 classes b. 3 y/o
c. Specific renal disease with no other c. 10 y/o
involvement d. 6 y/o
d. Seen commonly in male adolescents 23. The most common drug causing rod urine in
13. Initially depress C3 and normalizes after 6 – 8 Philippines
weeks is seen in patients with a. Rifampicin
a. Acute glomerulonephritis b. Prednisone
b. Membranoproliferative disease c. INH
c. Systemic Lupus Erythematosus d. PZA
d. Bacterial endocarditis 24. Acute renal failure
14. The most common etiology of UTI is a. Usually irreversible
a. E. coli b. Associated with short stature
b. Entamoeba coli c. Delayed bone aging
c. Proteus d. Normal size kidney
d. Pseudomonas 25. Transplantation is
15. Patient who presents with pulmonary a. The most definitive treatment of CRF
hemorrhage and nephritis will usually have a b. Always pre- emptive
diagnosis of c. Treatment for UTI
a. Goodpasture syndrome d. Treatment for AGN
b. HUS
c. Henoch Schoenolein Purpura
d. SLE
16. The most common cause of acute renal failure
in children is
a. Goodpasture syndrome
b. HUS
c. Henoch Schoenolein Purpura
d. SLE
17. Nephrotic is not part of the syndrome
a. Goodpasture syndrome
b. HUS
c. Henoch Schoenlein Purpura
d. SLE
18. DOC in patients with Nephrotic syndrome is
a. Penicillin
b. Cyclophosphamide
c. Prednisone
d. Azathhioprine
19. Most specific test of SLE
a. dsDNA
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