1.

Dietary oxalate originates almost exclusively

C. calcitoin-related peptide

from plant-derived foods. The highest content

D. Crohns disease

of oxalate is in
A. Spinach
B. Raw carot
C. Steamed white rice
D. Steamed broccoli

7. Which of the following statement(s) is/are true

concerning calcium/phosphate balance in
chronic rnal renal failure?
A. Increased circulating level of parathyroid

2. Which may cause acute renal failure in

hormone is uncommon in chronic

patients with nephrotic syndrome

Kidneydisease.

A. Dietary protein restriction

B. Hyperphosphatemia is related to Reduced

B. ACE inhibitors

renal excretion and reduces PTH secretion.

C. Lipid-lowering agents

C.

D. Loop diuretics

Extrarenal

production

of

25-

hydroxyvitamin D is increased in chronic renal

failure.

3. A patient with Crohns disease passes a kidney

D. 1,25(OH) 2 Vitamin D (calcitriol) increases

stone; the most likely composition is

gut absorption of calcium and phosphorus.

A. Calcium phosphate
B. Uric acid

8. Which of the following is/are true of the

C. Struvite

nephrotic syndrome?

D. Calcium oxalate

A. Plasma volume is usually increased.

B. It is usually associated with renal sodium

4. In patients with chronic renal failure,which of

wasting.

the following is the most important contributor

C. The incidence of infection is increased.

to renal ostodystrophy

D. Albumin infusions are of significant benefit

A. Impaired renal production of

for treatment of hypoalbuminemia And edema

1,25dihydroxyvitaminD
B. Hypophosphatemia

10. Which of the following is/are the direct results

C. Loss of vitamin D and calcium via dialysis

of chronic, but rarely acute, renal failure,

D. The use of calcitriol

EXCEPT:
A. Elevted alkaline phosphatase from bone

5. In acute renal failure, dietary protein should be

B. Radiographic signs of renal

restricted in which of the following

osteodystrophy

A. All patients with BUN >100

C. Bilaterally small kidneys

B. All patients with creatinine >10

D. Hypertension

C. Only in patients who are well nourished on

hospital admission

11. The following is an inhibitor of crystal and

D. If azotemia is advanced and dialysis is not

stone formation in the urine

option

A. Citrat
B. Inorganic pyrophosphate

6. Nephrocalcinosis can be associated with

C. Glycoprotein

A. the routine use of calcium-based phosphate

D. All

binders
B. the routine use of aluminum-based
phosphate binders

12.

Condition known to decrease urinary citrate

..
A. High sodium diet*

B. Vitamin D

17. Treatment patients with hypocitraturic calcium

C. Cacitonin

oxalate nephrolithiasis is:

D. magnesium

A. lowering the urinary saturation.

B. inhibiting crystallization of calcium

13. Condition known to increase urinary citrate is

salts.

A. high protein diet

C. giving potasium citrate

B. high sodium diet

D. all of the above.

C. thiazide
D. fumrat

18.

Certain medications (e.g., acetazolamide and

lithium) used to treat other medical

14.

High salt diet in case of neprolithiasis result

in.

conditions are known to be associated with

calcium stone formation. Such medication is

A. Decrease in urinary citrate

A. acetazolamide

B. Decrease in urinary cystine

B. sulphonamide

C. Decrease in urinary calcium

C. penicillinamide

D. Decrease Increase in Monosodium

D. none of the above

Urate
19.
15.

Dietary recommendations in nephrotic

Cystinuria is an autosomal recessive disease

characterized by defects in renal and

syndrome

intestinal transport of dibasic amino acids, that

A. Soy protein may be more beneficial

is

than high-quality protein

A. cystine

B. Proportion of polyunsaturated fatty

B. methionine

acids less then 8%% of energy

C. leusine

C. Fish oil may be beneficial for every

D. valine

patient
D. Iron for every case of iron deficient

20.

