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Tobruk University – Faculty of Medicine
Second Year Module-Based System, Semester 4 (level II)
Block Renal System Final Re-set Exam
13/06/2023 Marks: 90
Q1 - Select the single best answer & make circle around it
1. Regarding the anterior relations of the Rt. Kidney, all the following
statements are correct except:
A. Suprarenal gland
B. Colic flexure
C. Liver
D. Stomach
2. Regarding the position of the Kidney all of the following statements are
correct except:
A. They extend from 12th thoracic to the 3rd lumbar vertebra
B. The Lt Kidney reaches up to the 11th rib
C. The hilum of the Kidney faces forward as well as medially
D. The lower pole near the median plane than the upper pole
3. Proceeding from posterior to anterior, the structures encountered in the
renal hilum are, in correct order the:
A. Renal artery, renal vein, and renal pelvis
B. Renal pelvis, renal artery, and renal vein
C. Renal pelvis, renal vein, and renal artery
D. Renal vein, renal artery, and renal pelvis
4. Narrowing of the ureteral luminal caliber naturally occurs at:
A. The ureteropelvic junction
B. The crossing of the iliac vessels
C. The ureterovesical junction
D. All of the above
E. None of the above
5. Which of the following statements regarding the typical anatomic position of
the kidney is true?
A. The lower pole of the kidney lies more anterior than the upper pole
B. The lower pole of the kidney lies more lateral than the upper pole
C. The medial aspect of the kidney lies more anterior than its lateral aspect
D. All the above
6. Regarding the congenital anomalies of the shape of the kidney, one is wrong:
A. Horse shoe kidney
B. Polycystic kidney
C. Pelvic kidney
D. Persistence of fetal lobulation
7. Renal FASCIA envelops and contains:
A. The adrenal glands
B. The kidney
C. The ureter
D. All the above
8. Regarding the pronephros, all of the following statements are correct except:
A. First kidney to appear
B. 7-10 nephrotomes
C. Medial ends of the tube join into the alogntudinal duct (pronephric duct)
D. Both ducts open into the cloaca
9. All of the following statements are correct except:
A. Hypospadius: the external meatus situated on the ventral face of the penis
B. Ectopia vesicae: occurs when the posterior wall of the urinary bladder is
exposed to the exterior
C. Urachal fistula: the allantois fails to become obliterated and urine passes out
of the patent urachus to the umbilicus
D. Epispadius: the external meatus situated on the ventral face of the penis
10. Which one of the following statements regarding T. vaginalis is true?
A. Have a variable shaped measure size of up to 30 µm long
B. Have five flagella located anteriorly and one undulating membrane
C. The incidence is 2 to 10% among females and 10–25% in males
D. The protozoan infection frequency is geographically restricted
11. About S. haematobium:
A. Adult schistosomes are live separately
B. Mature adults live in pelvic and urinary bladder veins
C. It has two muscular suckers, the ventricle sucker being smaller
D. The adult male is longer and slender
12. A 10-year-old boy developed a pharyngitis due to β-hemolytic streptococci. It
subsided after a few days. Two weeks later, his eyelids became puffy and he
had fever, elevated blood pressure and gross hematuria. The likely diagnosis
is:
A. Acute poststreptococcal glomerulonephritis
B. Membranous glomerulonephritis
C. Minimal change disease
D. Rapidly progressive glomerulonephritis
13. Renal stone formation may be related to:
A. Hypercalcemia
B. Prolonged immobility
C. Vitamin A deficiency
D. All of the above
14. Urine examination of a child presented with generalized edema and massive
albuminuria, the possible cause for his edema is:
A. Acute renal failure
B. Chronic diffuse glomerulonephritis
C. Minimal change glomerulonephritis
D. Nutritional deficiency
15. A 65-year-old male was admitted because of weight loss, fatigue, weakness,
fever, hypertension and polycythemia. Pulmonary X-ray showed multiple
sharply defined round masses in both lungs. Urine analysis revealed
hematuria. If Intravenous pyelogram showed distortion of the right renal
pelvis and calyces at the upper pole, then you should seriously consider that
this patient to be having:
A. Bronchogenic carcinoma
B. Renal cell carcinoma
C. Acute pyelonephritis
D. Pulmonary hamartomas
16. Calcium oxalate stones include all EXCEPT:
A. Radio-translucent
B. Dark brown color
C. Rough surface
D. The pH of urine is acidic
17. A glomerular crescent is associated with:
A. Proliferation of the cells lining Bowman’s capsule
B. Proliferation of the mesangial cells
C. Neutrophilic infiltrates
D. Lymphocytic infiltrates
18. A male patient with a long history of pulmonary tuberculosis is suffering from
chronic renal failure. The most possible cause is:
A. Bilateral hydronephrosis
B. Renal tuberculosis
C. Chronic glomerulonephritis
D. Amyloidosis
19. Which of the following veins drains into the inferior vena cava?
A. Renal veins
B. Inferior mesenteric vein
C. Superior mesenteric vein
D. Splenic vein
20. The gonadal vein typically drains into the:
A. Anterior aspect of the inferior vena cava
B. Left lateral inferior vena cava
C. Inferior aspect of the left renal vein
D. Left adrenal vein
21. The cremaster muscle is innervated by the:
A. Ilioinguinal nerve
B. Iliohypogastric nerve
C. Obturator nerve
D. Genital branch of the genitofemoral nerve
22. In the retroperitoneum, where can the genitofemoral nerve be found:
A. Posterior to the psoas muscle
B. On the anterior surface of the psoas muscle
C. Medial to the psoas muscle
D. Lateral to the psoas muscle
23. In cases of renal ectopia, the ipsilateral adrenal gland is typically:
A. Absent
B. Found in its normal anatomic position
C. Found in association with the contralateral adrenal gland
D. Found closely associated with the ipsilateral renal artery
24. Gerota FASCIA envelops and contains:
A. The adrenal glands
B. The kidney
C. The ureter
D. All the above
Q2: true or false:
1. About drug induced kidney injury it is elevation of hepatic functions as
serum creatinine and blood urea.
2. The risk factor of aminoglycosides [amikacin, gentamicin] with prolonged use
more than 7 months.
3. The risk of radiocontrast agent to induce kidney injury when the glomerular
filtration rate is more than 60 L/min.
4. Vitamin C overdose can cause intratubular obstruction.
5. The urinary antiseptics is used as antibacterial for lower urinary tract
infections.
6. Vit C used to alkalinize urine to prevent crystalluria of sulfonamides.
7. Reduction of IMP by NAD, catalyzed by IMP dehydrogenase forms xanthosine
monophosphate (XMP).
8. Lesch-Nyhan Syndrome is an autosomal recessive disorder involving
deficiency of HGPRT activity.
9. Unlike the pyrimidine ring, the purine ring ……
