Download 5 th year questions Q1.

5th year questions
Q1. What are the pathological findings of a patient with APSGN?
Q2. Discuss the treatment of patients with hemolytic uremic
syndrome?
Q3. What is the pathology of mesangial proliferation of idiopathic
nephrotic syndrome?
Q4. What is the pathology of focal segmental glomerulosclerosis of
idiopathic nephrotic syndrome?
Q5. Why patients with nephrotic syndrome are more prone for
infections during relapse? What are your measures to decrease that
complications?
Q6. What are the risk factors for urinary tract infections?
Q7. Discuss the ways of obtaining urine sample for urine cultures?
Q8. What are the indications of prophylaxis in patients with urinary
tract infection?
Q9. What are the pathogenesis of HUS ?
Q10. What is the pathology of minimal changes idiopathic nephrotic
syndrome?
Q11. Discus the imaginings study in patients with UTI ?
MCQ 5th year
Q1. Clinical pyelonephritis may be diagnosed with a positive urine culture and
which of the followings:
A. Urgency
B. Flank pain
C. Fever
D. Vomiting
E. Any of B, C, or D
Q2.Cystitis is associated with all of the following except:
A.
B.
C.
D.
E.
Urgency
Adenovirus
Fever
Absence of renal scarring
Sexual activity in female
Q3. Risk factors for UTI include all of the following except:
A.
B.
C.
D.
E.
Uncircumcised male
Sexual activity
Reflux nephropathy
Breast feeding
Spinabifida
Q4. Nephritis with low C3 include all of the following except:
A. Endocarditis
B. SLE
C. Chronic infection
D. Membrano proliferative
E. IgA nephropathy
Q6. In treatment of UTI all are true except:
A. Five days course of broad spectrum antibiotic is preferable.
B. Children who are dehydrated or in whom sepsis is suspected should be
admitted.
C. Percutaneus drainage in children with perirenal abscess.
D. A urine culture should be obtained 1 week after termination of treatment.
E. Follow up urine culture should be for 1-2 years.
Q7. Risk factors for UTI include all of the following except:
A.
B.
C.
D.
E.
Constipation
Male sex
Vesicouretral reflux
Labial adhesion
Tight clothing
Q8. Indications of prophylaxis in UTI include all of the following except:
A.
B.
C.
D.
E.
Recurrence of UTI
Neurogenic bladder
Male with febrile UTI
Vesicouretral reflux
Urinary tract obstructions and calculi
Q9. In acute hemorrhagic cystitis all are true except:
A.
B.
C.
D.
E.
Caused by E. Coli
Caused by adenovirus 11
More frequent in females
Caused by adenovirus 21
Not need treatment
Q10. Cyclophosphamide in nephrotic syndrome, all are true except:
A. Prolongs the duration of remission
B. Reduces the number of relapses in frequently relapsing and steroid
resistant nephrotic syndrome
C. Is given as a single oral dose for a total duration 8-12 weeks
D. Alternate day prednisone therapy is often continue with
Cyclophosphamide
E. Hemorrhagic cystitis is the more frequent complications
Q11. In nephrotic syndrome, all true except:
A.
B.
C.
D.
E.
S. albumin is less than 2g/dl
S. cholesterol and triglyceride are elevated
S. calcium is increase
Heavy proteinuria
Microscopic hematuria may be present in 20%
Q12. A 5-yr-old girl presents with cola-colored urine, oliguria, and
body edema 2 wk after being treated for group A -hemolytic streptococcal
pharyngitis. Her complement C3 is noted to be very low at 15 mg/dL. When
should this patient's complement C3 level be repeated in order to confirm
your suspected diagnosis?
A. In 6 week
B. In 2 wk
C. In 3 wk
D. In 4 wk
E. In 8 wk
Q13. All of the following statements regarding poststreptococcal
glomerulonephritis (PSGN) are true except:
A.PSGN is common in children 2-5 yr of age
B. The acute phase of PSGN usually resolves in 6-8 wk
C. Microscopic hematuria may persist for 1-2 yr following the
initial presentation of PSGN
D. The serum C3 level is usually reduced in the acute phase
of PSGN
E. The best single antibody titer to document cutaneous
streptococcal infection is the deoxyribonuclease (DNase)
B antigen
Q14. All of the following statements about hemolytic-uremic
syndrome (HUS) are true except:
A.HUS is the most common cause of acute renal failure in
young children
B. Verotoxin elaborated by Escherichia coli O157:H7 initiates
endothelial cell injury in HUS
C. HUS always presents after enteritis with diarrhea
D. The diagnosis of HUS requires microangiopathi
hemolytic anemia, thrombocytopenia, and acute renal
failure
E. Mortality from HUS is less than 10
Q15. A 3-yr-old boy presents with periorbital and pedal edema. The
differential diagnosis includes all of the following except:
A.Protein-losing enteropathy
B. Acute glomerulonephritis
C. Nephrotic syndrome
D. Hepatic failure
E. Orthostatic proteinuria
1.E
2.C
3.D
4.E
6.A
7.B
8.C
9.C
10.B
11.C
12.E
13.A
14.C
15.E