Cystinuria is an autosomal recessive disease

characterized by defects in renal and

16. Dietary

intke

excessive

in

ascorbic

oxalate-rich
acid

foods

ingestion

or
can

intestinal transport of dibasic amino acids, that

is

contribute to hyperoxaluri through intestinal

A. cystine

absorption of oxalate. However, controversy

B. methionine

persists regarding the importance of dietary

C. leusine

ascorbic acid.

D. valine

A. High dose of vitamin C do not

increase the risk of calcium oxalate
stone disease.
B. High doses of vitamin C increase the
risk of calcium oxalate stone disease.
C. Ascorbate excretion will not increases

22. Salah satu cirri Spironolakton yaitu:

A.

Bekerja pada Ansa Henle

B.

Efek samping hiperkalemia

C.

Termasuk diuretika kuat

D.

Merangsang reabsorpsi Na pada

as vitamin C ingestion is initiated.

tubulus distal

D. Ascorbate excretion increases when

vitamin C ingestion is initiated, but
will not level out after 24 hours.

23. Salah satu cirri Tiazid yaitu:

A.

Mempunyai efek Relative steep

dose response curve

B.

Digunakan

untuk

Mountain

sickness acute
C.
D.

29. Glukokortikoid menimbulkan efek potensiasi

bila diberikan bersama:

Efek antidiuretika pada diabetes

A. Tiazid

insipidus

B. Antikoagulan

Efektif bila GFR <20 ml/menit

C. Asam salisilat
D. Fenitoin

24. Salah satu ciri Diuretik kuat yaitu:

A. Efek samping berupa hipourikemia
B. Bekerja dengan menghambat enzim

30.

Sebagai imunosupresi, glukokortikoid

diindikasikan terhadap:

karbonik anhidrase

A. Edema serebral
C. Mempunyai efek Flat dose

B. Anemia hemolitik

renponse curve

C. Penyakit kolagen, misalnya SLE

D. Digunakan juga untuk edema paru

D. Addisons disease

akut
31.
25. Salah satu cirri Amilorid yaitu:.
A. Menyebabkan

hilangnya

ion

bikarbonat
B. Termasuk golongan penghambat

The most complication can occur in acute

Kidney injury patient is:
A. Hypertension
B. Hyperkalemia
C. Infection
D. Dissiminated
coagulation

karbonil anhidrase
C. Efek samping berupa pembesaran
prostat
D. Dapat

intravascular

menimbulkan

hiperglikemia

32. In the clinic, GFR can predict by:

A. Creatinine clearance test
B. Serum ureum
C. Serum creatinine
D. Serum creatinine and

serum

ureum
26. Glukokortikoid kerja panjang:
A. Triamsinolon
B. Parametason
C. Hidrokortison
D. Metilprednisolon

33. All the following are symptom in Nephrotic

syndrome, except
A. Hypoalbuminemia
B. Massive proteinuria
C. Uremia
D. Hypercholesterolemia

B. Anabolisme

34. Renal bone disorders in patient with CKD :

A. Renal osteodystrophy
B. Osteosclerosis
C. Osteomalacia
D. Osteitis fibrosa

C. Lipolisis

35. The first sign of Diabetic Nephropathy in

27. Efek glukokortikoid terhadap metabolism yaitu:

A. Glukoneogenesis menurun

D. Absorpsi Kalsium
28. Yang termasuk efek samping yang berhubungan
efek jaringan:
A. Katarak
B. Hipertensi
C. Insufisiensi korteks adrenal
D. Gangguan penyembuhan luka

Diabetic patient is:

