14. a 4 month old with Vitamin D-deficient rickets. Would be expected to show all of the following Except:

    1. Craniotabes.

    2. Bow Legs.

    3. Rosary.

    4. Low Serum phosphate level.

    5. High Alkaline phosphatase level

Nephrology

1. All of the following are consistent with the diagnosis of idiopathic nephrotic syndrome of child hood Except:

   1. Onset is usually between 2 and 6 years of age.

   2. Pathologic renal changes are minimal by light microscopy.

   3. C₃ level is depressed.

   4. Hypertension is unusual.

   5. Hyperlipidemea.

2. In nephrotic syndrome all of the following is correct Except:

   1. Edema is massive.

   2. Ascites may be present.

   3. Total serum globulin is diminished.

   4. massive proteinuria.

   5. Steroid are the drug of choice for treated.

3. In acute post streptococcal nephritis all of the following is correct Except:

   1. Smoky urine.

   2. Usually present with massive edema.

   3. Specific gravity of urine is high.

   4. Hypertension.

   5. Penicillin may be of value in patient management.

4. Concerning urinary tract infection in children all of the following is correct Except:

   1. Usually diagnosed if you find baeilliuria of 10000/mm² or more.

   2. Initial symptoms may be systemic (fever, abdominal pain).

   3. Treatment should be continued for at least 2 week.

   4. Found smelling is not a common presenting complaint.

   5. Common causative organism are gran –ve organism.

5. All of the following statement are correct about routine urine examination, Except:

   1. Specific gravity of 1015 is normal.

   2. Red blood cell cast is normal finding.

   3. One red blood cell is normal finding.

   4. One white blood cell is normal finding.

   5. Negative sugar is normal finding.

6. Of the following, the most reliable for the diagnosis of urinary tract infection:

   1. Fever and loin pain.

   2. A numerous WBCs in the urine analysis.

   3. Bacteria seen in the urine analysis.

   4. The presence of a single isolated of < 10⁵ /ml colory in urine.

   5. Dysuria and frequency.

7. A child with chronic renal failure is expected to develop all of the following Except:

   1. Abnormal linear growth.

   2. Hypophosphatemia.

   3. Hypertension.

   4. Hyperkalemia.

   5. Rickets.

8. In minimal lesion nephrotic syndrome all are true Except:

   1. There is proteinuria without gross hematuria.

   2. Serum BUN and Creatinine are normal.

   3. Ascites could be present.

   4. Hypertension is constant finding.

   5. Hepatomegally may be present.

9. Nephrotic syndrome is characterized by:

   1. Proteinuria.

   2. Hypoproteinemia.

   3. Edema.

   4. Hyperlipidemia.

   5. All of the above.

10. Minimal change nephrotic syndrome is characterized by the following Except:

    1. Edema.

    2. Albuminurea.

    3. Hypercholestrolemia.

    4. Hypoproteinemia.

    5. Hypertension.

11. Classical acute nephritis in children, characterized by all of following Except:

    1. Hypertension.

    2. Macroscopic hematuria.

    3. Follows streptococcal infection.

    4. Necessitates fluid restriction.

    5. Corticosteroid are the first line of therapy.

12. Proteinuria is usually found in all of the following Except:

    1. Nephrotic syndrome.

    2. Iron deficiency anemia.

    3. Acute glomonal nephritis.

    4. Renal tumor.

    5. Orthostatic.

13. The commonest cause of nephritis syndrome in child (3) years old is:

    1. Idiopathic.

    2. B-streptococcal group A infection.

    3. System lupus erythematous.

    4. Insulin dependent diabetic mellitus.

    5. Urinary tract infection.

14- which are of the following statements regarding hematuria is not

true

a- If casts are present , the source of hematuria must be the kidney.

b- Bright red urine that clots usually suggests renal, or upper

urinary tract source of bleeding.

c- The addition finding of proteinuria usually suggests a renal

source.

d- The most common neoplasm associated with hematuria is

wilm's tumor.

e- It can be a cause of anemia.

15. Which of the following statement is true of post streptococcal glomerulonephortic:

    1. More than 10% of children develop chronic renal failure.

    2. Hypertensive encephalopathy is recognized complication

    3. ASO Titer is not useful marker of streptococcal infection.

    4. Life long penicillin prophylactic is recommended.

    5. Abnormalities of serum complement usually persist for more than 3 months.

16. Post streptococcal acute glamerulonephritis is associated with all of the following Except:

    1. oliguriea..

    2. fall in C₃ level.

    3. Granular and red cell cast.

    4. Smoky urine.

    5. Polyurea.

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