I n t e r n a L medicine questions Bank

Plasmapheresis + Methylprednisone IV + Cyclophosmide PO

Prednisone 30 mg Q day alternating with Chlorambucil

Tacrolimus 1 mg 1x2

9. 
   40 year old male know to have Nephrotic syndrome for 15 years , now presenting with Cr 8.0 mg/dl , Urea 100 mg/dl , All the following are indications to start this patient on dialysis except :
   

1. 
   Peripheral Neuropathy
   
2. 
   Anemia
   
3. 
   Pericarditis
   
4. 
   Low albumin
   
5. 
   Bleeding tendency
   

10. 
    All the following are true about Diabetic Nephropathy except :
    

1. 
   More likely to occur if patient ha siblings with Nephropathy
   
2. 
   More severe in black
   
3. 
   Occurs within 5 years in I DDM
   
4. 
   It needs 15 years to progress into ESRD after start of overt proteinurea
   
5. 
   Mostly preceeded by Diabetic Retinopathy
   

11. 
    60 year old male known to have Diabetes for 10 years and is on Enalapril 10 mg 1x2 , presented to ER because all his peripheral extremities became paralised , Labs K 8.0 meq /L , Cr 1.0 mg/dl. Which of the following should be used first in the management of this patient :
    

1. 
   NAHCO3 Iv
   
2. 
   Ventolin nebuliser
   
3. 
   Glucose + insulin Iv
   
4. 
   K exalate ( Na polysterene Sulfonate )
   
5. 
   Ca gluconate Iv
   

12. 
    25 year old male presented c/o of polyurea and weakness , Bp 110/70 , Labs : K 3.0 meq/l , PH 7.46
    

, HCO3 32 . All the following could be part of the dfferential of the above case except :

1. 
   Barter Syndrome
   
2. 
   Furosemide abuse
   
3. 
   Hypercalcemia
   
4.