NMS Q&A Family Medicine

Nephrology 115he has had a striking weight loss, amounting to 40 lb(18.12 kg). The diabetes has now virtually disappearedso far as clinical evidence exists. However, youcannot explain the weight loss, anorexia, and abdominalpain. Suspecting carcinoma of the pancreas, youordered a CT scan of the abdomen with and withoutcontrast. The result showed a mass involving the rightkidney. Blood studies for liver function, includingalkaline phosphatase, and CBC as well as bone scanreveal no abnormalities. Within 3 weeks after rightnephrectomy for renal cell carcinoma, the patient’sappetite had returned and he began to gain weight.Which of the following most likely explains the foregoingclinical picture?(A) Metastases from renal cell carcinoma havecaused anorexia and abdominal pain.(B) The mass was misdiagnosed as cancer, allowingfull recovery following surgical removal.(C) Metastases from renal cell carcinoma havebecome dormant.(D) The renal cell carcinoma has entered aremission phase.(E) The patient had suffered from a paraneoplasticsyndrome.16 Each of the following drugs may cause nephropathy,except for which one?(A) Acetaminophen(B) Aspirin(C) Phenacetin(D) Ibuprofen(E) Naproxen17 Which of the following pretreatment medication hasbeen found to reduce the risk of creatinine elevationor renal failure when administered before injectionof contrast medium in a case where such a studymight be particularly critical?(A) Acetylsalicylic acid(B) Sulfasalazine(C) Acetylcysteine(D) Amoxicillin(E) Furosemide