2. MCQs
1. Which of the following is least likely lower
urinary tract symptom?
a. Polyuria
b. Urgency
c. Frequency
d. Nocturia
3. 2. Calculus at which site will have least
symptoms?
a. Kidney
b. Ureter
c. Urinary bladder
d. Urethra
4. 3. Which of the following medications can be
safely prescribed in patients with renal
compromise?
a. Lithium
b. Iron sulphate
c. NSAIDs
d. Magnesium sulphate
5. 4. What acid base disorder do we expect in
patients with chronic kidney disease?
a. Respiratory acidosis
b. Respiratory alkalosis
c. Metabolic alkalosis
d. Metabolic acidosis
6. 5. A transplanted kidney can be palpable as a
smooth mass in:
a. Right Iliac region
b. Epigastric region
c. Left hypochondriac region
d. Left lumbar region
7. 6. What is the normal range of serum urea?
a. 10-15 mg/dl
b. 15-40 mg/dl
c. 0-2 mg/dl
d. >90 mg/dl
8. 7. Which is the commonest cause of nephrotic
syndrome in children?
a. Membranous glomerulonephritis
b. Focal segmental glomerulosclerosis
c. Minimal change glomerulopathy
d. Systemic lupus erythematosus
9. 8. Cushing's syndrome will have all of the
following clinical features except:
a. Buffalo hump
b. Hypertension
c. Hirsutism
d. Hypoglycemia
10. 9. Which is true regarding pheochromocytoma?
a. It is a common neuroendocrine disorder
b. It is one of the causes of secondary
hypertension.
c. Presence of urine free catecholamines will rule
out the disease
d. 50% of the cases involve bilateral adrenal glands.
11. 10.In subclinical hypothyroidism, the correct TFT
report is:
a. TSH, T3, T4 all normal
b. TSH normal ; T3, T4 raised
c. TSH low ,T3, T4 normal
d. TSH raised, T3, T4 normal
12. SAQs: Classify Chronic Kidney disease. Mention the
various risk factors for CKD. (3+2)
• Diabetes
• Hypertension
• acute kidney injury
• proteinuria
• Smoking
• chronic use of
NSAIDs
• cardiovascular
disease (IHD, CCF,
peripheral vascular
disease, CVA)
• structural renal
tract disease,
recurrent renal
calculi or prostatic
hypertrophy
• multisystem
diseases with
potential kidney
involvement: SLE
• family history of
ESRD or hereditary
kidney disease
13. Differentiate in tabular form hypothyroidism and
hyperthyroidism. (5)
hypo hyper
Reflexes decreased increased
T3, T4 decreased increased
TSH increased decreased
Treat-
ment
thyroxin PTU,
Carbimazole
Surgery none thyroidectomy
