Download MID 1

MID 1
1- small amounts of the following is a pathological finding in urinary deposit:
a- Pus cell
b- RBCs
c- Epithelial cells
d- Granular casts 
2- One of the following is not NPN compound:
a- creatinine
b-creatine
c-urea
d-urobilinogen 
3- Reference range for urinary creatinine is :
a- 1-1.8 mg\dl
b- 1-1.8 g\dl
c- 1-1.8 mg\day
d- 1-1.8 g\day 
4- the following marker is the best routine marker for measuring GFR:
a- Inulin
b- Cystatin
c- Creatine
d- creatinine 
5-One of the following causes could not produce aminoaciduria:
a- Ingestion of some toxic substance
b- Ingestion of high protein diet 
c- Marked liver cell failure
d- Marked nephritis
6-Differentiation of amino acids in aminoaciduria is done by:
a- Gas chromatography
b- TLC 
c- Microscopic examination of urinary deposits
d-Examination by urinary strips
7-In quantitative analysis of urinary creatinine, the sample should be:
a- First morning sample
b- Second morning sample
c- Mid stream if a female patient
d- 24 hours sample 
8-One of the following is not a cause of polyuria:
a- Diabetes mellitus
b- Diabetes insipidus
c- Acute renal failure 
d- early chronic renal failure
9-Dark colored urine may be attributed to all of the following except:
a-Obstructive jaundice
b-Hemolytic jaundice
c-alkonuria
d- Diabetes insipidus 
10-Fixed urine specific gravity (1.010) is usually seen in:
a- Chronic renal faiure 
b- Acute renal failure
c- Nephritic syndrome
d- Nephrotic syndrome
11-One og the following is not a prerenal cause of proteinuria:
a- Bence jones proteinuria
b- IV hemolysis
c- Urinary calculi 
d- Orthostatic proteinuria
12-The most important causes for proteinuria are:
a- Prerenal causes
b- Renal causes 
c- Postrenal causes
13-Microalbuminuria means urinary albumin excretion:
a- Less than 20 mg\dl
b- less than 20 mg\L
c- 20-200 mg\dl
d- 20-200 mg\L 
14-The pathology associated with excretion of globulins in urine is usually:
a- Glomerular pathology
b- Tubular pathology 
c-Both glomerular & tubular
d- Pelvic pathology
15-Presence of red cell casts is suggestive of:
a- Glomerular pathology 
b- Tubular pathology
c-Both glomerular & tubular
d- Pelvic pathology
16-Waxy casts are usually suggestive of:
a- Acute renal pathology
b- Chronic renal pathology 
c- Acute prerenal pathology
d- Chronic prerenal pathology
17-As regards microalbuminuria, one of the following is wrong:
a- an early indicator of glomerular integrity
b- detected by immunochemical method
c- Not detected by urine strips
d- Indicates presence of small size albumin in urine 
18-The routine specific test for detection of glucose in urine is:
a- Benedict test
b- Glucose oxidase test 
c- Rothera test
d- TLC
19-Ketonuria usually occurs in:
a- starvation
b- Diabetic ketosis
c- sever vomiting
d- all of the above 
20-The chemical test for detection of blood in urine is:
a- Rothera test
b- Benzidine test 
c- Benedict test
d- Nitrite test
21-Complete cessation of urine is called:
a- Nocturia
b- Anuria 
c- Oliguria
d- Polyuria
22-The commonest type of casts is:
a- Granular casts
b- Hyaline casts
c- Pus casts
d- Epithelial casts
23-Advantage (s) of using dipstick method:
a- Easy & rapid
b- Cost effective
c- Reliable
d- all of the above 
24- traces of the following substance are usually detected in normal urine by urinary strips:
a- Bilirubin
b- Urobilinogen 
c- Glucose
d- Ketone bodies
25-Presence of nitrites in urine indicates presence of:
a- Blood
b- pus cell
c- Gram –ve bacteria 
d- Gram +ve bacteria
26-One of the following is not a cellular cast:
a- Pus cast
b- Fatty cast 
c- Red cell cast
d- Epithelial cast
27-Protein selectivity index that is 0.3 means:
a- Poor response to steroid therapy
b- bad prognosis
c- sever glomerular damage
d- all of the above 
28-Heavy proteinuria with hypoalbuminuria & hypercholesterolemia is suggestive of:
a- Familial hyperlipidemia
b- Nephrotic syndrome 
c- Nephritic syndrome
d- Chronic renal failure
29-Normoglycemic glucoosuria occurs in:
a- Cushing's syndrome
b- Diabetes Mellitus
c- Acromegally
d- Renal glucosuria 
30-Osmolality is usually measured by:
a- urinometers
b- Urinary strips
c- PH meter
d- freezing point depression method 
31-Quantitation of proteins is urine is usually done by:
a- Biuret's method
b- BCG method
c- Turbidimetric method 
d- Esbach's method
32-The most sensitive & specific test for assessing renal function is:
a- serum creatinine
b- creatinine clearance 
c- serum urea
d- Urea clearance
