Professional Documents
Culture Documents
A 532 nm
B 2140 nm
C 980 nm
D 1650nm
E 1860 nm
A DNA repair
B Re-oxygenation
C Re-accumulation
D Re-assortment
E Re-population
A Gray
B Sievert
C Rad
D Roentgen
E becquerels
A Peroxidase
B Red azo dye
C Indoxyl
D Tetrabromophenol blue dye
E Diazonium salt
5 What is the approximate mortality rate associated with non-ionic contrast media?
A 1/200,000
B 1/100,000
C 1/50,000
D 1/25,000
E 1/10,000
6 Which of the following types of diuretic renogram curve refers to a system which is dilated without obstruction?
A Type IV
B Type IIIa
C Type IIIb
D Type II
E Type I
A 10 mg per 10 ml
B 1 mg per ml
C 10 mg per ml
D 0.1mg per ml
E 1mg per 100ml
A 3.5 MHz
B 4.5 MHz
C 5.5 MHz
D 6.5 MHz
E 7.5 MHz
A Circumference in mm
B Circumference multiplied by 3 in mm
C Diameter in mm
D Circumference in cm
E Diameter multiplied by 3 in mm
11 What stage of chronic kidney disease has a patient with an estimated GFR of 26ml/min/1.73m2?
A Stage 4
B Stage 1
C Stage 3
D Stage 5
E Stage 2
A 95%
B 90%
C 80%
D 70%
E 65%
A Renal
B Lung
C Lymphoproliferative
D Skin
E Cervical
A Mycophenolate mofetil
B Cyclosporine A
C Tacrolimus
D Azathioprine
E Sirolimus
A 1.0
B 2.5
C 3.0
D 4.7
E 10
16 Which of the following best describes the thin descending limb of the loop of Henle?
A Impermeable to water
B Permeable to water and less permeable to sodium, chloride and urea
C Impermeable to water, highly permeable to sodium and chloride and slightly permeable to urea
D Permeable to water, sodium, chloride and urea
E Impermeable to water and urea with sodium and chloride actively reabsorbed
A +300
B +40
C0
D -50
E -1000
A Phase IV
B Phase III
C Phase II
D Phase I
E Phase 0
19 How is leucocyte esterase detected by dipstik urinalysis?
A Peroxidase
B Red azo dye
C The production of indoxyl and oxidation of a diazonium salt
D Tetrabromophenol blue dye
E Double oxidation reaction
A 50-80 mg/day
B 80-150 mg/day
C 150-200 mg/day
D 200-230 mg/day
E 230-250 mg/day
Answers
1B
2C
The "four R's" which determine radiosensitivity are repair, re-oxygenation, re-assortment and re-population
3A
In SI units, the activity of a radioactive source is measured in becquerels (symbol Bq). The absorbed dose of ionizing radiation is measured
in grays (symbol Gy) where one gray is equal to one joule of energy being imparted to one kilogram of matter (the rad is the previously used
unit). The dose equivalent, which is a measure of the effects of radiation on living organisms, is measured in sieverts (symbol Sv)
4D
5A
6B
Type IV Delayed double peak pattern (Homsey)
Type IIIa Dilated without obstruction
Type IIIb Equivocal
Type II Obstructed
Type I Normal
7D 1 in 10,000 or 1mg per 10ml adrenaline solution is often used during cardiace arrest in prepared syringes. A 1 in 1000 or 1mg per ml
adrenaline solution is often used IM for anaphylactic reactions.
UrologyUK comment: Although this seems like a fairly non-urological question there are a significant number of everyday clinical MCQ's and
EMQ's in the exam.
9E
The French guage is equal to the diameter of the tube multiplied by 3 in mm, not as is often thought the circumference in mm. However,
remember that the circumference is diameter multiplied by Pi (3.14) so it is nearly correct!!
10B
Stents paralyse peristalsis and therefore do not aid stone passage. They increase intrarenal pressures. Pearle, M; J Urol 1998 demonstrated
that there was no difference in recovery between patients treated with nephrostomy vs JJ stent. JJ stents are less effective at relieving
obstruction from extrinsic compression.
11A
Stages of CKD
Stage 4 eGFR 15 – 29
12B
1 year graft survival for living donor nephrectomy is 95% with HLA-identical siblings, 90% for 1-haplotype-identical related donor and 80% for
cadaveric kidneys
13D
The approximate distribution of new cancers is renal 5%, lung 5%, lymphoproliferative 11%, skin 40% and cervical 4%
14C
Tacrolimus is nephrotoxic and in approximately 20% of patients causes diabetes
15D
16B
The thin descending limb is best described by B, the thin ascending limb is best described by C and the thick ascending limb best described
by E
17D
Substance Hounsfield Unit
Air -1000
Fat -50
Water 0
Soft tissue (eg muscle) +40
Calculus +100 to +400
Bone +1000
18D
Phase IV - Post-launch safety surveillance
Phase III - Randomised control trial
Phase II - Assesses how well the drug works as well as continued safety
Phase I - Assesses safety
Phase 0 - First human trial - does it behave in humans as expected
19C
Leucocyte esterase catalyses the production of indoxyl which oxidises a diazonium salt leading to a colour change