Year3 Bl

ock6
Exam
(
2016-
2017)Bat
ch18
TheRenalSy
stem

1-t
henephr
otomesi
sfor
medby:

a.6-
11sol
i
dcel
lgr
oupsi
nthesacr
alr
egi
on.

b.7-
10sol
idcel
lgr
oupsi
nthecer
vicalr
egi
on.
**

c.8-
12sol
i
dcel
lgr
oupsi
nthel
umbarr
egi
on.

d.
7-10sol
i
dcel
lgr
oupsi
nthet
hor
aci
cregi
on.

2-Theapi
cesofpy
rami
dsar
ecal
l
ed:

a.r
enal
lobe.

b.r
enalpapi
ll
ae.
**

c.r
enal
col
umns.

d.r
enal
lobul
e.

3-Theepi
thel
i
um oft
hinl
i
mbsi
nloopofHenl
e:

a.l
owcuboi
dal
epi
thel
i
alcel
l
s.

b.t
allcl
omnarepi
thel
i
alcel
l
s.

c.si
mpl
esquamousepi
thel
ialcel
ls.
**

d.Laci
scel
l
s.
4-Whichoft
hefol
lowi
ngrelaybot
hsy
mpt
ati
candpar
asy
mpt
ati
c
fi
ber
stotheuri
nar
ybladder:

a.l
umbarspl
anchni
cner
ve

b.pel
vi
cspl
anchni
cner
ve

c.super
iorhy
pogast
ri
cner
vouspl
exus.

d.i
nfer
iorhy
pogast
ri
cner
vouspl
exus.
**

5-whichofthef
oll
owi
ngi
str
ueaboutner
vesofpost
eri
or
abdominal
wall:

a.t
hesubcostal
ner
ver
unsonant
eri
orsur
faceoft
hesuper
iorpar
t
oft
heil
iacus.

b.Il
l
ioi
ngui
nalner
vegi
vescut
anousSuppl
ytot
hesupr
apubi
c
regi
on.
**

c.l
ateralf
emoral
cut
anousner
veent
ert
het
hight
hrought
he
i
nguinalcanal
.

d.t
hel
umbosacr
alt
runkor
igi
nat
efr
om post
eri
orr
ami
ofL4&L5.

6-whi
choft
hef
oll
owi
ngi
str
ueaboutanat
omyofki
dney:

a.t
her
ightki
dneyi
ssl
i
ght
lyhi
ghert
hanl
eftki
dney
.

b.t
heki
dneyi
sdi
vi
dedi
nto5v
ascul
arr
enalsegment
s.*
*

c.atthehil
um oft
heki
dneyt
her
enal
art
eryl
i
esant
eri
ort
othe
ranal
v ei
n.

d.theki
dneyandsuprar
enal
glandl
i
etoget
herwi
thi
nthesame
sheetofper
ir
enalfasci
a.

7-Regar
dingacutepost
-st
rept
ogl
omer
ulonephr
it
is,
thef
oll
owi
ng
ar
etr
ueex cept:
a.Usual
l
yoccur
sinchi
l
dren.

b.hasl
ineardeposi
tedofI
gGandC3al
ongt
heGBM.
**

c.causedbynephr
it
ogeni
cst
rai
nofgr
oupA,
Bet
ahemol
yti
c
str
eptococcus.

d.I
mmunecompl
exesi
spr
esenti
nthepat
hogenesi
s.

8-Regar
dingr
efl
uxnephr
opat
hy,
thef
oll
owi
ngar
etr
ueexcept:

a.Mor
ecommon,
usual
l
yar
isesi
nchi
l
dhood.

b.usualcauseofchr
oni
crenalf
ail
urei
nchi
ldr
en.
**

c.pr
esentuni
l
ater
alorbi
l
ater
al.

d.damageof
tenduet
oinf
ect
ion.

9-t
het
umorofur
inar
ybl
adder,
thef
oll
owi
ngar
etr
ueexcept:

a.pr
esentwi
thpai
nlesshemat
uri
a.

b.smoki
ngi
sri
skf
act
or.

c.papi
ll
omai
srecur
rence.
**

d.Gr
ade1car
cinomai
spapi
l
lar
y.

