Chapter 29

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Chapter 29
2011-12-08 16:10:28
Alterations Renal Urological system

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  1. Renal function tests include:
    • Both a and b are correct
    • the urinalysis and BUN and serum creatinine
  2. Which substance is an abnormal constituent of urine?
  3. The presence of albumin in the urine would indicate probable damage to:
  4. Which statement is not true concerning urinary tract infections?
    Once cystitis develops, pyelonephritis will certainly occur
  5. Renal calculi may be composed of:
    • Both a and b are correct
    • calcium oxalate and uric acid
  6. Which can be characteristic of ureteral stones?
    • All of the above are correct
    • severe back pain, severe pain in abdomen, nausea and vomiting
  7. A common cause of both pyelonephritis and cystitis is:
    invading, ascending microorganisms such as E.coli
  8. Uremia Exhibits:
    retention of metabolic acids
  9. Which renal condition usually has a history of recent infection with beta-hemolytic sterptococci?
  10. Which statement is not true concerning glomerulonephritis?
    approximately 90% of individuals develop a chronic disease
  11. Nephrotic syndrome is associated with _____to plasma______.
    Increased glomerular permeability; proteins
  12. Causes of acute renal failure include:
    • Both b and c are correct
    • stones and strictures in kidneys or ureters, heart failure leading to porr renal perfusion
  13. Which is not a characteristic of chronic renal failure?
  14. chronic renal failure:
    • All of the above are correct
    • may result from hypertension, is usually the result of chronic inflammation of the kidney, may be treated with dialysis or transplants
  15. An individual has an elevated blood level of urea and creatinine because of complete calculi blockage of one ureter. This is referred to as:
    postrenal disease
  16. Nephrotoxins, such as antibiotics may be responsible for:
    acute tubular necrosis
  17. Uremia, as seen in chronic renal failure, would include:
    • All of the above are correct
    • metabolic acidosis, elevated BUN and creatinine, cardiovascular disturbances
  18. The earliest symptom of chronic renal failure is:
  19. In chronic renal failure, tubulointerstitial disease leads to:
    sodium wasting
  20. A patient is complaining of abdominal and back pain. You have diagnosed bacteria in the urine. What is the appropriate term for involvement of the upper urinary tracts?
  21. Which of the following is true regarding renal cell carcinoma?
    Symptoms include hematuria
  22. Which of the following is not a determinant of severity for obstructive uropathy?
    Type of blockage
  23. A diabetic male child has 4 g of protein in his urine each day. He is experiencing edema and vitamin D deficiency. Which of the following is the most likely diagnosis?
    Nephrotic Syndrome
  24. Which of the following is not a cause of obstructed urine flow?
    Detrusor areflexia
  25. A patient has uncontrolled or premature contractions of the detrusor muscle. Which of the following conditions is associated with this medical problem?
    Spinal cord injury
  26. A patient is diagnosed with a kidney stone that is composed of magnesium, ammonium, and phosphate. Which type of urinary calculus is this?
  27. With which bacteria is acute glomerulonephritis associated?
    Group A streptococci
  28. Which of the following is not one of the factors that are required before a stone is formed?
    Low concentration of salt