Renal MCQ - Part II - Renal Failure - with answers

Acute Kidney Injury

01. Increase serum Creatinine seen in 

a) Pregnancy
b) Myocardial infarction
c) Treatment with cimetidine
d) Early DM nephropathy
e) Russell’s Viper bite

02. Increased blood urea is seen in 

a) Na valproate treatment,
b) Rhabdomyolysis.
c) Addison's disease
d) Severe liver disease
e) Tetracycline therapy

03. In acute renal failure, due to a pre-renal cause WOTF can be true, 

a) BP = 80/60 mmHg
b) Severely dehydrated patient
c) Concentrated urine
d) Serum K+ level of 6.2 mmol/l.
e) Sepsis

04. Acute renal failure 

a) Commonest cause is acute tubular necrosis
b) Presence of anemia should raise the suspicion of Rhabdomyolysis
c) Small kidneys on USS
d) May have prolonged bleeding time
e) Long QT syndrome may be a rare cause of death

05. Regarding a patient with acute renal failure, the following are correctly paired, 

a) Red cell casts - acute glomerular nephritis
b) Field full of pus cells - pyelonephritis
c) Microscopic haematuria - Leptospirosis d) Jaundice and bleeding - Hepato renal syndrome
e) Hypernatremia - acute tubular necrosis

Chronic Kidney Disease 

06. Expected findings in CKD 

a) Sclerosed glomeruli in biopsy
b) 15.5cm sized kidneys
c) Pallor
d) Increased serum potassium level
e) A negative mantoux despite exposure to TB

07. Typical biochemical abnormalities of CKD

a) Hyperglycemia

b) Hypophosphatemia
c) Hypercalcaemia
d) Metabolic acidosis
e) Proteinuria> 3.5g/l

08. Features suggestive of CKD

a) Intravascular volume constriction
b) Hypophosphatemia
c) Hyperuricaemia
d) Hypertriglyceridemia
e) Hypernatremia

09. Which of the following helps in diagnosis of CKD over AKI? 

a) Raised S.Cr
b) Small kidneys
c) Normochromic normocytic anemia
d) Raised urea with normal S.Cr
e) Osteodystrophy

10. Factors that help to differentiate CKD from AKI

a) B/L small kidneys
b) Increase in creatinine level
c) Anemia
d) Hyperkalemia
e) Bilateral ankle oedema

11. Regarding treatment of CKD

a) Blood transfusions are best avoided in treatment of anemia
b) Osteoporosis is a complication due to treatment
c) Glycosuria is an indication to start anti DM drugs
d) Moderate protein restriction may have a value
e) Blood pressure should be reduced to 130/90mmHg

Answers 

01. a) F b) - c) T d) F e) T

02. a) F b) F c) T d) F e) T

03. a) T b) T c) T d) F e) T

04. a) T b) - c) F d) T e) F

05. a) T b) T c) T d) T e) F

06. a) T b) F c) T d) T e) T

07. a) F b) F c) F d) T e) -

08. a) F b) F c) T d) T e) F

09. a) F b) T c) T d) F e) T

10. a) T b) F c) T d) F e) F

11. a) T b) T c) F d) F e) F