10-t
hecommoncauseofacut
etubul
arnecr
osi
s:

a.gl
umer
ulonephr
it
is.

b.py
elonephr
it
is.

c.hy
pov
olemi
a.*
*

d.dr
ugabuse.

11-Int
erpr
etat
ionofUr
ineCul
tur
eifnumberofcol
oni
esl
esst
han
10,
000:

a.doubt
ful
signi
fi
cance(
suggestr
epeatspeci
men)
b.si
gni
fi
cantbact
eri
uri
a.

c.cont
ami
nat
edur
ine.
**

d.

12-whichoft
hefoll
owinghav enosigni
fi
cancei
nant
igeni
c
cl
assi
fi
catonofE.col
i i
.:
flagel
l
erant
igen

a.Somat
icant
igen(
Oant
igen)

b.capsul
arant
igen(
Kant
igen)
.

c.f
lagel
l
erant
igen(
Hant
igen)
.

d.Fi
mbr
ialant
igen(
Fant
igen)
.**

13-t
hef
oll
owi
ngar
etr
ueaboutr
enal
bloodf
low except:

a.combinedweightoft
heki
dney
saccount
sforl
esst
han1%of
tot
albodyweight.

b.t
heseor
gansr
ecei
ve20t
o25%oft
hecar
diacout
put

c.AsRBFi
ncr
eases,
GFRandur
ineout
putdecr
ease.
**

d.

14-r
egar
dingnephr
ons,
thef
oll
owi
ngar
etr
ueexcept:

a.t
henephr
oni
sthef
unct
ional
uni
toft
heki
dney
.

b.t
heyar
eabout1mi
l
li
onperki
dney
.

c.Thej
uxt
amedul
lar
ynephrons’
perit
ubularcapil
l
ari
esf
orm hai
rpi
n
l
oopsknownasvasarect
aorstrai
ghtvessels.

d.80%oft
henephr
onsar
ejuxt
amedul
lar
y.*
*

15-t
hef
oll
owi
ngar
etr
ueaboutphy
siol
ogyofbl
adder
,except:

a.Thesmoot
hmuscl
eoft
hebl
adderi
scal
l
edt
hedet
rusormuscl
e,
b.Regul
arper
ist
alt
iccontr
act
ionsofwal
lsoftheureter
soccur
ri
ng
onetofi
veti
mespermi nutemovetheur
inetothebladder

c.Theur
eter
spassobl
i
quel
ythr
ought
hebl
adderwal
land,

d.thereareuret
eralsphi
nct
ers,
prev
ent
ingr
efl
uxofur
inef
rom
thebladder.
**

16-hy
pot
oni
cref
ert
o:

a.decr
easedcel
lvol
ume.

b.
incr
eaedcel
lvol
ume.
**

c.samecel
lvol
ume.

d.Nonofabov
e.

17-theHy
drogeni
onsecret
ionandbicar
bonatereabsor
pti
on
occuri
nvi
rt
uall
yal
lpar
tsofthetubul
esexcept:

a.pr
oxi
mal
conv
olut
edt
ubul
e.

b.acendi
nganddecendi
ngt
hinl
imbofHenl
e.*
*

c.di
stal
conv
olut
edt
ubul
e.

d.
Col
l
ect
ingt
ubul
e.

18-regar
dingt
ubul
arr
eabsor
pti
on,
thef
oll
owi
ngar
etr
ue
except:

a.Thi
sprocessi
shighl
ysel
ect
ivei
nthatwast
epr
oduct
sar
e
excr
etedi
ntheuri
ne.

b.t
hetubul
eofthenephr
oni
scomposedofasi
ngl
elay
erof
epi
thel
i
alcel
ls.

c.t
het
ubul
eisf
arf
rom t
heper
it
ubul
arcapi
ll
ari
es.
**

d.I
npassi
vereabsor
pti
on,
noener
gyi
sspentf
ort
hesubst
ance’
s
netmovement.

