Presenting problems MCQ 33+

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• An arterial systolic bruit can be heard over the liver
  ক

  After Liver biopsy

  খ

  In hepato- cellular carcinoma

  গ

  In metastatic tumour in the liver

  ঘ

  In peliosis hepatis

  ঙ

  In mesenteric arterial stenosis
• The following statements about jaundice in
  ক

  In obstructive jandice the faeces are pale and the urine is dark

  খ

  Hepatocellular jaundice leads to an excessive excretion of bilirubin by the kidney

  গ

  Obstructive jaundice in commonly the result of gall stones blocking the cystic duct

  ঘ

  Haemolytic jaundice does not lead to changes in the faecal content of stercobilinogen

  ঙ

  The production of bilirubin from haemoglobin does not take place in liver failure
• Ascites may occur in
  ক

  Acute pancratitis

  খ

  Budd-Chiari syndrome

  গ

  Veno-occlusive disease

  ঘ

  Portal vein thrombosis

  ঙ

  Splenic vein thrombosis
• Tender hepatomegaly is found in the following condition
  ক

  Acute viral hepatitis

  খ

  Congestive cardiac failure

  গ

  Liver abscess

  ঘ

  Haemolytic anaemia

  ঙ

  Enteric fever
• Causes of hepatomegaly are
  ক

  Constrictive pericarditis

  খ

  Polycystic liver disease

  গ

  Pyogenic liver abscess

  ঘ

  Portal vein thrombosis

  ঙ

  Emphysema
• Followings are the causes of chylous ascites
  ক

  Tuberculosis

  খ

  Lymphoma

  গ

  Abdominal malignancy

  ঘ

  Necrotizing pancreatitis

  ঙ

  Cirrhosis of liver
• Ascites occurs in
  ক

  Acute pancreatitis

  খ

  Budd-Chiari syndrome

  গ

  Non-cirrhotic portal hypertension

  ঘ

  Constrictive pericarditis

  ঙ

  Splenic vein thrombosis
• Causes of tender hepatomegaly include
  ক

  Acute viral hepatitis

  খ

  Liver abscess

  গ

  Chronic myeloid leukemia

  ঘ

  Primary hepatocellular carcinoma

  ঙ

  Kala-azar
• Cause(s) of fluctuating jaundice is (are)
  ক

  Chronic pancreatitis

  খ

  Choledochal cyst

  গ

  Sphincter of Oddi dysfunction

  ঘ

  Pancreatic carcinoma

  ঙ

  Primary biliary cirrhosis
• The treatment of nocturnal enuresis are
  ক

  Imipramine

  খ

  Behavior therapy

  গ

  Haloperidol

  ঘ

  Clozapine

  ঙ

  Resperidon
• Renal transplantation may be followed by
  ক

  Infection

  খ

  Malignancy

  গ

  Amyloidosis

  ঘ

  Rheumatoid arthritis

  ঙ

  Psoriasis
• Significant proteinuria may be found in
  ক

  Glomerulonephritis

  খ

  Systemic lupus erythematosus

  গ

  Proximal renal tubular defect

  ঘ

  Cystic fibrosis

  ঙ

  Congenital hydronephrosis
• Haematuria, macroscopic or microscopic is an expected finding in
  ক

  Renal infarction [Davidson's/24th/P-582]

  খ

  Infective endocarditis [Davidson's/24th/P-465]

  গ

  Membranous glomerulonephritis

  ঘ

  Renal amyloidosis

  ঙ

  Malignant hypertension [Davidson's/24th/P-451]
• Characteristics of renal swelling
  ক

  Ballotable

  খ

  Colonic resonance present infront of swelling on percussion

  গ

  Swelling does not move with respiration

  ঘ

  Insinuation test negative

  ঙ

  Long axis of the swelling is directed towards opposite iliac fossa
• Causes of gross haematuria in children include
  ক