33-Measurement of urinary transferrine could be done by:
a- Immunonephelometry 
b- Electrophoresis
c- Turbidimetic method
d- Colorimetric method
34-The substance that has clearance value that is exactly & usually equal GFR is :
a- creatinine
b- urea
c- inulin 
d- glucose
35-The disadvantages of using urea in measuring GFR:
a- it is reabsorbed by tubules
b- it is affected by renal flow rare
c- it is affected by dietary proteins
d- all of the above 
36-The disadvantages of using creatinine clearance in measuring GFR:
a- it is reabsorbed by tubules in cases with high serum creatinine
b- it is secreted by tubules in case with high serum creatinine 
c- it is affected by renal flow rate
d- it is affected by muscle mass
37-Predisposing factor(s) for urinary calculi:
a- Urinary tract infection
b- dehydration
c- damage of epithelial lining of urinary tract
d- all of the above 
38-The best low molecular weight protein used in measuring GFR is:
a- RBP
b- Alpha 1 Microglobulin
c- Beta 2 Microglobulin
d- Cystatin C 
39 – all of the following crystal in acidic urine except
Ammonium magnesium phosphate ( ‫االجابه كانت‬
‫ في حساب االزمولليتي ايش اهم شي نحسبه‬40 –
Sodium, Urea & Glucose ( ‫كانت االجابه‬
MID 2
1- The beta HCG test is usually negative in the following condition:
a- Seminoma
b- Bronchogenic carcinoma 
c- Hydatiform mole
d- Ectopic pregnancy
2- invalid pregnancy test in urine sample could be attributed to all of the following except:
a- inadequate urine volume
b- inadequate gestational age 
c- improper procedure
d- deteriorated reagents
3- the available kits for beta HCG could be all of the following except:
a- Qualitative
b- Quantitative
c- Could define exact gestational age 
d- Could be used for serum samples
4- The Alpha subunit of HCG is similar to that of the following hormone except:
a- TSH
b- FSH
c- ACTH 
d- LH
5- the CASA is suitable for assessing all of the following sperm parameter except:
a- percentage of motility
b- Count
c- Velocity
d- Differentiation between dead & immotile forms 
6- Hypospermia is:
a- Absence of sperms
b- Absence of semen
c- Low sperm motility
d- Low semen volume 
7- Most of seminal plasma comes from:
a- Prostate
b- Seminal vesicles 
c- Testes
d- epididymes
8- The usual time for liquefaction in most normal semen samples is:
a- >60 min
b- 60 min
c- 20-30 min 
d- None of the above
9- The most important & common chemical substance in semen that is assessing androgenic
activity is:
a- prostaglandins
b- Acid phosphatase
c- Glucose
d- Fructose 
10- Normal PH of semen should be:
a- Highly acidic
b- slightly acidic
c- Highly alkaline
d- slightly alkaline 
11- according to WHO criteria 2010 sample of semen could be fertile if having:
a- >= 80% normal morphology
b- >= 50% norma morphology
c- >=30% normal morphology
d- 15>= normal morphology 
12- We have to report azospermia in the following condition:
a- If there is no sperm in first wet mount examination
b- If there is no sperm in second examination after centrifugation 
c- If there is no sperm in examination by CASA
d- None of the above
13- Important enzyme for ova penetration are found within:
a- nucleus of the sperm
b- acrosome of the sperm 
c- Mitochondria of the sperm
d- Flagella of the sperm
14- Secondary abnormalities in sperm morphology usually occur:
a- after ejaculation
b- secondary to infections
c- After detachment from semineferous tubules 
d- during spermatogenesis
15- the following is considered an abnormal morphology of sperm:
a- sperm with smooth oval head
b- sperm with tail that is double head size 
c- sperm with acrosome of 40-70% of head size
d- sperm with straight tail
16- sexual abstinence before semen analysis should be for:
a- 1-2 days
b- 3-5 days 
c- 7-10 days
d- >10 days
17- The antisperm antibody test is usually done in all of the following conditions except:
a- Low sperm counts 
b- sperm agglutination
c- Low sperm motility
d- Abnormal postcoital test
18- Post-ejaculation urine analysis is usually done in cases suspected to have:
a- sever inflammation of testes
b- retrograde ejaculation 
c- rapid ejaculation
d- senile enlargement of the prostate
19- adequate motility grade should have:
a- motility a+b > 25%
b- motility a+b > 50% 
c- motility a+b+c > 25%
d- motility a+b+c > 50%
20- the very recent fertility indices consider the following semen parameter:
a- count&motility
b- count, volume and motility
c- count, motility & normal morphology
d- count, volume, motility & norma morphology 