Nephrology Board Exam Started: Jul 13, 2026 10:59 Page 37 of 55 Attempt #2617 Overall: 0 / 274 questions answered Question 181 / 274 Not answered During ward handover: a 67-year-old woman is evaluated for generalized edema with heavy proteinuria in the context of prostatic enlargement. Which is the most appropriate next investigation? A. Autoimmune nephritic screen B. Serum potassium with ECG C. Urine protein-to-creatinine ratio D. Renal ultrasound E. Kidney biopsy when indicated Show Answer & Explanation Correct Answer: B Explanation: Serum potassium with ECG is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in Nephrology. Reference: NICE CKD Guidance; Nephrology topic-specific current guideline update Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 182 / 274 Not answered In an emergency department assessment: a 26-year-old man presents with uremic symptoms. Relevant risk context includes autoimmune disease. What is the most likely diagnosis? A. Nephrotic syndrome B. Hyperkalemic emergency C. Chronic kidney disease progression D. Obstructive uropathy E. Acute kidney injury Show Answer & Explanation Correct Answer: B Explanation: The pattern of uremic symptoms with risk factors such as autoimmune disease is most consistent with Hyperkalemic emergency. This answer best matches the expected diagnostic framework for Nephrology. Reference: ASN/ERA Position Statements Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 183 / 274 Not answered In an outpatient specialty clinic: a 72-year-old man is evaluated for oliguria with rising creatinine in the context of diabetes. Which is the most appropriate next investigation? A. Urine protein-to-creatinine ratio B. Kidney biopsy when indicated C. Urinalysis with microscopy D. Serum potassium with ECG E. Autoimmune nephritic screen Show Answer & Explanation Correct Answer: E Explanation: Autoimmune nephritic screen is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in Nephrology. Reference: KDIGO AKI Guideline; Nephrology topic-specific current guideline update Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 184 / 274 Not answered During ward handover: a 43-year-old woman is evaluated for uremic symptoms in the context of volume depletion. Which is the most appropriate next investigation? A. Serum potassium with ECG B. Urine protein-to-creatinine ratio C. Urinalysis with microscopy D. Kidney biopsy when indicated E. Autoimmune nephritic screen Show Answer & Explanation Correct Answer: D Explanation: Kidney biopsy when indicated is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in Nephrology. Reference: ASN/ERA Position Statements Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 185 / 274 Not answered In an outpatient specialty clinic: a 35-year-old man is evaluated for generalized edema with heavy proteinuria in the context of long-standing hypertension. Which is the most appropriate next investigation? A. Autoimmune nephritic screen B. Renal ultrasound C. Kidney biopsy when indicated D. Serum potassium with ECG E. Urine protein-to-creatinine ratio Show Answer & Explanation Correct Answer: E Explanation: Urine protein-to-creatinine ratio is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in Nephrology. Reference: ASN/ERA Position Statements Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Cancel « ← Previous Page 37 of 55 Next → »