Renal And Endocrine Clinmed

22 Questions | Total Attempts: 275

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Endocrine System Quizzes & Trivia

Renal, endocrine


Questions and Answers
  • 1. 
    Which of the following is not a finding in acute renal failure?
    • A. 

      Elevated BUN and creatinine

    • B. 

      Asterixis

    • C. 

      Hypokalemia

    • D. 

      Anion gap metabolic acidosis

    • E. 

      Clotting disorders

  • 2. 
    Which is the most common cause of acute renal failure?
    • A. 

      Prerenal azotemia

    • B. 

      Acute tubular necrosis

    • C. 

      Interstitial nephritis

    • D. 

      Glomerulonephritis

  • 3. 
    Which of the following is associated with hyperglycemia and mannitol administration?
    • A. 

      Isotonic hyponatremia

    • B. 

      Hypertonic hyponatremia

    • C. 

      Euvolemic hypotonic hyponatremia

    • D. 

      Hypervolemic hypotonic hyponatremia

    • E. 

      Hypovolemic hypertonic hyponatremia

  • 4. 
    Which of the following is treated with isotonic saline?
    • A. 

      Isotonic hyponatremia

    • B. 

      Euvolemic hyponatremia

    • C. 

      Hypervolemic hyponatremia

    • D. 

      Hypovolemic hypernatremia

  • 5. 
    What is the most common cause of hypokalemia?
    • A. 

      Acidosis

    • B. 

      Infectious diarrhea

    • C. 

      Trimethoprim-sulfamethoxazole

    • D. 

      Mineralcorticoid deficiency

    • E. 

      Trauma

  • 6. 
    Treating hyperkalemia with intravenous calcium can cause which of the following?
    • A. 

      Digitalis toxicity

    • B. 

      Cerebral edema

    • C. 

      Immediate death

    • D. 

      Osteitis fibrosa cystica

  • 7. 
    What is the most common electrolyte abnormality in hospitalized patients?
    • A. 

      Hyperkalemia

    • B. 

      Hypocalcemia

    • C. 

      Hypernatremia

    • D. 

      Hyponatremia

  • 8. 
    Which electrolyte disturbance manifests with early signs of lethargy, irritability, and weakness and late symptoms of hyperthermia, delirium, seizures and coma?
    • A. 

      Hypokalemia

    • B. 

      Hyperkalemia

    • C. 

      Hypernatremia

    • D. 

      Hyponatremia

  • 9. 
    Which of the following ECG changes suggests hypokalemia?
    • A. 

      Peaked T waves

    • B. 

      Biphasic QRS-T complexes

    • C. 

      PR interval prolongation

    • D. 

      Prominent U waves

  • 10. 
    Which is a cause of hyperkalemia?
    • A. 

      Infectious diarrhea

    • B. 

      Trauma

    • C. 

      Acidosis

    • D. 

      Alkaolsis

    • E. 

      Aldosterone increases

  • 11. 
    Which electrolyte is usually ignored in the calculation of anion gap?
    • A. 

      Potassium

    • B. 

      Chloride

    • C. 

      Sodium

    • D. 

      Bicarbonate

  • 12. 
    Which is a cause of anion gap metabolic acidosis?
    • A. 

      Spironolactone

    • B. 

      Licorice

    • C. 

      Uretero-pelvic shunt

    • D. 

      Rhabdomyolysis

  • 13. 
    Which of the following is not a cause of euvolemic hypotonic hyponatremia?
    • A. 

      Hyperglycemia

    • B. 

      Endurance exercise

    • C. 

      SIADH

    • D. 

      Use of thiazide diuretics

    • E. 

      Beer potomania

  • 14. 
    Which is a cause of increased anion gap acidosis?
    • A. 

      Hemorrhagic shock

    • B. 

      Alcoholic ketoacidosis

    • C. 

      Posthypocapnia

    • D. 

      Uremia

    • E. 

      Diabetic ketoacidosis

  • 15. 
    Which is false of alkalosis?
    • A. 

      It is more commonly saline responsive

    • B. 

      Mild forms are generally well tolerated

    • C. 

      It may be accompanied by low potassium

    • D. 

      Symptoms include asterixis and myoclonus

    • E. 

      It can be treated with NSS and discontinuance of diuretics

  • 16. 
    What is the most common cause of glomerulonephritis?
    • A. 

      Pseudomonas

    • B. 

      E.coli

    • C. 

      Group A strep

    • D. 

      Drugs

    • E. 

      Viruses

  • 17. 
    Which of the following conditions is associated with dense subepithelial deposits or "humps?"
    • A. 

      Postinfectious glomerulonephritis

    • B. 

      IgA nephropathy

    • C. 

      Henoch-Schonlein purpura

    • D. 

      Goodpasture's syndrome

    • E. 

      Minimal change disease

  • 18. 
    Which is associated with anti-GBM antibodies?
    • A. 

      IgA nephropathy

    • B. 

      Goodpasture's syndrome

    • C. 

      Henoch-Schonlein purpura

    • D. 

      Minimal change disease

    • E. 

      Membranous nephropathy

  • 19. 
    Which of the following is associated with foot process effacement on electron microscopy?
    • A. 

      Goodpasture's syndrome

    • B. 

      Henoch-Schonlein purpura

    • C. 

      Minimal change disease

    • D. 

      Membranous nephropathy

    • E. 

      IgA nephropathy

  • 20. 
    Which of the following is associated with membranous nephropathy?
    • A. 

      Spike and dome pattern on biopsy

    • B. 

      Most commonly seen in children

    • C. 

      Cola-colored urine

    • D. 

      Peripheral edema

    • E. 

      Arthralgias

  • 21. 
    What is the most common cause of primary hyperaldosteronism?
    • A. 

      Adrenal hyperplasia

    • B. 

      Corticosteroid use

    • C. 

      Adrenal adenoma

  • 22. 
    What is a cause of secondary central diabetes insipidus?
    • A. 

      Destruction of vasopressin by a circulating enzyme during pregnancy

    • B. 

      Defect in the kidney tubules that interferes with water absorption

    • C. 

      Amyloidosis

    • D. 

      Pituitary stalk tumor

    • E. 

      Lithium use

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