Paper I
2024 December (Supplementary) (2019 Scheme) · 100 marks · 180 min

Question

(A): Rotheras test detects proteins in urine (R): Nephrotic syndrome causes massive proteinuria

  • a) Both A & R are correct and R is the reason for A
  • b) Both A & R are correct but R is not reason for A
  • c) A is correct R is incorrect
  • d) A is incorrect R is correct Read the following case scenario and answer subsequent questions based on this A 45 years old male presented to emergency department with difficulty in breathing, swelling of face, swollen lips, watering eyes and nose. He gave history of bee sting few minutes back.
Qxv1 marksMCQs

Answer

Correct answer: d) A is incorrect R is correct Read the following case scenario and answer subsequent questions based on this A 45 years old male presented to emergency department with difficulty in breathing, swelling of face, swollen lips, watering eyes and nose. He gave history of bee sting few minutes back.

A is incorrect, R is correct. Rothera’s test is a screening test for ketone bodies (acetoacetate and, indirectly, acetone) in urine, not proteins — it is used to detect ketonuria in diabetic ketoacidosis or starvation ketosis. R is independently true — nephrotic syndrome does cause massive (nephrotic-range) proteinuria (≥3.5 g/24 hours), but this is not related to Rothera’s test.

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