a) Is between 150mg/day and 2g/day in glomerular leakage
b) Is > 3.5g/day is invariably due to glomerular disease
c) Is usually greater in the night than during the day
d) In patients with suspected myoglobinuria appositive dipstick maybe produced
e) In early diabetic nephropathy typically predominantly albumin is present
02. RBC casts can be seen in
a) Diabetes mellitus
b) Chronic GN
c) Bladder carcinoma
d) Renal stone
e) BPH
03. Microscopic hematuria is expected in
a) DM nephropathy
b) Minimal change disease
c) Focal segmental glomerulonephritis
d) Membranous proliferative nephropathy e) AKI
04. Microscopic hematuria features of
a) G6PD deficiency
b) DM nephropathy,
c) Krait bite.
d) Malignant HT.
e) OP poisoning
05. 32 year old male presented with haematuria for 1 day duration. There is a past history of haematuria 1 month back. He is on treatment for DM. No oedema. BP elevated. UFR, RBC-200, Pus cells - 3-4, protein- nil. No dysmorphic RBC or hyaline casts. Serum creatinine - Normal. Urinary protein - high. Possibilities are:-
a) Post streptococcal GN
b) UTI
c) Renal cell CA
d) IGA nephropathy
e) CKD
06. Causes of Nephrotic syndrome are
a) Infective endocarditis
b) Gold
c) Penicillamine
d) Amyloidosis
e) Falciparum malaria
07. Which of the following are more favor of minimal change nephritic syndrome?
a) Highly selective proteinuria
b) Plasma volume increased
c) Increased risk of thromboembolism
d) Mainly peri-orbital oedema
e) Microscopic haematuria
08. Clinical and biochemical features of minimal change disease are
a) Proteinuria >3g/24hrs
b) Gross oedema
c) Microscopic haematuria
d) High LDL cholesterol
e) Venous thrombosis
09. 36 year old male has facial and ankle swelling for 3 weeks. Which is more suggestive of nephritic syndrome?
a) UFR +++ protein
b) Serum albumin- 2.8
c) 24hour urine protein- 4g
d) Serum cholesterol- 328
e) Serum creatinine- 1.6
10. 36 year old female presented with B/L ankle oedema. Her BP is 130/80mmHg. Her Ix results are as follows
S.Cr. Normal UFR - protein 3+
Red cell/hyaline granular casts 24 hr. urinary protein - 3.4g What is the most likely histological type in renal biopsy?
a) Minimal change GN
b) Post streptococcal GN
c) Membrano-proliferative GN
d) Chronic interstitial nephritis
e) Diffuse mesangioproliferative with crescent formation
Answers
01. a) F b) T c) F d) T e) T
02. a) F b) T c) F d) F e) F
03. a) F b) F c) T d) T e) T
04. a) F b) F c) F d) T e) -
05. a) F b) T c) T d) T e) -
06. a) F b) T c) T d) T e) T
07. a) T b) F c) T d) T e) F
08. a) T b) T c) F d) T e) T
09. e
10. a
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