A. Microscopic hematuria
B. Microalbuminuria
C. Proteinuria
D. Bacteriuria
36. Not risk factor to CKD :
A. Age
B. Diabetes mellitus
C. Hypertension
D. Anemia
37. All

the

following

are

hyperkalemia in CKD, except:

treatment
3

of

A. CKD

A. Given insulin glucose solution

B. Given normal saline solution
C. Given
Sodium
bicarbonate

pulmonary edema
C. CKD with an estimated creatinine
clearance of 20 ml/min per 1.73 m
D. AKI with potassium of 8.0

cell production
B. Regulated the composition of

mmol/L and ECG abnormalities

water volume, and pH of the body

C. Help to regulate blood pressure
D. Deactivate vitamine D and
activity

of

osteoclast
39. Which force favors filtration:
A. Capsular osmotic pressure
B. Capsular hydrostatic pressure
C. Glomerular capillary hydrostatic
pressure
D. Glomerular

capillary

blood flow:
A. The GFR is not related to renal blood flow
B. The kidney receive 50% of cardiac output
C. The kidneys are highly vascular organs
and receive 1-1,2 L of blood perminute
D. No autoregulations is found in renal blood
flow
46. In patients with CKD, which of the following

40. Wichh factors does not affect glomerular

pressure

of

the

glomerular filtrate
B. Concentration of leucocytes in the
blood
C. Plasma osmotic pressure
D. Blood pressure
41. What is the main factor that causes urine to
enter the kidneys?
A. Osmosis
B. Peristaltic
C. Gravity
D. Pressure
42. The main function of the kidney is :
A. To control of blood pressure
B. Help digestion of food
C. To control body temperature
D. To remove waste product from
the body
43. The pathopyisiologic mechanism of reduced
glomerular filtration rate is:
A. Hypovolumia
B. Decreased relaxation of affrent
arterioles
C. Increased relaxation of efferent
arterioles
D. Acute tubular necrosis
44. Which of these is not indication for initiation
of hemodyalisis patient:

45. Which of the following is true regarding renal

osmotic

pressure

filtration rate?
A. Osmotic

on

changes
B. AKI , anuric with evidence of

38. Which of these is not a function of the kidney::

A. Help control the rate of red blood

the

asterixis

examination and mental status

solution
D. Given kation exchange resin

stimulated

with

is the most important contributor to renal

osteodystrophy?
A. Hypophosphatemia
B. The use of calcitriol
C. Impaired renal production

of

1,25-

dihydroxy vit D3
D. Hypocalcemia
47. What is the appropriate term for when fluid
moves from the tubular lumen to the
peritubular capillary plasma?
A. Tubular secretion
B. Tubular excretion
C. Ultrafiltration
D. Tubular reabsorption
48. Which

substance

controls

final

urine

concentration?
A. Renin
B. Anti diuretic hormone
C. Angiotensin
D. Urea
50. Lesi berupa papul di daerah kontak seksual,
timbul 10-90 hari (rerata 3 pekan) berupa
papul ukuran 0,5-1,5 cm yang segera menjadi
ulkus bulat atau sedikit lonjong, diameter 1-2
cm, tepi berindurasi tapi tidak nyeri dengan
dasar bersih disebut
A.

Condyloma lata

B.

Ulkus molle

C.

Condyloma acuminata

D.

Ulkus durum
4

51. Pada pemeriksaan sediaan basah sekret vagina

pasien

kandidosis

vulvovagina

dengan

penambahan KOH 10% didapatkan:

A. Hifa panjang bercabang
B. Pseudohifa
C. Gambaran sphagetty and meatball
D. Hifa pendek

56. Kriteria Amsels merupakan kriteria diagnostik

untuk penyakit
A. servisitis gonore
B. vaginosis bakterialis

52. Tes sederhana yang dapat dilakukan untuk

mendeteksi kondiloma
akuminata adalah:
A. Tes Thomsom
B. Tes acetowhite
C. Kolposkopi
D. Tes Sniff

C. trikomoniasis
D. kandidosis vulvovaginal
57. Colpitis macularis atau `strawberry cervix`
meski jarang ditemukan merupakan gambaran
spesifik

53. Pengobatan pilihan pertama untuk uretritis non

gonore adalah:
A. Doksisiklin 2x100 mg/hari selama 7 hari
B. Siprofloksasin dosis tunggal 500mg
C. Benzatin penisilin 2,4 juta unit
D. Amoksilin 3x500mg/hari selama 7 hari

