Renal and Urinary Tract Disorders MCQ
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Questions and Answers

What is the primary indication for renal bladder ultrasonography (RBUS)?

  • Detection of renal cell carcinoma
  • Febrile urinary tract infection (UTI) in children (correct)
  • Detection of vesicourethral reflux (VUR)
  • Diagnosis of renal artery stenosis
  • Which diagnostic test is considered invasive and exposes patients to radiation?

  • Voiding cystourethrogram (VCUG) (correct)
  • Renal biopsy
  • Blood chemistry analysis
  • Renal scintigraphy
  • What does a fractional excretion of sodium (FEna) value greater than 2% typically indicate?

  • Chronic kidney disease (CKD)
  • Post-renal obstruction
  • Acute tubular necrosis (ATN) (correct)
  • Pre-renal AKI
  • Which of the following is a hallmark feature of nephrotic syndrome?

    <p>Edema</p> Signup and view all the answers

    Which investigation is likely to show low levels in acute post-streptococcal glomerulonephritis (APSGN)?

    <p>Complement component 3 (C3)</p> Signup and view all the answers

    Study Notes

    Renal and Urinary Tract Disorders - MCQ Study Notes

    • Renal Bladder Ultrasonography (RBUS): Primarily used to identify issues in the urinary tract, not to diagnose diseases like renal cell carcinoma or renal artery stenosis.
    • Invasive Diagnostic Tests: Voiding cystourethrogram (VCUG) is invasive and exposes patients to radiation; renal biopsy is another invasive test.
    • Fractional Excretion of Sodium (FEna): A FEna value greater than 2% suggests acute tubular necrosis (ATN), not pre-renal AKI, CKD or post-renal obstruction.
    • Nephrotic Syndrome: A hallmark of nephrotic syndrome is edema, not hematuria, hypertension or fever.
    • Acute Post-Streptococcal Glomerulonephritis (APSGN): Complement component 3 (C3) levels are typically decreased, not serum creatinine, hemoglobin, or platelet count.
    • Proteinuria and Nephrotic Syndrome: Proteinuria greater than 3.5 g/g is diagnostic of nephrotic syndrome.
    • Muddy Brown Casts: Indicates acute tubular necrosis (ATN), not acute glomerulonephritis, nephrotic syndrome or minimal change disease.
    • Community-Acquired Urinary Tract Infections (UTIs): Escherichia coli is the most common pathogen in community-acquired UTIs.
    • Renal Scarring: Static scintigraphy (Tc-DMSA) is best for detecting renal scarring caused by recurrent urinary tract infections.
    • Glomerular Disease: Dysmorphic red blood cells (RBCs) in urinalysis are indicative of glomerular disease.

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    Description

    This quiz focuses on renal and urinary tract disorders, helping students review key concepts such as diagnostic tests, nephrotic syndrome, and urinary anomalies. It covers essential topics like renal ultrasonography, acute tubular necrosis, and glomerulonephritis. Perfect for mastering the understanding of renal pathophysiology through multiple-choice questions.

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