Nephrology Practice Questions

Nephrology tests electrolyte management, acute kidney injury, glomerular pathology, and acid-base disorders. These four sample questions come from MediLingo's bank of 3,900+ questions across 21 specialties.

Sample questions

Question 1

A patient has thrombocytopenia, schistocytes, fluctuating neurologic symptoms, fever, and AKI. Which lab confirms TTP?

a) ADAMTS13 activity <10% ✓ Correct
b) Low C3 complement
c) Positive ASO titer
d) Anti-PLA2R antibody

Key teaching point: TTP = ADAMTS13 <10%; treat with plasmapheresis.

Question 2

Why is the calcium-phosphate product monitored in CKD?

a) Gout
b) Vascular calcification ✓ Correct
c) Tetany
d) Kidney stones

Key teaching point: High CaxP product -> vascular calcification.

Question 3

When should asymptomatic bacteriuria be treated?

a) All catheterized patients
b) All diabetics
c) Pregnancy and pre-urologic procedure only ✓ Correct
d) All elderly patients

Key teaching point: Asymptomatic bacteriuria: treat only in pregnancy or pre-urologic procedure.

Question 4

Electron microscopy in minimal change disease shows:

a) Diffuse foot process effacement on electron microscopy ✓ Correct
b) Crescents in Bowman's space
c) Subepithelial spikes and domes
d) Kimmelstiel-Wilson nodules

Key teaching point: MCD: normal light microscopy, foot process effacement on EM.

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