A. Trichomonas vaginalis
B. Herpes Genitalis
C. Kondiloma akuminata
D. Kondiloma lata

54. Seorang perempuan dengan berobat dengan

keluhan discharge vagina yang berwarna
keputihan kental dan berbau amis. Hasil
pemeriksaan

laboratorik

tampak

vagina>4,5 dan ditemukan sel clue.

pH
Terapi

yang dapat diberikan pada perempuan tersebut

ditemukan duh tubuh servikal mukopurulen,

edema dan ektopik servikal, dan serviks
mudah berdarah. Pemeriksaan laboratorik

C. Infeksi C.albicans

D. Doksisiklin peroral
55. Seorang laki-laki datang dengan keluhan
disertai

lecet

merasa demam, nyeri otot terasa panas sekitar

melakukan

hubungan

seksual kurang lebih satu pekan

yang lalu

PSK.

venereologikus
berkelompok

Pada

pemeriksaan

ditemukan
pada

preputium,

vesikel
sebagian

tampak ulkus dangkal. Pengobatan yang dapat

diberikan pada penderita ini adalah
A. Valasiklovir 500 mg dosis tunggal
B. azitromisin 1 gram dosis tunggal
C. asiklovir 5x 800 mg / hari peroral selama
7-10 hari
D. siprofloksasin 2 x 500 mg / hari selama
tiga hari

D. Infeksi T.vaginalis

pada

kelaminnya. Sebelum timbul lesi penderita

dengan

>30/LP.

B. Infeksi N. gonorrhoeae

C. Klotrimazol pervaginam

Penderita

lekosit

A. Infeksi C.trachomatis

B. Metronidazol peroral

lepuh-lepuh

jumlah

Kemungkinan penyebab penyakit adalah...

A. Sefiksim peroral

kelamin.

keputihan kental, saat pemeriksaan klinis

menunjukkan

adalah

timbul

58. Seorang perempuan dating dengan keluhan

59. Gejala khas pasien uretritis non gonore adalah:

A. Sekret uretra kuning kehijauan
B. Morning drops
C. Disuria berat
D. Ulkus pada glans penis
60. Pasien dengan batu pada saluran kemih dapat
diterapi secara konservatif
(diuretic, blocker), kecuali:
a. Ukuran batu 4mm
b. Kolik ringan
c. Tidak ada episode urosepsis
d. Ada hidronefrosis
e. Semua benar
61. Pemberian antibiotika pada penderita batu
saluran kemih tidak boleh dilakukan kecuali :
a. Ukuran batu > 20 mm
b. Penderita tidak mau dioperasi
c. Bila
akan
dilakukan
tindakan/
instrumentasi atau pembedahan
d. Boleh diberikan kapan saja

e. Semua benar

c. Pemakaian

62. Termasuk dalam tindakan bedah minimal

invasive pada terapi batu saluran kemih
adalah:
a. Nefrolitotomi
b. Perkutaneus nefrolitolapaksi
c. Vesikolitotomi
d. Ureterolitotomi
e. Semua benar
63. Indikasi

untuk

dilakukan

analgesic

yang

salah

(penacetin)
d. Wanita lebih banyak
e. Pemakaian zat warna / cat

70. A man is came to the polyclinic with dysuria

and was diagnosed as non
urethritis.
tindakan

pembedahan segera / urgent adalah sebagai

berikut :
a. Ada urosepsis
b. Pekerjaan (pilot, driver, dokter bedah)
c. Obstruksi bilateral
d. a dan b benar
e. Semua diatas

gonococcal

Laboratorium examination

was

found inclusions bodies. Etiology of the

infection is:
A. Candida albicans
B. Mycoplasm
C. Chlamydia trachomatis
D. Urea plasma

