MEDICINE: PRACTICE 15

MULTIPLE CHOICE QUESTIONS SERIES

INSTRUCTION: WRITE T (TRUE) OR F (FALSE) AGAINST THE OPTIONS IN EACH QUESTION

1.         The following are true about nephrotic syndrome:
   a.       Minimal change disease always respond to steroid therapy
   b.      Membranous nephropathy is common among teenagers
   c.       Patients are prone to deep venous thrombosis
   d.      Resistant hypertension is a common presentation
   e.      Calcium channel blockers are used to treat proteinuria
   2.       The following are causes of pre-renal acute kidney injury:
   a.       Post partum haemorrhage
   b.      Left ventricular failure
   c.       Severe burns injury
   d.      Rhabdomyolysis
   e.      Acute tubular necrosis
   3.       In chronic kidney disease:
   a.       Noturia is a late feature
   b.      History of seizure is a pointer to a space occupying lesion
   c.       There are bilateral shrunken kidneys
   d.      Proteinuria is always massive
   e.      Peripheral neuropathy is rare
   4.       In evaluating kidney disease:
   a.       Sterile pyuria is a normal finding
   b.      Haematuria in a young male is not unexpected
   c.       Haematuria in an adolescent female is always normal
   d.      A discrepancy of kidney size of 2 centimetres  is of no significance
   e.      Normochromic normocytic anaemia excludes kidney injury
   5.       The following are known causes of renal failure:
   a.       Hypovolaemia from any cause
   b.      Sepsis
   c.       Paracetamol
   d.      Gentamycin
   e.      Leptospirosis
   6.       In tuberculosis:
   a.       A primary lung lesion is a cavity lined by fibrous tissue
   b.      Primary amyloidosis is a common feature
   c.       The primary lung complex is a subpleural focus with associated hilar lymphadenopathy
   d.      Suppurative granuloma is rare
   e.      In most cases, the Ghon’s focus can progress to miliary tuberculosis
   7.       The recognized causes of haemoptysis include:
   a.       Bronchial asthma
   b.      Paragonimiasis
   c.       Pneumonia
   d.      Pulmonary oedema
   e.      Pulmonary embolism
   8.       This may be a component of Pott’s disease of the spine:
   a.       Pulmonary Kochs
   b.      Kyphosis
   c.       Kyphoscoliosis
   d.      Reduction in height
   e.      Pectus carinatum
   9.       In life threatening bronchial asthma:
   a.       Respiratory rate is usually less than 15 cycles per minute
   b.      Patient is unable to complete a sentence
   c.       There is marked bradycardia
   d.      The patient is usually cyanosed
   e.      The chest is usually clear
   10.   Which of the following is true of finger clubbing?
   a.       The only known cause is chronic obstructive pulmonary disease (COPD)
   b.      It is characterized by increased convexity  
   c.       The last stage of clubbing is increased fluctuancy of the nail bed
   d.      It can be a sign of paraneoplastic disease
   e.      It may be a constant feature of chronic suppurative lung disease
   
   
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