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Nephrology Multiple Choice Questions
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TOPIC: Nephrology Multiple Choice Questions
#711
Re:Questions 2 Months, 4 Weeks ago Karma: 12
nnavam wrote:
Q#37

A 50 ye male is going for coronary angiogram. He has a chronic but stable Cr. of ~178. You are planning to use contrast. In addition to IV fluid you are also planning on starting an infusion of N-acetylcysteiine. The primary endpoint in the NAC studies looked at:
1. Decreased rate of dialysis
2. Decreased serum creatinine levels within 1 week
3. Decreased rate of hospitalizations due to renal failure
4. Decreased mortality

In the IV NAC studies that showed benefit, creatinine elevation was the measure which improved
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#712
Re:Questions 2 Months, 4 Weeks ago Karma: 12
nnavam wrote:
Q#38

A 65 yr female with history of gout, chronic hypertension, presents with days of peripheral edema. BP was 180-190's with lower extremity edema and proteinuria 4.2g/d. No RBC, no casts in urine.

Whats the most likely diagnosis ?
a) renovascular disease
b) membranous glomerulonephritis
c) hypertensive nephrosclerosis
d) gouty nephropathy

Statistically membranous is the most common assuming she is caucasian, but given the wording in the question, would vote for 'C'
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#713
Re:Questions 2 Months, 4 Weeks ago Karma: 12
nnavam wrote:
Q #39

Which of the following is true about the mechanism of cyclosporine induced renal toxicity?

a. renal toxicity is independent of dose
b. hypokalemia frequently associated with chronic form of cyclosporine toxicity
c. cyclopsorine has a direct effect on renal perfusion
d. ATN most common renal side effect of cyclosporine

'C'

Cyclosporine can cause direct renal vasoconstriction.
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