64. Indikasi tindakan drainase urine segera/urgent

71. A urinary tract infection as a result of Proteus

pada saluran kemih adalah

a. Obstruksi anuria
b. Batu ginjal > 20mm
c. Double system saluran kemih
d. Tumor ginjal
e. Semua benar
65. Faktor predisposisi tumor ganas pada penis

mirabilis fascilitates the formation of kidney

adalah pada laki-laki yang:

a. Berumur tua
b. Tidak sirkumsisi
c. Istri banyak
d. Perokok berat
e. Semua benar
66. Manfaat pemeriksaan HCG dan FP (tumor
marker ) pada penderita tumor testis adalah :
a. Diagnose dan jenis tumor
b. Menentukan stadium tumor
c. Evaluasi pengobatan
d. Prognosa
e. Semua benar

stones because organism ;

A.

Destroy blood vessels in the kidney

B.

Exhibitswarming motility

C.

Ferments many sugars

D.

Produce a potent urease

72. A 18- year- old women is brought to the

polyclinic

with

dysuria.

Laboratorium

examination was found Gram + bacteriae. The

most possible etiology is ;
A.

E.coli

B.

Pseudomonas

C.

K. pneumoniae

D.

Staphylococcus saprophyticus

67. Tumor ganas prostat banyak mengenai pada

laki-laki yang:
a. Usia muda
b. Banyak melakukan aktifitas seksual
c. Meningkat dengan bertambahnya usia
d. Telah dilakukan kastrasi
e. Vegetarian
68. Sifat tumor urotelial adalah sebagai berikut,
kecuali :
a. Multifocal
b. Sering residif
c. Progresif
d. Sangat efektif dengan terapi radiasi
e. Transisional sel
69. Berikut ini adalah factor resiko tumor urotelial
kecuali :
a. Perokok
b. Menderita batu buli

73. Virulence factor of E.coli that correlated with

kidney damages is ;
A.

Pseudomembrane

B.

Haemolysine production

C.

Urease production

D.

Polysacharida

74. A 2-year-old infant is brought to the ER

(emergency room) with hematuria, fever,
bloody diarrhea and kidney failure. Which one
of the following bacteria would most likely be
isolated from a stool spacimen ;
A.

Aeromonas species
6

B.

Enterobacter aerogenes

C.

E.coli 0157/H7

D.

S.enteriditis

80. Minimal change nephrotic syndrome generally

affects children aged ..(years)
A. < 1
B. 1 - 5 .

75. 55-year-old

women

have

C. 6 - 10

pyelonephritis with shaking chills and fever.

D. 10 -12

Blood cultured is obtained and Gram is read

E. > 10 tahun

preliminarily as

is

noted

to

consistent Proteus species.

With of the following bacteria also may be the

etiology ;

81. Reduced plasma albumin level in patients

with NS leads to

A.

Group B streptococcus

A. Increased Calcium level

B.

Staphylococcus aureus

B. Decreased Aldosteron

C.

E.coli

C. Increased plasma renin activity

D.

Streptococcus pyogenes

D. Decreased

antidiuretic

hormone

secretion,
76. Acute glomerulonephritis in children

often

E. Overload intravascular volume

occurs after infection of the throat by:

A. Pneumooccocus

82. Proteinuria occurs due to increased of :

B. Streptococcus hemolyticus group A

A. glomerular capillary permeability

C. Viral

B.

D. Streptokokus viridians

C. the proximal tubules to reabsorb all of

fixed negative charges

E. Kliebsiella pneumoni

the filtered proteins.

D. the distal tubules to reabsorbsi all of the

77. Anti-Streptolysin

response is poor in

protein

patient with APSGN associated with.

