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Cert Nephrology(SA) Phys Practice Questions - Sub-specialty Certificate in Nephrology of the College of Physicians of South Africa Exam

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About this Exam

Prepare with the Cert Nephrology(SA) Phys Practice Questions - Sub-specialty Certificate in Nephrology of the College of Physicians of South Africa Exam practice quiz. This question bank includes 100 questions covering year-old, mmol, kidney, serum, and acute. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

Sample Questions

Question 1
According to the KDIGO clinical practice guidelines for Acute Kidney Injury (AKI), which of the following criteria defines Stage 1 AKI based on serum creatinine criteria?
Increase in serum creatinine to 3.0 times baseline or serum creatinine ≥353.6 µmol/L
Increase in serum creatinine by ≥26.5 µmol/L within 48 hours or 1.5–1.9 times baseline within 7 days
Increase in serum creatinine to 2.0–2.9 times baseline within 7 days
Initiation of renal replacement therapy regardless of serum creatinine level
Question 2
A 68-year-old male with chronic heart failure on daily furosemide presents with acute oliguria and an elevated serum creatinine of 210 µmol/L. Which diagnostic parameter is most reliable to distinguish prerenal azotemia from intrinsic acute tubular necrosis (ATN) in this patient?
Urine specific gravity > 1.020
Fractional excretion of sodium (FENa) < 1%
Fractional excretion of urea (FEUrea) < 35%
Urine sodium concentration < 20 mmol/L
Question 3
Which portion of the nephron is predominantly damaged by aminoglycosides (e.g., gentamicin), leading to non-oliguric acute tubular necrosis?
Distal convoluted tubule
Cortical collecting duct principal cells
Proximal convoluted tubule epithelial cells (S1 and S2 segments)
Thick ascending limb of the loop of Henle
Question 4
A 62-year-old diabetic female with CKD Stage 3b (eGFR 38 mL/min/1.73m²) is scheduled for elective coronary angiography. According to clinical practice guidelines, which intervention is proven to reduce the risk of Contrast-Associated Acute Kidney Injury (CA-AKI)?
Intravenous N-acetylcysteine bolus combined with oral sodium bicarbonate
Prophylactic intravenous 0.9% isotonic saline expanded volume expansion
Prophylactic low-dose dopamine infusion
Prophylactic fenoldopam continuous infusion
Question 5
A 54-year-old male develops a rise in serum creatinine from 90 to 280 µmol/L three weeks after starting omeprazole for gastro-esophageal reflux disease. Urinalysis reveals sterile pyuria and white blood cell casts. What is the most definitive diagnostic test to establish the diagnosis?
Gallium-67 renal scintigraphy scan showing diffuse uptake
Urinary eosinophil testing using Hansel stain
Serum IgE elevation and peripheral blood eosinophilia count
Percutaneous renal biopsy showing tubulointestinal inflammatory infiltrate with eosinophils

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Additional Information

Cert Nephrology(SA) Phys Practice Questions - Sub-specialty Certificate in Nephrology of the College of Physicians of South Africa Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, mmol, kidney, serum, and acute. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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Frequently Asked Questions

This quiz contains a total of 100 practice questions carefully selected to test your knowledge on this subject.
Yes, you will have exactly 0 minutes to complete the exam. A countdown timer will be visible once you start.
Yes, you can retake this practice test as many times as you need. The questions and options may be randomized on subsequent attempts to ensure comprehensive learning.

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