Renal Quiz (12.8.2017)

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Renal Quiz .. 12/8/2017 Dr. Ahmad .S.

Alarabi

Name/ ______________________________________ ‫اإلســــــــــــم‬


Enrollment No/ ____________________________ ‫رقــم القــــيـد‬
MCQ Exam: Choose the most appropriate answer. Time allowed = 30 minutes

Q1: Glucose is reabsorbed at luminal border:

a) By passive transport. b) By Na+ co-transport. c) By H+ counter transport.


d) By diffusion.

Q2: In humans, what percentage of nephrons has long loop of Henle:

a) 5. b) 15. c) 35. d) 85.

Q3: Normally, most of the filtered HCO3– is reabsorbed from:

a) PCT. b) DCT. c) Cortical collecting ducts. d) Loop of Henle.

Q4: GFR would be decreased by:

a) Mild constriction of the efferent arteriole.


b) An increase in afferent arteriolar pressure.
c) An increase in renal blood flow.
d) A decrease in the concentration of plasma proteins.
e) None of the above.

Q5: H+ secretion in PCT is primarily associated with:

a) Excretion of K+. b) Reabsorption of ca++. c) Reabsorption of bicarbonate.


d) Reabsorption of phosphate. e) Reabsorption of water.

Q6: The juxtaglomerular cells of JGA secrets:

a) Aldosterone. b) ADH. c) Angiotensin II. d) Renin. e) Adrenaline.

Q7: ADH will be released from posterior pituitary when there is a decrease in:

a) Plasma Na+ concentration. b) Plasma volume. c) Plasma K+ concentration.


d) Plasma PH. e) Both a & b are correct.

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Renal Quiz .. 12/8/2017 Dr. Ahmad .S. Alarabi

Q8: The following data were collected from an adult male:

o Plasma glucose level = 135 mg / dL.


o Concentration of inulin in plasma = 50 mg / dL.
o Concentration of inulin in urine = 60 mg / ml.
o Volume of urine collected in 40 minute = 60 ml.
o The subject’s GFR was:

a) 7200 ml/min. b) 180 ml/min. c) 0.5 ml/min. d) 0.5 L/min. e) 7.2 L/min.

Q9: Based on the above data, his glucose tubular load was:

a) 243 ml/min. b) 675 mg/min. c) 243 mg/dl. d) 243 mg/min. e) 243 mg/ml.

Q10: Renin secretion by the kidney is increased by:

a) Increasing mean blood pressure. b) Increasing GFR.


c) Increasing sympathetic activity. d) Increasing angiotensin II synthesis.
e) Increasing atrial natriuretic hormone secretion.

Q11: Renal correction of hyperkalemia will result in:

a) Increase in PH. b) Increase in bicarbonate excretion.


c) Decrease in chloride plasma concentration. d) All of the above. e) a & b are correct.

Q12: Administration of Furosemide leads to:

a) Excretion of hypo-osmotic fluid. b) Increase in urine flow rate.


c) Decrease solute delivery to DCT. d) Hypervolemia. e) None of the above.

Q13: Abnormal high levels of ADH may result in:

a) Decrease in Na+ concentration in plasma. b) Secretion of concentrated urine.


c) Increase in urine flow rate. d) Diuresis. e) Both a & b are correct.

Q14: Which of the following statements about renin is correct:

a) It is secrete by cells of PCT.


b) Its secretion leads to loss of Na+ & water from plasma.
c) Its secretion is stimulated by increase in mean renal arterial pressure.
d) It converts angiotensinogen to angiotensin I.
e) It converts angiotensin I to angiotensin II.

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Renal Quiz .. 12/8/2017 Dr. Ahmad .S. Alarabi

Q15: The amount of potassium excretion by the kidney will decrease:

a) If circulating aldosterone levels increase.


b) If dietary intake of potassium increases.
c) If Na+ reabsorption by the distal nephron decreases.
d) In the case of alkalosis.
e) None of the above.

Q16: Which of the following substances will be more concentrated at end of PCT if compared at
the beginning of PCT:

a) Glucose. b) Creatinine. c) Sodium. d) Phosphate. e) None of the above.

Q17: In dehydrated subject, osmolarity of tubular filtrate drops as it goes through:

a) Descending limb of loop of Henle. b) PCT. c) DCT.


d) Ascending limb of loop of Henle. e) Cortical collecting ducts.

Q18: Which of the following is NOT seen in CRF patient:

a) Acidosis. b) Hyperkalemia. c) Uremia.


d) Hypervolemia. e) None of the above.

Q19: Hyperkalemia can result from:

a) Administration of spironolactone. b) Administration of CA inhibitors. c) Alkalosis.


d) Drinking a large amount of water. e) Both a & b are correct.

Q20: Low levels of ADH:

a) Are reached at end of a fasting day.


b) Are accompanied by increased plasma Na+ concentration.
c) Leads to formation of hypo-osmotic urine.
d) Can be a result of supra-optic nucleus damage.
e) Both b & d are correct.

End of questions

Hard Luck

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