The Renal Problem
Pretest
Pretest Preventive Medicine Public Health
145. Which is the most common site of nosocomial infections?
D
A. surgical wound
B. respiratory tract
C. blood stream
D. urinary tract
E. gastrointestinal tract
183. Compared with persons without kidney disease, patients on chronic dialysis for renal failure have an increased incidence of all the following EXCEPT
E
A. infection with Mycobacterium tuberculosis
B. infection with hepatitis B
C. suicide
D. coronary heart disease
E. hypernephroma
230. The leading cause of end-stage renal disease (ESRD) in the U.S. is
D
A. cystic kidney disease
B. glomerulonephritis
C. hypertension
D. diabetes mellitus
E. urinary tract obstruction
RJ. The leading cause of end-stage renal disease (ESRD) in the Philippines is
B
A. cystic kidney disease
B. glomerulonephritis
C. hypertension
D. diabetes mellitus
E. urinary tract obstruction
345. Reasons to treat gonorrhea with oral tetracycline 500 mg qid for 7 days - rather than with oral ampicillin 3.5 g plus oral probenecid 1 g taken at one time - include
B
A. lower frequency of side effects
B. better coverage of Chlamydia trachomatis
C. greater safety in case of pregnancy
D. enhanced compliance
E. none of the above
Which of the following statements on the Preventive Nephrology Project in the Philippines is/are valid?
E
1. It is a project with multisectoral partcipation such as the Department of Health, Department of
Education, Culture, and Sports, Philippine Society of Nephrologists, and Philippine
Pediatric Society.
2. Its goal is to reduce the incidence of end-stage renal disease in the Philippines.
3. It screens all 1994-1995 Grade I to VI children in all government schools in the Philippines
using the dipstick method.
4. The second phase of the project is evaluation and management of pupils found positive
through the dipstick method and confirmed by urinalysis.
Based on the 1993-1994 Philippine Hypertension and Target Organ Survey,
E
1. More than half of hypertensive Filipinos had target organ damage.
2. The target organ damage involved the cardiovascular, renal, and neurologic systems in that
order of decreasing frequency.
3. Proteinuria was the most common renal involvement in patients with hypertension.
4. Renal insufficiency and end-stage renal disease were the other forms of renal involvement.
Based on the recent statistics, which of the following statements on renal disorder in the Philippines is/are
valid?
E
1. Death from renal disease is the 10th leading cause of mortality in the Philippines
2. Chronic glomerulonephritis is the most common cause of end-stage renal disease in the
Philippines
3. Kidney transplantation costs about half a million pesos.
4. Dialysis costs about 30 thousand pesos per month
Which of the following statements on the Preventive Nephrology Project in the Philippines is/are valid?
E
1. Initial urine exam uses the dipstick method
2. If dipstick is positive, microscopic examination of two urine specimens are done
3. It the two urine specimens are positive, the child is referred to a pediatrician
4. If needed, the pediatrician may refer the child to a nephrologist for further evaluation and
treatment
Based on the data from the Kidney Center of the Philippines (1975-1980), the following are within the top five (5) causes of end-stage renal failure in the Philippines EXCEPT
E
A. chronic glomerulonephritis
B. chronic pyelonephritis
C. diabetic nephropathy
D. hypertensive nephropathy
E. gouty nephropathy
The most common cause of abnormality encountered in the Preventive Nephrology Project of the Philippines as of 1996 is
A
A. urinary tract infection
B. nephritis
C. nephrotic syndrome
D. gouty nephropathy
E. diabetes nephropathy
Shared care approach for prostatic diseases is the current thrust (since 1995) of the Philippine Urological Association. Which of the following statements regarding the shared care approach is/are valid?
E
1. It involves first-line health providers working in conjunction with specialists
2. Patients’ benefits include greater ease of access to medical care
3. Primary care physicians’ benefits include broader knowledge and skills in the management
of prostatic disorders
4. Urologists’ benefits include concentration on patients with prostatic disorders requiring
surgical intervention
ROJ@17nov6