Multiple choice questions URONEPHROLOGY: I.Generalized edema occurred in a girl 3 years old.

The parents claimed that the edema happened for the second time. 1.The most possible working diagnosis is : A.Idiopathic Nephrotic Syndrome B.Nephritic Syndrome C.Secondary Nephrotic Syndrome D.Poststreptococcal Acute Glomerulo nephritis(PSAGN) E.Angioneurotic edema 2.The very important differential diagnosis of the above working diagnosis is : A.Lupus nephritis B.Acute Nephritic Syndrome C.Angioneurotic edema D.PSAGN E.Acute Renal Failure 3.Which one of the following laboratory examination, that support your diagnosis: A.Concentration of blood albumin B. of urine albumin C. of blood urea D. of blood creatinine E. of urine creatinine

4.Regarding to the age of the patient,your working diagnosis tend to be : A.Secondary NS B.Idiopathic NS C.Corticosteroid sensitive of NS D. resistant of NS E. dependent of NS 5.Which one of the characteristics of Corticosterod sensitive of NS of the following items : A.Histologically shows Minimal Changes B.Resistent Corticosteroid C.Decreased of Renal function D.Bad prognosis E.Histologically shows Focal Glomerulosclerosis II.A seven year old boy enters the hospital because of red urine.The parents complain that the child had headache and vomiting. 6.Your working diagnosis based on the above statement is: A.Nephrotic Syndrome B.Schoenlein Henoch Syndrome C.Secondary Nephrotic Syndrome D.Acute Nephritic Syndrome E.Lupus Nephritis

7.The important differential diagnosis of your working diagnosis is: A.Acute Poststreptococcal Glomerulonephritis B.Idiopathic NS C.Secondary NS. D.Urinary Tract Infection E.Minimal Change of NS. 8. Headache and vomiting are signs of : A. Dehydration B. Hypertension C. Acute Renal Failure D. Nephrotic syndrome E. UTI 9. You could diagnose this patient as having APSGN, if you have all these signs, except : A. hematuria B. hypertension C. oligouria D. edema E. polakisuria 10. Corticosteroid should not be given to ASPGN because : A. the cause of ASPGN is bacteria B. by given antibiotics the signs will disappear C. APSGN is a limiting disease D. the patomechanism is an immune complex disease

E. APSGN has a good prognosis. III. A 9 month old girl brought by her mother enters the hospital because of high fever. According to her mother, the girl cried when she voided. 11. your working diagnose based on the above is : A. sepsis B. Urinary Tract Infection C. glomerulonephritis D. urolithiasis E. pyelonephritis 12. the following diseases are included in Urinari Tract Infection (UTI), except : A. pyelitis B. pyelonephritis C. Cysitisis D. prostatitis E. ureteritis 13. All of the following items are predisposition of UTI, except A. vesicouretral refluks B. urolithiasis C. congenital anomaly of urinary tract D. nephrotic syndrome E. renal cyst

14. A microorganism could reach the kidney from perineum area by the way of : A. hematogenic B. lymphogenic C. pericontinuitatum D. sepsis E. intestinal colonization 15.Recurent infection with other microorganism in UTI means : A. reinfection B. remission C. relaps D. reimprovement E. rebound phenomen