UKMLA Applied Knowledge Test (MSRA-style single best answer) · Gastroenterology, Renal, Urology and Endocrinology

Renal medicine and urology

13 practice questions, each with the answer and an explanation.

Practise Renal medicine and urology now

Random questions from this topic, one at a time. You see the answer and the explanation straight after each one.

All 13 questions

  1. A man's baseline creatinine is 70 micromol/L. After surgery it is 150 micromol/L. According to KDIGO staging, which stage of acute kidney injury is this?
  2. A dehydrated patient has acute kidney injury, a urine sodium below 20 mmol/L and a bland urine sediment. What is the most likely cause?
  3. Which definition of chronic kidney disease is correct?
  4. In advanced chronic kidney disease, which biochemical pattern develops in secondary hyperparathyroidism?
  5. A child has periorbital oedema, heavy proteinuria and low serum albumin. What is the most likely diagnosis and initial treatment?
  6. A child develops cola-coloured urine and hypertension two weeks after a sore throat. Which blood test result is expected?
  7. A non-pregnant woman has uncomplicated lower urinary tract infection and good renal function. Which is a first-line antibiotic in NICE guidance?
  8. A man has severe loin-to-groin pain and haematuria. Which is the recommended first analgesic and imaging approach?
  9. A patient with a 6 mm obstructing ureteric stone has fever, rigors and rising inflammatory markers. What is the most important step?
  10. A man with benign prostatic enlargement has taken finasteride for a year. His PSA is 2.4 ng/mL. How should it be interpreted?
  11. A 15-year-old has sudden severe left testicular pain, a high-riding testis and absent cremasteric reflex. What is the correct management?
  12. A 62-year-old woman reports a single episode of painless visible haematuria with no infection. What is the appropriate action under NICE suspected cancer guidance?
  13. An older woman with small cell lung cancer is drowsy with serum sodium 118 mmol/L, serum osmolality low, urine osmolality 450 mOsm/kg and urine sodium 60 mmol/L, and appears euvolaemic. What is the mo…

Keep practising

More UKMLA Applied Knowledge Test (MSRA-style single best answer) topics

All UKMLA Applied Knowledge Test (MSRA-style single best answer) practice →

Ready for the full UKMLA Applied Knowledge Test (MSRA-style single best answer) test?

Take a mock testUKMLA Applied Knowledge Test (MSRA-style single best answer) hub