  IgA nephropathy

  খ

  Posterior urethral valve

  গ

  Vesicoureteric reflux

  ঘ

  Meatal stenosis

  ঙ

  Nephrotic syndrome
• Asymmetric kidney size is found in
  ক

  Congenital abnormality

  খ

  Polycystic kidney disease

  গ

  Renal artery stenosis

  ঘ

  Chronic glomerulonephritis

  ঙ

  Chronic pyelonephritis
• Urothelial carcinoma
  ক

  Is more common in men

  খ

  Usually presents with haematuria

  গ

  Is radio resistant

  ঘ

  Is commonly multicentric

  ঙ

  Frequently presents with polycythaemia
• Causes of painless haematuria are
  ক

  Neoplasm of kidney

  খ

  Tuberculosis of genitourinary system

  গ

  Blood dyscriasis

  ঘ

  Acute urinary tract infection

  ঙ

  Urolithiasis
• Causes of haematuria in children include
  ক

  Acute glomerulonephritis

  খ

  IgA nephropathy

  গ

  Alport syndrome

  ঘ

  Salicylate poisoning

  ঙ

  Congenital haemolytic anemia
• Recurrent gross hematuria may be present in
  ক

  IgA nephropathy

  খ

  Alport's syndrome (Davidsons/24th/P-577)

  গ

  Polycystic kidney disease (Davidsons/24th/B-18.22/P-579)

  ঘ

  Nephrotic syndrome

  ঙ

  Post streptococcal glomerulonephritis
• A report showing urine osmolality- 300 mosm/kg and urine sodium- 50 mmol/L, is compatible with
  ক

  Acute oliguric renal failure

  খ

  Acute non-oliguric renal failure

  গ

  Acute obstructive uropathy

  ঘ

  Pre renal uremia

  ঙ

  Acute post infectious glomerulonephritis
• Proteinuria of more than 15-20 gm/day occurs in
  ক

  Amyloidosis

  খ

  Analgesic nephropathy

  গ

  Renal vein thrombosis

  ঘ

  Acute tubular necrosis

  ঙ

  Fanconi's syndrome
• Fanconi syndrome is characterized by
  ক

  Acidosis

  খ

  Glycosuria

  গ

  Growth failure

  ঘ

  Hypochloremia

  ঙ

  Hyperphosphatemia
• Painless hematuria occurs in
  ক

  Genitourinary tuberculosis

  খ

  Hypertension

  গ

  Renal cell carcinoma

  ঘ

  Paroxysmal nocturnal hemoglobinuria

  ঙ

  Acute urinary tract infection
• In renal osteodystrophy
  ক

  Alkaline phosphatase is increased

  খ

  Parathyroid hormone is increased

  গ

  25(Ocholecalciferol is normal

  ঘ

  Serum calcium is increased

  ঙ

  Phosphate is reduced
• Causes of haematuria are
  ক

  Acute glomerulo-nephritis

  খ

  UTI

  গ

  IgA nephropathy

  ঘ

  Diabetes insipidus

  ঙ

  Diarrhea
• Causes of polyuria in children are
  ক

  Diabetes insipidus

  খ

  Hypokalaemia

  গ

  Diabetes mellitus

  ঘ

  Hyponatraemia

  ঙ

  Hypomagnesemia
• Polyuria is a feature of
  ক

  Chronic renal failure

  খ

  Diabetes mellitus

  গ

  Psychogenic polydipsia

  ঘ

  Urinary tract infection

  ঙ

  Rapidly progressive glomerulonephritis
• Causes of polyuria includes
  ক

  Diabetes insipidus

  খ

  Chronic renal failure

  গ

  Hypocalcemia

  ঘ

  Hyperkalemia

  ঙ

  Renal tubular acidosis
• Cause/s of polyuria is/are
  ক

  Hyperglycaemia

  খ

  Lithium

  গ

  Interstitial renal disease

  ঘ

  Hyperkalaemia

  ঙ

  Hypocalcaemia