Renal, Urology and Electrolytes

12 free practice questions shared by students. Answer them right here — no account needed.

Practise theseOne at a time, in a random order, with the explanation after each.

A 63-year-old man who has smoked for 40 years and worked for 20 years in a tyre factory reports that on two occasions in the last month his urine has been brigh…

Clinical rotations · common

A 74-year-old man is on day 2 after an emergency Hartmann procedure for perforated diverticulitis. He takes spironolactone and perindopril for heart failure. He…

Pre-internship · common

A 29-year-old man presents after completing an unusually strenuous cross-country event with severe thigh pain and dark urine. His creatinine concentration is 28…

Clinical rotations · common

A 62-year-old woman who takes sertraline for depression is brought to the emergency department after a witnessed generalised tonic-clonic seizure at home. She i…

Clinical rotations · common

A 23-year-old man presents because his urine has turned dark brown, which he noticed this morning. Two days ago he developed a sore throat and runny nose, which…

Clinical rotations · common

A 76-year-old woman taking perindopril for hypertension and regular ibuprofen for knee osteoarthritis presents after three days of vomiting and watery diarrhoea…

Clinical rotations · common

A 38-year-old woman has recurrent episodes of visible haematuria, but her renal function is normal and urine protein excretion is minimal. The episodes begin wi…

Clinical rotations · common

A 67-year-old woman develops oliguria and a creatinine rise from 84 to 310 micromol/L after several days of septic shock. Urinalysis shows 2+ blood but no signi…

Clinical rotations · common

A 35-year-old man reports drinking approximately 6 L of water daily because of anxiety about dehydration. He is alert, euvolaemic and not taking diuretics or an…

Clinical rotations · common

A 29-year-old man presents with facial puffiness, dark urine and ankle swelling. He had an impetigo-like skin infection 18 days ago, and his blood pressure is 1…

Clinical rotations · common

A 68-year-old man presents with fever, rigors, dysuria and perineal pain. He has been unable to pass urine for 10 hours, and examination shows a markedly tender…

Clinical rotations · common

A 36-year-old woman with systemic lupus erythematosus has increasing ankle swelling and foamy urine. Her urine protein-to-creatinine ratio is 180 mg/mmol (refer…

Clinical rotations · common