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Nephrology- Internal Medicine 3rd Year- PMU

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Nephrology- Internal Medicine 3rd Year- PMU

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

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