Medicine an Surgery notes

Apr 25th, 2015
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2ND CAT YEAR 51. Idiopathic nephritic syndromea) Is common in less than 1 year of age. b) Is commonest due to secondary causes.c) Minimal change is more common. d) Prednisone 1mg/kg is used for treatment.e) Prognosis is good. 2. In treatment of Nephrotic Syndromea) Calcium channel blockers reduce proteinuria b) Captopril may be required for treatment c) Hyperglycemia is a common complicationd) Alternative treatment does not cause infertility e) During relapse prednisone 40mg/m2 per day is initiated 3. The following statements are true about idiopathic nephritic syndromea) focal sclerosing glomerulonephritis causes 50% of cases b) Thromboebolic phenomena cannot occur due to over diuresis c) Albumin 1g/kg is used for treatment d) Proteinuria of 3.5g/24 hours occurs in childrene) Albumin of 2.5g/day is a common finding 4. The following is true about UTI in childrena) It is more common in girls b) Has equal prevalence in both boys and girls of all ages c) Usually from ascending infections d) Perineal hygiene is important in the pathogenesis e) Proteus is the commonest aetiology 5. In Acute renal failurea) Hyperkalemia of 5.5mmol requires correction b) Sodium bicarbonate is important in management c) Diuretic challenge is not indicated in management of pre renal causes d) Unilateral obstruction of ureter causes postrenal ARF e) Correction of hypovolemia in pre renal failure causes further renal damage 6. A four years old boy presents

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