19-Anoi
nGapi
scr
eat
edby
:bi
o
a.(
HCO₃
⁻)–(Cl
⁻)

b.(
Na⁺)–(
K⁺)

c.(
Na⁺+K⁺
)–(Cl
⁻+HCO₃
⁻).
**

d.(
ani
ons)–(cat
ions)

20-Nor
malPl
asmaNa⁺concent
rat
ion:

a.100-
130mmol
/L

b.135-
145mmol
/L.
**

c.25-50mmol
/L

d.36-70mmol
/L

21-Cr
eat
ini
neCl
ear
anceTesti
sdecr
easedi
n:

a.acut
etubul
arnecr
osi
s.

b.acut
egl
umer
unephr
it
is.
**

c.hy
per
tensi
on.

d.My
opat
hies.

22-t
heonl
ysi
tef
orur
eaf
ormat
ion:

a.Li
ver
.**

b.Ki
dney
.

c.Mi
tochondr
ia.

d.

23-whi
choft
hef
oll
owi
ngi
sundesi
redef
fectoft
hiazi
des:

a.hy
per
gly
cemi
a,hy
per
urecaemi
a.*
*

b.Gast
roi
ntest
inal
dist
urbance
c.t
ransi
tdeaf
ness.

d.

24-whi
choft
hef
oll
owi
ngdr
ugsi
sur
inar
ytr
actant
isept
ic:

a.ni
tr
ofur
ant
oin.
**

b.Gent
amy
cin.

c.car
beni
cil
l
ii
n.

d.

25-si
ngl
edosedr
ugusedi
nschi
stosomi
asi
s:

a.Ni
ri
dazol
e.

b.Met
rof
inat
e.

c.Pr
azi
quant
al.
**

d.

26-whenacasepresentwi
thbl
eedi
ngf
oll
owsmi
nort
raumat
o
l
ionorpel
vi
s,i
tindi
cat
e:

a.pai
nlesshemat
uri
a.

b.congeni
talabnor
mal
it
yoft
heur
inar
ysy
stem.
**

c.pai
nful
lhemat
uri
a.

d.

27-r
egar
dingnephr
oti
csy
ndr
ome,
thef
oll
owi
ngar
etr
ueexcept:

a.maycompl
i
cat
edspont
aneousbact
eri
alper
toni
ti
s.

b.maycompl
i
cat
edar
ter
yandv
eint
hrombosi
s.

c.hy
per
nat
remi
amaycompl
icat
ed.
**

d.ur
inecol
l
ect
ion24hf
orpr
otei
nmor
ethan3.
5gr
am.
28-i
nHy
pokal
emi
a,t
hef
oll
owi
ngar
etr
ueexcept:

a.v
omi
ti
ng&di
uret
icar
ecommoncauses.

b.cons&cushi
ngsy
ndr
omemaybeassoci
ated.

c.met
abol
icaci
dosi
smayber
elat
ed.
**

d.pol
yur
ia,
par
aly
sis,
par
aly
tici
l
lusmaycompl
i
cat
ed.

29-Whi
choft
hef
oll
owi
ngmat
chi
ngi
ncor
rect:

a.anemia,pregnancy,pneumoni
aandanxi
etyar
ecausesof
respi
rat
oryacidosi
s.*
*

b.met
abol
i
caci
dosi
sisassoci
atedwi
thhy
pokal
emi
a.

c.r
espi
rat
oryaci
dosi
smayr
elat
edCO2r
etent
ion.

d.exacer
bat
ionCOPDandast
hmat
icst
atusmayassoci
atedwi
th
respi
rat
oryaci
dosi
s.

30-whi
choft
hef
oll
owi
ngi
sleastsi
gni
ofchr
oni
crenal
fai
l
ure:

a.Hy
pocal
cemi
a,hy
per
phosphat
emi
a

b.anemi
a.*
*

c.ear
thyf
ace.

d.Renal
Ost
eody
str
ophy
.

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‫ﻓ‬‫ﻮ‬‫ﺘ‬
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‫ﻣ‬

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