
Nephrology Quiz
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6 questions
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1.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
A patient with a history of Sjögren syndrome has the following laboratory findings: plasma sodium 139 mEq/L, chloride 112 mEq/L, bicarbonate 15 mEq/L, and potassium 3.0 mEq/L. Urine studies show a pH of 6.0, sodium of 15 mEq/L, potassium of 10 mEq/L, and chloride of 12 mEq/L.
What is the most likely diagnosis?
2.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
A patient is followed closely by her nephrologist for stage IV chronic kidney disease associated with focal segmental glomerulosclerosis.
Which of the following is an indication for initiation of maintenance hemodialysis?
3.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
A 35-year-old woman with hypertensive kidney disease progresses to end-stage renal disease. She was initiated on peritoneal dialysis 1 year ago and has done well with relief of her uremic symptoms. She is brought to the emergency department with fever, altered mental status, diffuse abdominal pain, and cloudy dialysate. Her peritoneal fluid is withdrawn through her catheter and sent to the laboratory for analysis. The fluid white blood cell count is 125/μL with 85% polymorphonuclear neutrophils.
Which organism is most likely to be found on culture of the peritoneal fluid?
4.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
At 25 year old man presents with a history of upper respiratory symptoms followed by streaky hemoptysis and malaise. His blood pressure was 140/90 and he has trace lower extremity edema. Pertinent laboratory include BUN 86 mg/dL & Cr of 3.5 mg/dL. Urinanalysis shows +2 protein, 3 blood, 5 to 10 RBC/hpf, and rare RBC cast. Chest radiograph demonstrates opacities in both lung fields.
The most likely diagnosis at this point:
5.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
At 25 year old man presents with a history of upper respiratory symptoms followed by streaky hemoptysis and malaise. His blood pressure was 140/90 and he has trace lower extremity edema. Pertinent laboratory include BUN 86 mg/dL & Cr of 3.5 mg/dL. Urinanalysis shows +2 protein, 3 blood, 5 to 10 RBC/hpf, and rare RBC cast. Chest radiograph demonstrates opacities in both lung fields.
The most appropriate initial diagnostic study should be:
6.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
At 25 year old man presents with a history of upper respiratory symptoms followed by streaky hemoptysis and malaise. His blood pressure was 140/90 and he has trace lower extremity edema. Pertinent laboratory include BUN 86 mg/dL & Cr of 3.5 mg/dL. Urinanalysis shows +2 protein, 3 blood, 5 to 10 RBC/hpf, and rare RBC cast. Chest radiograph demonstrates opacities in both lung fields.
The clinical course of this lesion:
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