Medical Questions PDF

33) 22 years old girl presents to her after awaking with a swollen face. Arterial hypertension, Blood pressure is 160/80 mmHg. There is swelling of the face, abdomen and legs. Serum creatinine is 1.6 mg/dl; (normal range up to 1.0 mg/dl); Albumin is 2.7 g/dl; (normal range 3.5-4.5 g/dl); The 24 hour...

33) 22 years old girl presents to her after awaking with a swollen face. Arterial hypertension, Blood pressure is 160/80 mmHg. There is swelling of the face, abdomen and legs. Serum creatinine is 1.6 mg/dl; (normal range up to 1.0 mg/dl); Albumin is 2.7 g/dl; (normal range 3.5-4.5 g/dl); The 24 hour urine excretion is 2.6g. The most likely diagnostic test should be perfomed is A) Kidney biopsy B) Renal scan with Tc-99 C)CT D)MRI 34) Which of the following classes of antihypertensive medications is not recommended for initial treatment? A)Thiazide-type diuretics B) Potassium-sparing diuretics C) Angiotensin receptor blockers D) ACE inhibitor 35) Which of the following causes of renovascular hypertension is more common among younger patients? A) Atherosclerosis B) Fibromuscular dysplasia C) Surgical errors D) Tumors  36) Which of the following diagnostic tests for renovascular hypertension may also be therapeutic? A) Radionuclide imaging B) Magnetic resonance angiography C) Renal angiography D) Ultrasonography 37) The cause of death of most patients with chronic kidney disease is A)cardiovascular disease B) kidney failure C) malnutrition D) volume overload 38) in patient with GFR 22, drug of choice for hypertension is? A) ACE inhibitors B) B blockers C) Loop diuretics D) Ca channel blockers 39) The nephrotic syndrome is primarily due to: A) diabetic glomerulosclerosis B) toxic necrosis of renal tubular epithelium C) increased permeability of the glomerular filtration barrier D) narrowing of the afferent arteriole  40) Nephrotic syndrome is characterized by: A) hematuria, proteinuria, hypertension B) hematuria, azotemia, hypertension C) proteinuria, edema, hyperlipidemia D) bacteriuria, azotemia, hypertension 41) Normal range for proteinuria in 24 hour urine collection is_ A)