(BQ) Part 2 book “Davidson's self-assessment in medicine” has contents: Respiratory medicine, nutritional factors in disease, diabetes mellitus, gastroenterology, maternal ophthalmology, maternal medicine, and other contents. | 8 Conway, P Phelan, GD Stewart Nephrology and urology Multiple Choice Questions . A 45 year old man presents with a 6-week history of bilateral ankle swelling. On examination his pulse was 72 beats/min, blood pressure (BP) 126/68 mmHg, jugular venous pressure (JVP) was not elevated and auscultation of heart and lungs was unremarkable. He had no stigmata of chronic liver disease. Which of the following is the most appropriate initial investigation? A. Abdominal ultrasound scan B. D-dimer G. Echocardiogram D. Urinalysis E. Urinary sodium formula-derived estimated glomerular filtration rate (eGFR) of 40 mUmin/1. 73 m 2 . Which person below is likely to have the lowest measured (true) glomerular filtration rate (. the eGFR is falsely reassuring)? A. A 25 year old male body builder B. A 40 year old African American man with II hypertension G. A 45 year old woman currently taking trimethoprim for a urinary tract infection D. A 56 year old man with type 2 diabetes and an above-knee amputation E. An 85 year old woman with hypertension ,1 !' and type 2 diabetes j f ·;I . A 72 year old man is found to have acute . A 46 year old man with a 10-year history kidney injury (AKI). Urine microscopy reveals the presence of red cell casts. What is the most likely aetiology of his renal failure? of type 2 diabetes presents with a 6-week ;' history of bilateral leg swelling. He reports 1 that he had been taking non-steroidal anti-inflammatory drugs (NSAIDs) for osteoarthritis regularly for the past 3 months. Investigations reveal: eGFR >60 mUmin/ 1. 73 m2 ; urinalysis: protein 4+, blood negative; protein: creatinine ratio 1680 mg/mmol; and a serum albumin of 14 g/L. Serum albumin and urinary albumin: creatinine ratios 4 months previously were 36 g/L and 25 mg/mmol, respectively. What is the most likely diagnosis? A. Acute tubular necrosis B. Haemolytic uraemic syndrome G. Microscopic polyangiitis D. Sclerodermic renal crisis E. Tubulointerstitial .
