Case - Renal Disease

15 Questions | Total Attempts: 134

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Renal Quizzes & Trivia

CASE - renal disease + Knowledge


Questions and Answers
  • 1. 
    KNOWLEDGE - Which of the following are associated with NEPHROTIC SYNDROME..
    • A. 

      Proteinurea

    • B. 

      Hypoalbuminaemia

    • C. 

      Hyperalbuminaemia

    • D. 

      Normal urine protein

    • E. 

      Oedema

    • F. 

      Hyperlipidaemia

    • G. 

      Haematuria

    • H. 

      Pro thrombotic state

    • I. 

      Hypocoagulative state

    • J. 

      Can cause progressive renal disease

    • K. 

      Low urine volume

    • L. 

      IgG nephropathy as a possible cause

    • M. 

      IgA nephropathy as a possible cause

    • N. 

      Diabetes as a possible cause

    • O. 

      Lupus as a possible cause

    • P. 

      NSAIDs as a possible cause

    • Q. 

      Hypertension

    • R. 

      C3 deposition

  • 2. 
    KNOWLEDGE - Which of the following are associated with NEPHRITIC SYNDROME..
    • A. 

      Proteinurea

    • B. 

      Hypoalbuminaemia

    • C. 

      Hyperalbuminaemia

    • D. 

      Normal urine protein

    • E. 

      Oedema

    • F. 

      Hyperlipidaemia

    • G. 

      Haematuria

    • H. 

      Pro thrombotic state

    • I. 

      Hypocoagulative state

    • J. 

      Can cause progressive renal disease

    • K. 

      Low urine volume

    • L. 

      IgG nephropathy as a possible cause

    • M. 

      IgA nephropathy as a possible cause

    • N. 

      Diabetes as a possible cause

    • O. 

      Lupus as a possible cause

    • P. 

      NSAIDs as a possible cause

    • Q. 

      Hypertension

    • R. 

      C3 deposition

  • 3. 
    KNOWLEDGE - regarding the presence of casts on urine microscopy...
    • A. 

      RBC Casts always indicate renal disease

    • B. 

      RBC Casts indicate, most commonly, glomerulonephritis

    • C. 

      White Cell Casts can be seen in acute pyelonephritis

    • D. 

      White Cell Casts can be seen in glomerulonephritis

    • E. 

      Some casts may be normal

    • F. 

      Finely granulated casts indicate glomerular/tubular disease

    • G. 

      Coarsely granulated casts indicate glomerular/tubular disease

    • H. 

      Finely granulated casts are associated with pathological proteinurea

    • I. 

      Coarsely granulated casts are associated with pathological proteinurera

  • 4. 
    KNOWLEDGE - in Acute Kidney Injury, (AKI)...
    • A. 

      Oliguria is common

    • B. 

      Polyuria is common

    • C. 

      Biochemically, increased plasma urea

    • D. 

      Biochemically, increased creatinine

    • E. 

      Biochemically, decreased plasma urea

    • F. 

      Biocehcmically, decreased creatinine

    • G. 

      Associated with anaemia

    • H. 

      Associated with hypocalcemia

    • I. 

      Associated with increased phosphate

    • J. 

      More common in elderly

    • K. 

      AKI is most commonly Pre-Renal

    • L. 

      AKI is most commonly Intrinsic AKI

    • M. 

      AKI is most commonly Post Renal

  • 5. 
    KNOWLEDGE - Pre Renal AKI...
    • A. 

      Is due to increased renal perfusion

    • B. 

      Is irreversible

    • C. 

      Can be a secondary effect of peritonitis

    • D. 

      Can be an effect of sepsis

    • E. 

      Can be an effect of anaphylaxis

    • F. 

      Can be an effect of heart failure

    • G. 

      Can be an ADR of NSAIDs

    • H. 

      Can be an ADR of diuretics

    • I. 

      Can be an ADR of ACE Inhibitors

  • 6. 
    KNOWLEDGE - in Intrinsic AKI...
    • A. 

      Haematuria indicates Glomerular damage

    • B. 

      Proteinurea indicates Glomerular damage

    • C. 

      RBC Casts indicate Glomerular damage

    • D. 

      Goodpastures can cause Tubulo-interstitium injury

    • E. 

      P-ANCA is present in Wegener's granulomatosis

    • F. 

      P-ANCA is present in Microscopic Polyangitis

    • G. 

      Anti-glomerular basement membrane antibody disease and Goodpastures are synonymous

    • H. 

      Glomerular AKI is associated with oedema and hypertension

    • I. 

