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Glomerular Syndromes

মোট প্রশ্ন২২এই পাতা২২প্রতি পাতা১০০
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Glomerular Syndromes

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Which one is a prominent feature of nephrotic syndrome?
  1. ক) Haematuria
  2. খ) Hypertension
  3. গ) Reduced renal function
  4. ঘ) Overt proteinuria
.
X-linked condition
  1. ক) Turner’s syndrome
  2. খ) Klinefelter’s syndrome
  3. গ) Alport’s syndrome
  4. ঘ) Pendred’s syndrome
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Commonest cause of acute glomerulonephritis
  1. ক) Systemic disease
  2. খ) Primary glomerular disease
  3. গ) Poststreptococcal
  4. ঘ) Shunt nephritis
ব্যাখ্যা
ABM 477
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Which one is the cause of low SAAG ascites?
  1. Cirrhosis
  2. Cardiac failure
  3. Nephrotic syndrome
  4. Constrictive pericarditis
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Gross hematuria occurs in
  1. IgA nephropathy
  2. Alport syndrome
  3. Tumor
  4. All
ব্যাখ্যা
GROSS  HEMATURIA
•Trauma
•Tumor
•IgA nephropathy
•Alport syndrome
.
Which of the following is the cause of rapidly progressive glomerulonephritis (RPGN)?
  1. ক) IgA nephropathy
  2. খ) Alport’s syndrome
  3. গ) Post-infectious glomerulonephritis
  4. ঘ) All above
.
Which may be detected in glomerulonephritis secondary to systemic vasculitis?
  1. ক) ANA
  2. খ) Anti dsDNA
  3. গ) ANCAs
  4. ঘ) Antibodies to GBM
ব্যাখ্যা
Reference: Davidson 23rd; P-389
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Common cause of NS in children
  1. ক) Minimal change disease
  2. খ) Focal segmental glomerulosclerosis
  3. গ) Membranous glomerulopathy
  4. ঘ) IgA nephropathy
ব্যাখ্যা
ABM 474
.
Most common cause of nephrotic syndrome in children is-
  1. Focal segmental glomerulosclerosis
  2. Minimal change disease
  3. Membranous nephropathy
  4. IgA nephropathy
ব্যাখ্যা
Davidson P-571
১০.
Complication of nephrotic syndrome includes?
  1. ক) Hypoalbuminaemia
  2. খ) Avid sodium retention
  3. গ) Hypercholesterolaemia
  4. ঘ) All above
ব্যাখ্যা
Reference: Davidson 23rd, Box-15.11
১১.
Which one is responsible for development of Nephrotic syndrome?
  1. Breaks in glomerular basement membrane
  2. Reactive cell proliferation
  3. Injury to podocytes
  4. Inflammation
১২.
Which of the following is not a feature of nephritic syndrome?
  1. ক) Oedema and generalised fluid retention
  2. খ) polyurea
  3. গ) Haematuria
  4. ঘ) Reduced renal function
ব্যাখ্যা
EXplanation: The nephritic syndrome is characterised by the presence of haematuria in association with hypertension, oliguria, fluid retention and reduced/declining renal function
১৩.
Clinical features of nephritic syndrome exclude
  1. ক) Hematuria
  2. খ) Overt proteinuria
  3. গ) HTN
  4. ঘ) Oliguria
ব্যাখ্যা
Reference: Davidson 23rd; P-393
১৪.
Which type of nephrotic syndrome is more common in children?
  1. ক) Minimal change disease
  2. খ) Focal segmental glomerulosclerosis
  3. গ) Membranous nephropathy
  4. ঘ) Diabetic nephropathy
ব্যাখ্যা
Reference: Davidson 23rd, Box-15.10
১৫.
NS is associated with daily loss of------------protein
  1. 2.5 gm
  2. 3.5gm
  3. 1.5gm
  4. 4 gm
ব্যাখ্যা
1.
Massive proteinuria, with the daily loss of 3.5 gm or more of protein (less in children)
2.
Hypoalbuminemia, with plasma albumin levels  less than 3 gm/dL
3.
Generalized edema
4.
Hyperlipidemia and lipiduria
১৬.
Which of the following is NOT a feature of nephritic syndrome?
  1. Hematuria
  2. Hypertension
  3. Oliguria
  4. Hyperlipidemia
ব্যাখ্যা
Answer: D
Explanation: Nephritic syndrome is characterised by hematuria, hypertension, oliguria, and azotemia. Davidson emphasises that hyperlipidemia is a feature of nephrotic syndrome, not nephritic syndrome. Nephritic syndrome results from glomerular inflammation, leading to red blood cell leakage into the urine. Harrison explains the differences between nephritic and nephrotic syndromes, noting that nephritic syndrome also causes renal insufficiency and fluid retention.
১৭.
Pathognomic for diabetic kidney diseas in renal biopsy
  1. ক) Apple green birefingence
  2. খ) Crescent moon shaped glomeruli
  3. গ) Kimmelstiel-Wilson nodule
  4. ঘ) Wire looping of capillaries
ব্যাখ্যা
Reference: Davidson 23rd; P-758 , fig : 20.22
১৮.
Which of the following is an indication for renal biopsy?
  1. Uncontrolled hypertension
  2. Small kidney
  3. Unexplained hematuria
  4. Nephritic syndrome
১৯.
Common cause of NS in adult
  1. ক) Minimal change disease
  2. খ) Focal segmental glomerulosclerosis
  3. গ) Membranous glomerulopathy
  4. ঘ) IgA nephropathy
ব্যাখ্যা
ABM 475
২০.
Antibody mediated hypersensitivity
  1. ক) Allergic disease
  2. খ) Nickel hypersensitivity
  3. গ) Serum sickness
  4. ঘ) Goodpasture’s disease
২১.
Low complementemia doesn't found in
  1. PIGN
  2. AGN
  3. SBE
  4. SLE
২২.
Which of the following is the most common cause of nephrotic syndrome in adults?
  1. Membranous nephropathy
  2. Minimal change disease
  3. Focal segmental glomerulosclerosis (FSGS)
  4. Diabetic nephropathy
ব্যাখ্যা
According to Davidson, diabetic nephropathy is the most typical cause of nephrotic syndrome in adults. Diabetic nephropathy leads to glomerular damage resulting in proteinuria, hypoalbuminemia, and edoema. Harrison emphasises that strict control of blood sugar and blood pressure can help slow the progression of diabetic nephropathy and reduce the risk of end-stage renal disease.