I n t e r n a L medicine questions Bank

Excessive Licorice ingestion

Gittleman syndrome

13. 
    All the following are true for a Diabetic with ESRD except
    

1. 
   Oral hypoglycaemic agents should be stopped
   
2. 
   First year post transplant survival is the same as in the general population
   
3. 
   More prone to hypotension during HD than other patients
   
4. 
   They have higher Insulin requirements
   
5. 
   PD is associated with increase in Triglycerides level
   

14. 
    A 40 year old female known to have Membranous GN came to OPD with 24 hour protein 4 gm/24 hours , Cr 1.0 mg/dl , Urea 40 mg/dl . Her Bp 160/100 , she was started on Enalapril 20 mg 1x1 . The desirable Bp reading in such a lady should be :
    

a) 140/90
b) 130/85
c) 120/75
d) 130/80
e) 135/85

15. 
    20 year old male has a LRD kidney transplant 2 years ago , he is not known to be Diabetic nor Hypertensive . His medications are Tacrolimus 3 mg 1x2 , prednisone 5mg 1x2 , MMF 1 gm 1x2, Labs : FBS 400 mg/dl , Cr 1.0 mg/dl , Urea 35 mg/dl , Tacrolimus level 12 . The next step in managing his Diabetes other than start him on treatment and re checking his sugar level is :
    

1. 
   Stop Prednisone
   
2. 
   Decrease MMF to 500 mg 1x2
   
3. 
   Stop Tacrolimus
   
4. 
   Stop MMF , and increase Tacrolimus
   
5. 
   Decrease Tacrolimus to 2 mg 1x2
   

16. 
    Each of the glomerular lesions listed below can cause Nephrotic syndrome . Which of them may be found in all the following conditions : non – Hodgkins lymphoma , hepatitis B, hepatitis C , and infective endocarditis ?
    

1. 
   Focal and segmental glomerulosclerosis
   
2. 
   Minimal change disease
   
3. 
   Membranous nephropathy
   
4.