I n t e r n a L medicine questions Bank

Hypercitrauria Hyperuricosuria

6. 
   ) All the following can be clinical & lab manifestations of hpokalemia except :
   

1. 
   Nephrogenic
   
2. 
   DI
   
3. 
   Tubular vacuolization
   
4. 
   Rhabdomyolysis
   
5. 
   Decreased Amoniagenesis Tetany
   

9. 
   ) According to National kidney foundation guidelines . All the following are acceptable target PTH levels in CRF as per stage except :
   

1. 
   Stage I , PTH 10-65 pg /ml
   
2. 
   Stage II 25-50 pg/ml
   
3. 
   Stage III 35 -70 pg/ml
   
4. 
   Stage IV 70-110 pg/ml
   
5. 
   Stage V 150-300 pg/ml
   

9. 
   ) All the following diuretic site of action combinations are true except :
   

1. 
   Indapamide is a Na channel blocker in CD
   
2. 
   Ethacrynic acid blocks NaK2CL in TALH
   
3. 
   Acetazolamide inhibits CA in PT
   
4. 
   Spironolactone inhibit Aldosterone in Principal cell
   
5. 
   Mannitol act on both PT & TALH
   

11) 30 year old male has IDDM for the past 15 years , now presenting with lower limb edema . Cr 2.0 mg/dl , urea 70 mg/dl . 24 hour urine collection 4.0 gm/24 hrs
All the following have a role in the progression of his renal disease except :

1. 
   Degree of Mesangial expansion on kidney biopsy
   
2. 
   Decrease in intraglomerular pressure
   
3. 
   Duration since onset of DM
   
4. 
   Amount of proteinurea Quitting smoking
   

12. 
    All the following are true about Focal Segmental Sclerosis ( FSGS) except :
    

1. 
   Familial type has better prognosis
   
2. 
   Progresses fast in Renal failure
   
3. 
   Collapsing type is associated with
   
4. 
   HIV Recurrence after transplant is high
   
5. 
   Main presentation is Nephrotic syndrome
   

12.