A. Acute pharingitis

83. Desi, a 5 years old girl was admitted to

B. Acute tonsillitis

Department of Childhealth with a diagnosis of

C. Acute pharingitis

NephroticSyndrome. She was treated with

D. Pyodermia

oral prednisone with the initial dose of :

(.mg/Kg BW/day)

78. Decreased C3 titer can be found in patient

with

A. 2/3
B. 1

A. Henoch-Schonlein Nephritis

C. 1,5

B. Alport Syndrome

D. 2

C. Ig A nephropathy
D. APSGN
E. MCNS

84. After 28 days of treatment, dose of steroid was

decreased

79. Over 5 percent of children wth APSGN can

dose(

occur a complication from:

A .30

A. Chronic renal failure

B 40

B. Acute renal failure

C. 50

C. Acute congestive heart failure

D. 60

into

the

alternate

mg/M2/day)

D. Hypertensive encephalopathy
7

85. The most common cause of primary idiopathic

B. Henoch-Schnlein purpura

nephrotic syndrome in children is:

C. IgA nephropathy

A. Focal segmental glomerular sclerosis

D. Poststreptococcal glomerulonephritis

B. Membranoproliferative glomerulonephritis

92. 11-year-old boy presents with acute onset of

C. Membranous glomerulopathy

edema and hematuria. Approximately 3 weeks

D. Minimal change disease

ago, he was treated for pharyngitis, and

exudates on his tonsils were noted at that time.

86. The common cause of mortality in the

Since then, the patient has felt well but 1 week

primary nephrotic syndrome is:

ago he noted the onset of dark, cola-colored

A. Acute renal failure

urine and swelling of his legs. On physical

B. hypertensive encephalopathy

examination, blood pressure is 140/95 mm Hg

C. Congestive heart failure

and there is marked peripheral edema. Which

D. Sepsis

of the following is the most likely diagnosis?

A. Alports syndrome

87. The inheritance pattern of primary idiopathic

B. Henoch-Schnlein purpura

nephrotic syndrome is/ are:

C. IgA nephropathy

A. Autosomal recessive

D. Acute

B. X-linked recessive

Poststreptococcal

glomerulonephritis

C. Autosomal dominant

93. A 10-year-old woman presents with a 2-week

D. Sporadic

history of hematuria. She describes her urine

as cola-colored in appearance. Urinalysis

88. Reasons for biopsy in a patient with nephrotic

reveals many red blood cells (RBCs) per high-

syndrome include:

power field (hpf) and RBC casts. The RBCs

A. Continued proteinuria after a week of

appear dysmorphic. Which of the following is

prednisone therapy.

the most likely diagnosis?

B. Age at onset of 10 months.

A. Cystitis

C. Relapse 1 year after initial course of

B. lomerulonephritis

therapy.

C. Nephrolithiasis

D. Cholesterol level greater than 400 mg/dL.

D. Pyelonephjritis

89. A 12-year-old girl presents with episodes

of dark cola-colored urine. She reports

94. Which of the following tests is not used for

screening kidney function?

having had an upper respiratory tract

A.

24 hours urine protein excretion

infection

myalgias

B.

albumin/creatinine ratio

approximately 1 week prior to the

C.

plasma renin activity

hematuria episode. The patient denies

D.

Uric acid plasma

having had a sore throat at any time. The

E.

Urine specific gravity

upper

with

cough

respiratory

and

infection

resolved

spontaneously. Physical examination is

normal.

Urinalysis

shows

many

dysmorphic RBCs. Which of the following

is the most likely diagnosis?
A. Alports syndrome

95. All of the following statements are

true,

except
A.

Renin

is

proteolytic

enzyme produced by the kidney.

B. Increased blood flow through the kidney
causes an increase in renin secretion.
8

C. Kidney dysfunction can result in anemia.

D. Increased production of epinephrine can
result in increase production of rennin
secretion.
E. Increase production of Angiotension 2, can
result increase production of aldosteron

disease

that

could

cause

primer

glomerulonephritis is:

97. The condition that occur quick deterioration

of renal function in glomerulonephritis patient
is called by:
A. Rapidly renal failure
B. RPGN
C. Endstage renal failure
D. Acute progresive nephritic syndrom
pathogenesis

of

hemodynamic

glomerulonephritis:
A. Immune complex deposition in kidney
B. glomerular hypertension
C. Advance Glicosylation end-products
D. Bacterial deposition in glomerulus
99.

