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Nephrology- Internal Medicine 3rd Year- PMU

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Nephrology- Internal Medicine 3rd Year- PMU
Med Student
Quiz by Med Student , updated more than 1 year ago
Med Student
Created by Med Student almost 6 years ago
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Resource summary

Question 1

Question
Pastcrnacki method shows
Answer
  • Gall bladder pain
  • Pancreatic pain
  • Renal pain

Question 2

Question
Sucusio renalis is positive in
Answer
  • Chronic glomerulonephritis
  • Renal colic
  • Acute pyelonephritis

Question 3

Question
Which of the following is correct
Answer
  • 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

Question 4

Question
Which statements, referring to disturbed diuresis are correct
Answer
  • 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)

Question 5

Question
Quantitative analysis of proteinuria is done with
Answer
  • 3 h morning urine
  • Middle portion of first morning urine
  • 24 h urine

Question 6

Question
High level, nonselective proteinuria is typical for
Answer
  • Chronic tubulointerstitial nephritides
  • Glomerulonephritides
  • Acute renal failure

Question 7

Question
In tubular renal diseases proteinuria is
Answer
  • 1-3 g/24 h
  • > 3 g/24 h
  • No proteinuria is present

Question 8

Question
When hematuria is found
Answer
  • Renal tuberculosis
  • Acute poststreptococcal glomerulonephritis
  • During anticoagulant therapy

Question 9

Question
Leukocyturia is defined as
Answer
  • presence of more than 1 leukocyte on the microscope field
  • > 2 leukocytes on a microscope field
  • 5 leukocytes

Question 10

Question
Which of the following can lead to urine retention
Answer
  • Acute renal failure
  • Prostate adenoma
  • Neurologic diseases, damaging spinal medulla

Question 11

Question
Which of the following can lead to oligo-anuria
Answer
  • Shock
  • Malignant progressive glomerulonephritis
  • Obstructive uropalhies, resulting in ureteral or urethral obstructions

Question 12

Question
In nephrotic syndrome is found
Answer
  • Proteinuria > 1.5 g/24 h
  • Proteinuria > 3.5 g/24 h, hypoalbuminemia, oedemata, hypercholesterolemia
  • Proteinuria > 2 g/24 h and hematuria

Question 13

Question
Urocultures are positive when microbe count is above
Answer
  • 1000/ml
  • 10000/ml
  • 100000/ml

Question 14

Question
Which of the following is valid for the acute glomerulonephritis
Answer
  • 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

Question 15

Question
Volhard's triade in acute poststreptococcal glomerulonephritis includes
Answer
  • Oliguria, casts, arterial hypertension
  • Oliguria, proteinuria, hematuria
  • Oliguria with oedemata, hematuria, arterial hypertension

Question 16

Question
Acute pyelonephriti s is characterized by
Answer
  • Lumbar pain, high fever, dysuria, polakiuria
  • High proteinuria > 3. 5 g/24 h
  • Low proteinuria up to 1. 5 g/24 h

Question 17

Question
The most common infectious agent of acute pyelonephritis is
Answer
  • E. coli
  • Streptococus B hemolyticus
  • Mycoplasma

Question 18

Question
What investigations should be administered in a patient with exacerbated chronic pyelonephritis
Answer
  • Renal echography
  • Uroculture
  • Test for urine concentration

Question 19

Question
Berger's disease is
Answer
  • TgA chronic glomerulanephritis
  • Chronic lympholeucosis
  • Eosinophilic granuloma

Question 20

Question
Typical findings in chronic renal failure are
Answer
  • 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

Question 21

Question
Which of the following clinical manifestations are met in chronic renal failure
Answer
  • Eliminatory pericarditis
  • Eliminatory gastroenterocolitis
  • Renal osteodystrophy

Question 22

Question
Which oral lesions are met in a patient with chronic renal failure
Answer
  • Eliminatory stomatitis, gingivitis, xerostomy
  • Multiple carieses
  • Parodontosis, hypoplasia of tooth enamel

Question 23

Question
What changes are found in peripheral blood in chronic renal failure
Answer
  • Anemia
  • Thrombocytopenia
  • Leukopenia

Question 24

Question
What changes of calcium metabolism are found in chronic renal failure
Answer
  • Hypocalcaemia, hyperphosphatemia
  • Hypocalcaemia, hypophosphatemia
  • Hyperkalemia, hypophosphatemia

Question 25

Question
Which of the following investigations give some information on renal function
Answer
  • Creatinin and clearance of creatinine
  • Renal echography
  • Venous urography
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