      Tubulo-interstitium injury is part of Pulmonary-Renal disease

    • J. 

      Tubulo-interstitium injury is often autoimmune

    • K. 

      Tubulo-interstitium injury is associated with haematuria

    • L. 

      Tubulo-interstitium injury is usually normal on urinalysis

    • M. 

      Tubulo-interstitium injury is associated with proteinurea

    • N. 

      Urinalysis is commonly normal in Glomerular damage

    • O. 

      Tubulo-interstitium injury can be caused by ischaemia

    • P. 

      Radiocontrast is a major cause of glomerular damage

    • Q. 

      Radiocontrast is a major cause of tubulo-interstitium damage

    • R. 

      Rabdomyolysis is a major cause of glomerular damage

    • S. 

      Rabdomyolysis is a major cause of tubulo-interstitium damage

    • T. 

      Diuretics can produce an acute allergic interstital nephritis

    • U. 

      NSAIDS can produce an acute allergic interstitial nephritis

  • 7. 
    Whata re the possible causes of AKI?
    • A. 

      Pre-renal acute kidney secondary to dehydration and hypotension

    • B. 

      Bladder outflow obstruction secondary to enlarged prostate

    • C. 

      Acute interstitial nephritis secondary to NSAI ibuprofen

    • D. 

      Acute interstitial nephritis secondary to PPI lansoprazole

    • E. 

      Multi-system disorder causing intrinsic renal injury

  • 8. 
    Which is the ONE most useful method of imaging the kidneys for AKI?
    • A. 

      Plain X-Ray (KUB)

    • B. 

      Ultrasound

    • C. 

      Intravenous Urogram

    • D. 

      Non-Contrast CT KUB

    • E. 

      MR Angiogram

  • 9. 
    What tests would help you to clarify the of his AKI - which TWO are the most useful?
    • A. 

      Urinalysis - dipstick for blood and protein

    • B. 

      Urinalysis - dipstick for pH and nitrites

    • C. 

      Urinary sodium

    • D. 

      Urinary creatinine

    • E. 

      Urine culture

    • F. 

      Urine microscopy

  • 10. 
    (Case) In AKI associated with dyspnoeia, what are the more likely causes of shortness of breath ina  young patient who has been hospitalised?
    • A. 

      Pulmonary oedema

    • B. 

      Hospital-acquired pneumonia

    • C. 

      Aspiration pneumonia

    • D. 

      Pulmonary embolism

    • E. 

      Pulmonary haemorrhage

  • 11. 
    What does Positive C ANCA mean? Give ALL possible answers
    • A. 

      It confirms a recent infection

    • B. 

      It confirms irreversible renal failure

    • C. 

      It is a marker of microscopic vasculitis

    • D. 

      It is associated with Wegener's Granulomatosis

    • E. 

      It suggests intrinsic renal disease

  • 12. 
    How may microscopic vasculitis present? Give ALL possible answers
    • A. 

      Episcleritis

    • B. 

      Skin rashes

    • C. 

      Joint pains

    • D. 

      Nosebleeds

    • E. 

      GI Bleeds

    • F. 

      AKI

    • G. 

      CKD

    • H. 

      Pulmonary haemorrhage

    • I. 

      Mononeuritis Multiplex

    • J. 

      Seizures due to intracerebral haemorrhage

  • 13. 
    What is the significance of Crescents on renal biopsy? Give ALL correct answers
    • A. 

      Crescents indicate UTI

    • B. 

      Crescents indicate irreversible renal damage

    • C. 

      Crescents are diagnostic of Pulmonary-Renal syndrome

    • D. 

      Crescents are diagnostic of ANCA positive vasculitis

    • E. 

      Crescents indicate severe glomerular injury

  • 14. 
    Why is there a need for speed in dealing with Rapidly Progressive Glomerulonephritis (RPGN)? Give ALL correct options
    • A. 

      In fact, there is no particular urgency once the diagnosis is made

    • B. 

      Patients can rapidly become unwell with multi-system symptoms

    • C. 

      All c ANCA positive patients are at risk of developing pulmonary involvement

    • D. 

      Rapid aggressive immunosuppression may salvage damaged nephrons and restore useful renal function

    • E. 

      It is essential to prepare for urgent dialysis

  • 15. 
    What are the options for treatment for microscopic vasculitis? Give ALL correct answers
    • A. 

      Steroids

    • B. 

      Cortimoxazole

    • C. 

      Cyclophosphamide

    • D. 

      MMF

    • E. 

      Plasmapheresis

    • F. 

      Rituximab

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