102. The renal function of this case:

A. Abnormal, because proteinuria
B. Normal, because the patient was not
because

the

creatinine

cleareance is high
D. Abnorfmal, because the creatinene serum
is higher than normal

Diabetes melitus
Hypertension
Pharingitis caused by streptococcus
Lupus

98. The

CT scan
Calculate the creatinin clereance
Examine HbA1c
Renal Biopsy

dispnoe
C. Abnormal,

secretion
96. The

A.
B.
C.
D.

103. The treatment of the disease is:

A. Oral hypoglicemic drugs
B. Immunosupressive
C. Antidiuretic
D. Hemodialysis
104. High blood pressure in this patient:
A. Could not influence the renal function
B. The best treatment is ACE inhibitor
C. Stage 1 hypertension
D. Should be decreased until 160/90 mmHg
105. Water is importance component in the body:
A. Extracellular water: 40% body weight
B. The kidney plays a pivotal role in the
maintenance of water homeostasis
C. Female has more total body water than
male
D. Intracellular water: 20% body weight

Nephrotic syndrom:
A. Edema anasarca + hypoalbuminemia+

106. Hypovolemia:
A. One of the sign hypovolemia is increase

hyperuricemia+ nephrotic proteinuria

B. Edema anasarca + hypoalbuminemia+

blood pressure
B. Hypovolemia could cause tissue

hypertension + massive proteinuria

C. Could caused by Diabetes Melitus
D. Could not cause lipid abnormalities

hyperperfusion
C. In hipovolemia, hemoglobin is usually low
D. Could cause acute kidney injury

Mr. Nano , 50

years old, complained the

edema in his legs since several days ago. He

had history of diabetes since 15 years ago.
When he came to doctor, the doctor found the
BP= 160/100 mmHg, non pitting edema in his
legs. The fasting

and post prandial blood

107. Dehydration:
A. Is water decreases without the
electrolytes
B. Could caused by the use of diuretics
C. The level of plasma sodium is normal
D. The difference between volume depletion
and dehydration is level of potassium

glucose were 160 and 275 g%; ureum 60,1

mg/dl; creeatinin 2,4 mg/dl, and protein urine
was (+).
100. The most possible diagnosis of this case is:
A. Nephrotic syndrom caused by DM
B. Acute nephritic syndrom caused by DM
C. CKD caused by diabetic nephropathy
D. CKD caused by Hypertension
101. To support the diagnosis, doctor shouid
examine:

108. In Nephrotic syndrom:

A. Water and sodium retention
B. Edema anasarca is cause by decrease of
hydrostatic pressure
C. Hypernatremia is common condition
D. Diuretics could cause hyperkalemia
109. The condition In renal failure:
A. Respiratory acidosis
B. Metabolic acidosis
C. Respiratory alkalosis

D. Metabolic alkalosis
110. Hypernatremia:
A. There is an U wave in ECG pattern
B. Serum sodium level above 130 meq/L
C. Could happens when water excreation
passes beyond the sodium excretion
D. Drink a lot of sodium 3% solution
111. Potassium is importance electolyte in the
body:
A. Concentrantion in extracell more than
intracellular
B. Insulin can not stimulate potassium enter
into the cell
C. High T wave in ECG pattern means
hypokalemia
D. Usually high in endstage renal failure

112. Hypokalemia:
A. Could caused by administration of
sprinolacton diuretic
B. Serum potassium < 3.5.mmol/L is life
threatening symptoms
C. ECG examination could detect the
abnormality
D. The treatment of mild hypokalemia is IV
potassium injection
113. Clinical manifestations of hyperkalemia is:
A. Muscle cramp
B. Constipation
C. Bladder dysfunction
D. Glucose intolerance

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