Rafi Renal- Questions & Answers 100%
Solved
What is the most likely diagnosis?
Urinary tract infection
Overflow incontinence
Overactive bladder syndrome
Urge incontinence
Stress inco Correct Ans-stress incontinence
"
You are working as a junior doctor on a renal unit. On the ward round, you are reviewing a
patient with a history of stage 5 CKD induced by diabetic nephropathy. She also has a history of
COPD. The patient has been struggling to dialyse and U and Es demonstrate hyperkalaemia.
You decide to review the patient's drug chart to check for any medication which might be
exacerbating her hyperkalaemia.
Which of the following medications should you consider withdrawing?
Spironolactone
Salbutamol
,Furosemide
Calcium gluconate
Insulin" Correct Ans-Spironolactone
"
Mr.Thomas is a 34 year old male who comes to the urology clinic as he and his wife have been
trying to get pregnant for nearly a year to no avail.
He is asked to give a semen sample, the results of which are shown below:
Sperm Concentration: 20 million/ml
Liquefaction: 65 minutes
Motility: 50%
Progressive motility: 35%
Vitality: 60%
Morphology: 5%
ph: 7.5
Leucocytes < 1million/ml
You inform him that his liquefaction time is abnormally high.
Which part of the male genital system is not functioning adequately?
Seminal Vesicles
,Vas deferens
Testes
Bulbourethral glands
Prostate" Correct Ans-"Prostate
*prostate secretes seminal fluid
*bulbourethral gland secretes lubricant and neutralises pH"
"
A 52-year-old male presents with increasing swelling of his legs over the last three months. He
has also noted his face appears swollen at times, more so in the mornings. In addition, he has
noticed that his urine is ""foamy"". He is otherwise well, with no significant past medical history.
On examination, you note widespread oedema, worst in the legs and urinalysis reveals
significant proteinuria (++++).
Some investigations are performed with the following results:
Blood pressure: 160/70
Pulse: 74bpm
Haemoglobin: 140 g/L
Creatinine: 90 μmol/ L
Albumin: 22 g/L
CRP: 3
Which of the following is the most likely diagnosis?
, Minimal change glomerulonephritis
Wegener's granulomatosis
Post-infectious glomerulonephritis
Membranous nephropathy
Microscopic polyangiitis" Correct Ans-Membranous nephropathy
"
What is the most common type of renal calculi?
Calcium phosphate
Mixed calcium oxalate & phosphate
Uric acid
Cystine
Calcium oxalate" Correct Ans-Calcium oxalate
A 63-year-old man attends the dialysis unit three times a week to receive haemofiltration. In
normal functioning kidneys, what detects changes in salt concentrations (such as sodium
chloride) and adapts the glomerular filtration rate accordingly?
Juxtaglomerular cells
Mesangial cells
Podocytes
Solved
What is the most likely diagnosis?
Urinary tract infection
Overflow incontinence
Overactive bladder syndrome
Urge incontinence
Stress inco Correct Ans-stress incontinence
"
You are working as a junior doctor on a renal unit. On the ward round, you are reviewing a
patient with a history of stage 5 CKD induced by diabetic nephropathy. She also has a history of
COPD. The patient has been struggling to dialyse and U and Es demonstrate hyperkalaemia.
You decide to review the patient's drug chart to check for any medication which might be
exacerbating her hyperkalaemia.
Which of the following medications should you consider withdrawing?
Spironolactone
Salbutamol
,Furosemide
Calcium gluconate
Insulin" Correct Ans-Spironolactone
"
Mr.Thomas is a 34 year old male who comes to the urology clinic as he and his wife have been
trying to get pregnant for nearly a year to no avail.
He is asked to give a semen sample, the results of which are shown below:
Sperm Concentration: 20 million/ml
Liquefaction: 65 minutes
Motility: 50%
Progressive motility: 35%
Vitality: 60%
Morphology: 5%
ph: 7.5
Leucocytes < 1million/ml
You inform him that his liquefaction time is abnormally high.
Which part of the male genital system is not functioning adequately?
Seminal Vesicles
,Vas deferens
Testes
Bulbourethral glands
Prostate" Correct Ans-"Prostate
*prostate secretes seminal fluid
*bulbourethral gland secretes lubricant and neutralises pH"
"
A 52-year-old male presents with increasing swelling of his legs over the last three months. He
has also noted his face appears swollen at times, more so in the mornings. In addition, he has
noticed that his urine is ""foamy"". He is otherwise well, with no significant past medical history.
On examination, you note widespread oedema, worst in the legs and urinalysis reveals
significant proteinuria (++++).
Some investigations are performed with the following results:
Blood pressure: 160/70
Pulse: 74bpm
Haemoglobin: 140 g/L
Creatinine: 90 μmol/ L
Albumin: 22 g/L
CRP: 3
Which of the following is the most likely diagnosis?
, Minimal change glomerulonephritis
Wegener's granulomatosis
Post-infectious glomerulonephritis
Membranous nephropathy
Microscopic polyangiitis" Correct Ans-Membranous nephropathy
"
What is the most common type of renal calculi?
Calcium phosphate
Mixed calcium oxalate & phosphate
Uric acid
Cystine
Calcium oxalate" Correct Ans-Calcium oxalate
A 63-year-old man attends the dialysis unit three times a week to receive haemofiltration. In
normal functioning kidneys, what detects changes in salt concentrations (such as sodium
chloride) and adapts the glomerular filtration rate accordingly?
Juxtaglomerular cells
Mesangial cells
Podocytes
