DHA Exam Nephrology MCQs: Practice Questions With Answers

Sample DHA licensing exam MCQs from Nephrology — a 92-question subject in HighYield's DHA bank that doesn't yet have a dedicated practice post — covering AKI, electrolyte emergencies, and nephrotic vs nephritic syndrome.

Nephrology is a 92-question subject in HighYield's DHA question bank without a dedicated practice post — a compact but heavily clinical-reasoning-driven area on the actual DHA licensing exam for Pakistani doctors applying for a Dubai medical licence. Below is a sample set of Nephrology MCQs in the same clinical-vignette style you'll see on exam day, grouped by theme.

Acute Kidney Injury

1. Pre-renal, intrinsic (renal), and post-renal are the three broad categories used to classify:

A) Chronic kidney disease staging
B) Acute kidney injury etiology ✅
C) Nephrotic syndrome subtypes
D) Renal tubular acidosis types

2. A fractional excretion of sodium (FeNa) below 1% in an oliguric patient with acute kidney injury most strongly suggests:

A) Acute tubular necrosis
B) Pre-renal azotemia ✅
C) Obstructive uropathy
D) Acute interstitial nephritis

Electrolyte Emergencies

3. The earliest ECG change typically seen in hyperkalemia is:

A) Widened QRS complex
B) Sine wave pattern
C) Peaked T waves ✅
D) Prolonged QT interval

4. The first-line emergency treatment to stabilize the cardiac membrane in severe, ECG-positive hyperkalemia is:

A) Insulin and glucose infusion
B) IV calcium gluconate ✅
C) Sodium bicarbonate
D) Oral potassium binders

Nephrotic vs Nephritic Syndrome

5. Heavy proteinuria (over 3.5g/day), hypoalbuminemia, and edema, without significant hematuria, is characteristic of:

A) Nephritic syndrome
B) Nephrotic syndrome ✅
C) Acute interstitial nephritis
D) Isolated renal vein thrombosis

6. Hematuria, hypertension, and oliguria with red blood cell casts on urinalysis are the hallmark of:

A) Nephrotic syndrome
B) Nephritic syndrome ✅
C) Minimal change disease alone
D) Diabetic nephropathy in isolation

Why Nephrology Deserves Dedicated Revision

Nephrology questions on the DHA exam lean heavily on pattern recognition — distinguishing pre-renal from intrinsic AKI, reading an ECG for hyperkalemia, or telling nephrotic from nephritic syndrome apart — rather than pure recall, which is exactly why targeted MCQ practice pays off more here than in more fact-based subjects.

HighYield's DHA question bank covers Nephrology alongside Cardiology, Family Medicine, Neurology and every other discipline tested in the DHA licensing exam, with every question explained. For the full picture of what the DHA exam covers, see our DHA Exam Guide. Start with 50 free questions, no sign-in required.