29 Study Guide

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NursyDaisy
ID:
137396
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29 Study Guide
Updated:
2012-04-06 14:20:15
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Pathophysiology
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Description:
Alterations of Renal and Urinary Tract Function
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  1. Renal function tests include:
    A. a, b, and c are correct.
    B. SGOT/SGPT
    C. Both a and b are correct.
    D. BUN and serum creatinine.
    E. the urinalysis.
    C. Both a and b are correct. (a. the urinalysis. b. BUN and serum creatinine.)
    (this multiple choice question has been scrambled)
  2. Which substance is an abnormal constituent of urine?
    A. urea
    B. creatinine
    C. glucose
    D. sodium chloride
    C. glucose
    (this multiple choice question has been scrambled)
  3. The presence of albumin in the urine would indicate probable damage to:
    A. pyramids.
    B. collecting tubules.
    C. glomeruli.
    D. renal columns.
    e. None of the above is correct.
    C. glomeruli
    (this multiple choice question has been scrambled)
  4. Which statement is not true concerning urinary tract infections?
    A. The patient may be asymptomatic.
    B. Once cystitis develops, pyelonephritis will certainly occur.
    C. they are usually caused by coliforms, especially E. coli.
    D. Organisms probably enter the bladder by way of the urethra.
    B. Once cystitis develops, pyelonephritis will certainly occur.
    (this multiple choice question has been scrambled)
  5. Renal calculi may be composed of:
    a. calcium oxalate.
    b. uric acid.
    c. cholesterol.
    d. All of the above are correct.
    e. Both a and b are correct.
    e. Both a and b are correct. (a. calcium oxalate. b. uric acid.)
  6. Which can be characteristic of ureteral stones?
    a. severe pain in back
    b. severe pain in abdomen
    c. nausea and vomiting
    d. All of the above are correct.
    e. Both a and c are correct.
    d. All of the above are correct.
  7. Which are predisposing factors for acute urinary tract infections? (More than one answer may be correct)
    a. congenital deformities of urinary tract
    b. the sex of the patient
    c. decreased urine flow
    d. increased urine flow
    e. increased fluid intake
    • a. congenital deformities of urinary tract
    • b. the sex of the patient
    • c. decreased urine flow
  8. A common cause of both pyelonephritis and cystitis is:
    A. heavy metals.
    B. allergy reactions.
    C. urinary calculi.
    D. invading, ascending microorganisms, such as E. coli.
    D. invading, ascending microorganisms, such as E. coli.
    (this multiple choice question has been scrambled)
  9. Uremia exhibits:
    A. retention of metabolic acids.
    B. polycythemia.
    C. Both a and d are correct.
    D. low plasma calcium levels.
    E. increased erythropoiesis.
    A. retention of metabolic acids.
    (this multiple choice question has been scrambled)
  10. Pyelonephritis is (more than one answer may be correct):
    a. an inflammation and infection of the urinary bladder.
    b. characterized by fever, chills, and flank pain.
    c. characterized by pyuria, bacteriuria, and hematuria.
    d. more common in young women than in young men.
    • b. characterized by fever, chills, and flank pain.
    • c. characterized by pyuria, bacteriuria, and hematuria.
    • d. more common in young women than in young men.
  11. Which renal condition usually has a history of recent infection with beta-hemolytic streptococci?
    A. chronic renal failure
    B. glomerulonephritis
    C. pyelonephritis
    D. nephrosis
    E. calculi
    B. glomerulonephritis
    (this multiple choice question has been scrambled)
  12. Which statement is not true concerning glomerulonephritis?
    A. It is characterized by hematuria, proteinuria, and the presence of casts.
    B. Complement activation attracts neutrophils.
    C. Approximately 90% of individuals develop chronic disease.
    D. Significant damage to kidneys occurs during the body's response to an infection.
    E. Fever and flank pain occur.
    C. Approximately 90% of individuals develop chronic disease.
    (this multiple choice question has been scrambled)
  13. Nephrotic syndrome is associated with ? to plasma ?.
    A. increased glomerular permeability; proteins
    B. decreased glomerular permeability; tubular filtrate
    C. increased glomerular permeability; urea
    D. decreased glomerular permeability; proteins
    A. increased glomerular permeability; proteins
    (this multiple choice question has been scrambled)
  14. Causes of acute renal failure include:
    a cholecystitis.
    b. stones and strictures in kidneys or ureters.
    c. heart failure leading to poor renal perfusion.
    d. Both b and c are correct.
    e. a, b, and c are correct.
    d. Both b and c are correct. (b. stones and strictures in kidneys or ureters.)
  15. Which describe a patient in acute renal failure? (More than one answer may be correct)
    a. elevated serum creatinine
    b. leukocytosis
    c. low BUN
    d. fever
    e. oliguria
    • a. elevated serum creatinine
    • e. oliguria
  16. Which is not a characteristic of chronic renal failure?
    A. anuria
    B. acidosis
    C. anemia
    D. pruritus
    E. hyperkalemia
    A. anuria
    (this multiple choice question has been scrambled)
  17. Chronic renal failure:
    a. may result from hypertension.
    b. is usually the result of chronic inflammation of the kidney.
    c. may be treated with dialysis or transplants.
    d. All of the above are correct.
    e. Both a and c are correct.
    d. All of the above are correct.
  18. An individual has an elevated blood level of urea and creatinine because of complete calculi blockage of one ureter. This is referred to as:
    A. hypercalcemia.
    B. intrarenal disease.
    C. postrenal disease.
    D. prerenal disease.
    E. preeclampsia.
    C. postrenal disease.
    (this multiple choice question has been scrambled)
  19. Nephrotoxins, such as antibiotics, may be responsible for:
    A. acute glomerulonephritis.
    B. cystitis.
    C. pyelonephritis.
    D. acute tubular necrosis.
    D. acute tubular necrosis.
    (this multiple choice question has been scrambled)
  20. Uremia, as seen in chronic renal failure, would include:
    a. metabolic acidosis.
    b. elevated BUN and creatinine.
    c. cardiovascular disturbances.
    d. All of the above are correct.
    d. All of the above are correct.
  21. The earliest symptom of chronic renal failure is:
    A. pruritus.
    B. oliguria.
    C. polyuria.
    D. decreased BUN.
    C. polyuria.
    (this multiple choice question has been scrambled)
  22. In chronic renal failure, tubulointerstitial disease leads to:
    A. sodium wasting.
    B. sodium retention.
    C. increased phosphate excretion.
    D. no significant changes in sodium levels.
    A. sodium wasting.
    (this multiple choice question has been scrambled)
  23. Goodpasture syndrome
    A. prerenal failure
    B. chronic glomerulonephritis
    C. pulmonary capillary and glomerular basement membrane antibodies
    D. postrenal failure
    E. pruritus
    C. pulmonary capillary and glomerular basement membrane antibodies
    (this multiple choice question has been scrambled)
  24. Hypovolemia
    A. chronic glomerulonephritis
    B. pulmonary capillary and glomerular basement membrane antibodies
    C. prerenal failure
    D. postrenal failure
    E. pruritus
    C. prerenal failure
    (this multiple choice question has been scrambled)
  25. Uremia
    A. pruritus
    B. postrenal failure
    C. chronic glomerulonephritis
    D. prerenal failure
    E. pulmonary capillary and glomerular basement membrane antibodies
    A. pruritus
    (this multiple choice question has been scrambled)

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