60 61 62 oliguric phase of renal failure all are true

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OLIGURIC PHASE OF RENAL FAILURE, ALL ARE TRUE, EXCEPT- (AIIMS MAY 93) A) HYPERCALCEMIA B) HYPONATREMIA C) ANAEMIA D) HYPERKALEMIA ANS. IS ‘A’ I.E., HYPERCALCEMIA [REF: HARRISON 17H/E P. 1758-1759 & 16,H/E P. 1650, 1651] 63
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IN RENAL FAILURE DIURETIC PHASE OCCUR ON – (NEET/DNB PATTERN) A) IST DAY B) 3 RD DAY C) 28-35 DAY D) 14-18 DAY D 64
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UREMIC COMPLICATIONS TYPICALLY ARISE DURING WHICH OF THE FOLLOWING PHASES OF RENAL FAILURE - A) INITIATION (NBE/DNB PATTERN) B) MAINTENANCE C) DIURETIC PHASE D) RECOVERY PHASE ANS. IS ‘B’ I.E., MAINTENANCE [REF: FLUIDS AND ELECTROLYTES WITH CLINICAL APPLICATIONS] 66
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CONTINUOUS RENAL REPLACEMENT THERAPY IS INITIATED IN WHICH OF THE FOLLOWING PHASES OF ACUTE RENAL FAILURE- (NBE/DNB PATTERN) A) INITIATION B) MAINTENANCE C) DIURETIC PHASE D) RECOVERY PHASE ANS. IS ‘B’ I.E., MAINTENANCE [REF: FLUIDS AND ELECTROLYTES WITH CLINICAL APPLICATIONS (CENGAGE LEARNING) 2008] 67
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A PATIENT HAD THE FOLLOWING BLOOD BIOCHEMICAL VALUES. CALCIUM 6; URIC ACID 13; PHOSPHORUS 12; CREATININE 6. WHICH COULD BE THE POSSIBLE DIAGNOSIS - A) KRAIT BITE (PGI JUNE 99) B) URIC ACID NEPHROPATHY C) HYPERCALCEMIC NEPHROPATHY D) RICKETS ANS. IS ‘B’ I.E., URIC ACID NEPHROPATHY [REF : HARRISON 18'VE P. 2373, 2374; 17H/EP. 1808, 2447] 68
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ACCORDING TO THE QUESTION THE LABORATORY ANOMALIES SEEN IN THE PATIENT ARE:- HYPOCALCEMIA  N (9 -10.5 MG/DL) HYPERURICEMIA  N (2.5-8.0 MG/DL HYPERPHOSPHATEMIA  N (3-4.5 MG/DL) INCREASED CREATININE  N (1.5 MG/DL-6.0 MG/DL) 69
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URIC ACID NEPHROPATHY - IT IS A REVERSIBLE CAUSE OF ACUTE RENAL FAILURE AND IT OCCURS DUE TO PRECIPITATION OF URIC ACID IN RENAL TUBULES AND COLLECTING DUCTS THAT CAUSE OBSTRUCTION TO URINE FLOW. URIC ACID NEPHROPATHY DEVELOPS FOLLOWING SUDDEN URATE OVER PRODUCTION AND MARKED HYPERURIC ACIDURIA. THE URIC ACID NEPHROPATHY IS POTENTIALLY REVERSIBLE. 70
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DIAGNOSIS OF URIC ACID NEPHROPATHY - SERUM LEVEL OF URIC ACID. RICKETS :- IN RICKETS USUALLY THE CALCIUM IS LOW OR NORMAL AND PHOPHATE IS LOW. 71
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CRF METABOLIC COMPLICATION IN CRF INCLUDE ALL OF THE FOLLOWING EXCEPT - ( AI 98) A) HYPERKALEMIA B) HYPOPHOSPHATEMIA C) HYPOCALCEMIA D) HYPOKALEMIA 72
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PATHOPHYSIOLOGY OF CHRONIC RENAL FAILURE 73
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CRF METABOLIC COMPLICATION IN CRF INCLUDE ALL OF THE FOLLOWING EXCEPT - ( AI 98) A) HYPERKALEMIA B) HYPOPHOSPHATEMIA C) HYPOCALCEMIA D) HYPOKALEMIA ANS. IS ‘B’ I.E., HYPOPHOSPHATEMIA [REF HARRISON 18,H/EP. 2317, 2311 T.(280.4); 17H/E P. 1763 T. (274.3)] 77
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ALL THE FOLLOWING INDICATES CRF W.R.T. TO ARF - A) ANAEMIA (PGI NOV 09) B) SMALL KIDNEYS C) CREATININE > 7 MG% D) CONSTRICTIVE PERICARDITIS E) PERIPHERAL NEUROPATHY 78
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