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Nephrology- Internal Medicine 3rd Year- PMU

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Nephrology- Internal Medicine 3rd Year- PMU

Question 1 of 25

1

Pastcrnacki method shows

Select one of the following:

Gall bladder pain
Pancreatic pain
Renal pain

Explanation

Question 2 of 25

1

Sucusio renalis is positive in

Select one or more of the following:

Chronic glomerulonephritis
Renal colic
Acute pyelonephritis

Explanation

Question 3 of 25

1

Which of the following is correct

Select one of the following:

Quantitative analysis of 24 h proteinuria shows that in healthy individuals are found up to 750 mg/24 h
In healthy individuals 24 h quantative proteinuria detects to 150 mg/24 h
In general urine analysis qualitative urine investigations detect presence of proteins

Explanation

Question 4 of 25

1

Which statements, referring to disturbed diuresis are correct

Select one or more of the following:

Polakiuria is elimination of more than 21/24 h, anuria is decreased urination below 100 ml/24h
Polyuria is increased diuresis over 21/24 h, anuria is decreased urination below 100 ml/24 h
Urina spastica is elimination of large amounts of light urine, following severe visceral crises (stenocardial, billiary, renal)

Explanation

Question 5 of 25

1

Quantitative analysis of proteinuria is done with

Select one of the following:

3 h morning urine
Middle portion of first morning urine
24 h urine

Explanation

Question 6 of 25

1

High level, nonselective proteinuria is typical for

Select one of the following:

Chronic tubulointerstitial nephritides
Glomerulonephritides
Acute renal failure

Explanation

Question 7 of 25

1

In tubular renal diseases proteinuria is

Select one of the following:

1-3 g/24 h
> 3 g/24 h
No proteinuria is present

Explanation

Question 8 of 25

1

When hematuria is found

Select one or more of the following:

Renal tuberculosis
Acute poststreptococcal glomerulonephritis
During anticoagulant therapy

Explanation

Question 9 of 25

1

Leukocyturia is defined as

Select one of the following:

presence of more than 1 leukocyte on the microscope field
> 2 leukocytes on a microscope field
5 leukocytes

Explanation

Question 10 of 25

1

Which of the following can lead to urine retention

Select one or more of the following:

Acute renal failure
Prostate adenoma
Neurologic diseases, damaging spinal medulla

Explanation

Question 11 of 25

1

Which of the following can lead to oligo-anuria

Select one or more of the following:

Shock
Malignant progressive glomerulonephritis
Obstructive uropalhies, resulting in ureteral or urethral obstructions

Explanation

Question 12 of 25

1

In nephrotic syndrome is found

Select one of the following:

Proteinuria > 1.5 g/24 h
Proteinuria > 3.5 g/24 h, hypoalbuminemia, oedemata, hypercholesterolemia
Proteinuria > 2 g/24 h and hematuria

Explanation

Question 13 of 25

1

Urocultures are positive when microbe count is above

Select one of the following:

1000/ml
10000/ml
100000/ml

Explanation

Question 14 of 25

1

Which of the following is valid for the acute glomerulonephritis

Select one or more of the following:

Oedemata, oliguria, hematuria, arterial hypertension are typical symptoms
Very often nephrotic syndrome is presented with proteinuria > 3. 5 9/24 h
Increased relative urine weight, low proteinuria about 0. 5 9/24 h, elevated ASLO. are typical laboratory findings

Explanation

Question 15 of 25

1

Volhard's triade in acute poststreptococcal glomerulonephritis includes

Select one of the following:

Oliguria, casts, arterial hypertension
Oliguria, proteinuria, hematuria
Oliguria with oedemata, hematuria, arterial hypertension

Explanation

Question 16 of 25

1

Acute pyelonephriti s is characterized by

Select one or more of the following:

Lumbar pain, high fever, dysuria, polakiuria
High proteinuria > 3. 5 g/24 h
Low proteinuria up to 1. 5 g/24 h

Explanation

Question 17 of 25

1

The most common infectious agent of acute pyelonephritis is

Select one of the following:

E. coli
Streptococus B hemolyticus
Mycoplasma

Explanation

Question 18 of 25

1

What investigations should be administered in a patient with exacerbated chronic pyelonephritis

Select one or more of the following:

Renal echography
Uroculture
Test for urine concentration

Explanation

Question 19 of 25

1

Berger's disease is

Select one of the following:

TgA chronic glomerulanephritis
Chronic lympholeucosis
Eosinophilic granuloma

Explanation

Question 20 of 25

1

Typical findings in chronic renal failure are

Select one of the following:

Hepato-and splenomegaly
Dry skin with excoriations, pale skin and mucosa, pericardial friction rub due to eliminatory pericarditis
Physical findings of a mitral or aortic valve diseases

Explanation

Question 21 of 25

1

Which of the following clinical manifestations are met in chronic renal failure

Select one or more of the following:

Eliminatory pericarditis
Eliminatory gastroenterocolitis
Renal osteodystrophy

Explanation

Question 22 of 25

1

Which oral lesions are met in a patient with chronic renal failure

Select one or more of the following:

Eliminatory stomatitis, gingivitis, xerostomy
Multiple carieses
Parodontosis, hypoplasia of tooth enamel

Explanation

Question 23 of 25

1

What changes are found in peripheral blood in chronic renal failure

Select one or more of the following:

Anemia
Thrombocytopenia
Leukopenia

Explanation

Question 24 of 25

1

What changes of calcium metabolism are found in chronic renal failure

Select one of the following:

Hypocalcaemia, hyperphosphatemia
Hypocalcaemia, hypophosphatemia
Hyperkalemia, hypophosphatemia

Explanation

Question 25 of 25

1

Which of the following investigations give some information on renal function

Select one or more of the following:

Creatinin and clearance of creatinine
Renal echography
Venous urography

Explanation