30 Study Guide

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Author:
NursyDaisy
ID:
137397
Filename:
30 Study Guide
Updated:
2012-04-06 14:13:44
Tags:
Pathophysiology
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Description:
Alterations of Renal and Urinary Tract Function in Children
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  1. T/F
    Exstrophy of the bladder occurs because of birth trauma.
    False
  2. T/F
    Vesicoureteral reflux is caused by a congenitally malpositioned entry of the ureter or ureters into the bladder.
    True
  3. T/F
    Children are at no greater risk for fluid and electrolyte imbalances than adults.
    False
  4. T/F
    Grade V vesicoureteral reflux can be medically managed.
    False
  5. T/F
    Polycystic kidney disease is an autosomal dominant disorder.
    True
  6. T/F
    Secondary enuresis occurs when the child has never been continent.
    False
  7. Nephrotic syndrome in children manifests as:
    a. proteinuria.
    b. hylerlipidemia.
    c. lipiduria.
    d. All of the above are correct.
    e. None of the above is correct.
    d. All of the above are correct.
  8. Poststreptococcal glomerulonephritis in children:
    A. is a noninfectious renal disease.
    B. causes dehydration.
    C. Both b and c are correct.
    D. causes hypotension.
    A. is a noninfectious renal disease.
    (this multiple choice question has been scrambled)
  9. Infants cannot concentrate urine because of:
    A. Both a and c are correct.
    B. increased blood flow to the kidneys.
    C. increased tubular weight.
    D. shorter tubular length.
    E. a, b, and c are correct.
    A. Both a and c are correct. (a. shorter tubular length. c. increased blood flow to the kidneys.)
    (this multiple choice question has been scrambled)
  10. Vesicoureteral reflux causes urine to ? up the ureters and places the young child at risk for ?.
    A. retrograde; glomerulonephritis
    B. retrograde; nephrotic syndrome
    C. retrograde; pyelonephritis
    D. retrograde; cystitis
    C. retrograde; pyelonephritis
    (this multiple choice question has been scrambled)
  11. Which manifestation may be associated with vesicoureteral reflux?
    A. irritability
    B. recurrent urinary tract infections
    C. a, b, and c are correct.
    D. Both a and b are correct.
    E. poor growth
    C. a, b, and c are correct. (a. recurrent urinary tract infections b. poor growth c. irritability.)
    (this multiple choice question has been scrambled)
  12. Children are at risk for hemolytic uremic syndrome after:
    a. upper respiratory tract infection.
    b. vomiting or diarrhea.
    c. viral infections.
    d. All of the above are correct.
    d. All of the above are correct.
  13. Organic causes of enuresis may include:
    a. congenital abnormalities of the urinary tract.
    b. a neurologic origin.
    c. diabetes insipidus.
    d. All of the above are correct.
    d. All of the above are correct.
  14. Children with enuresis may be managed by:
    a. sleep interruption.
    b. psychotherapy.
    c. diet.
    d. All of the above are correct.
    d. All of the above are correct.
  15. Which characterizes IgA nephropathy?
    a. no systemic immunologic disease
    b. Injury to the glomerulus is usually reversibly.
    c. gross hematuria
    d. All of the above are correct.
    e. Both a and b are correct.
    d. All of the above are correct.
  16. Identify the sequence of events in hemolytic uremic syndrome that cause anemia.
    1. The damaged cells are removed from the circulation by the spleen.
    2. The endothelial lining of the glomerular arterioles becomes swollen.
    3. Narrowed vessels damage erythrocytes.
    4. Split-products of fibrin appear in the urine and serum.
    A. 2, 4, 1
    B. 1, 3, 4
    C. 2, 3, 1
    D. 3, 1, 2
    C. 2, 3, 1
    (this multiple choice question has been scrambled)
  17. Which factor influences the prognosis of a child with nephroblastoma?
    A. the child's height
    B. stage
    C. genetics
    D. congenital anomalies
    E. b, c, and d are correct
    E. b, c, and d are correct. (b. genetics c. stage d. congenital anomalies)
    (this multiple choice question has been scrambled)
  18. What causes neonate bladder outlet obstruction?
    A. congenital urethral valves
    B. Both b and c are correct
    C. polyps arising from the prostatic urethra
    D. impaired renal embryogenesis
    E. a, b, and c are correct
    E. a, b, and c are correct. (a. polyps arising from the prostatic urethra. b. congenital urethral valves. c. impaired renal embryogenesis.)
    (this multiple choice question has been scrambled)
  19. Small, normally developed kidney
    A. hypoplastic kidney
    B. bladder exstrophy
    C. bilateral agenesis
    D. hypospadias
    E. renal dysplasia
    F. renal dysplasia
    G. epispadias
    A. hypoplastic kidney
    (this multiple choice question has been scrambled)
  20. Facial anomalies
    A. bladder exstrophy
    B. bilateral agenesis
    C. hypospadias
    D. hypoplastic kidney
    E. renal dysplasia
    F. epispadias
    G. renal dysplasia
    B. bilateral agenesis
    (this multiple choice question has been scrambled)
  21. Urethral opening on the dorsal surface of the penis; a cleft along the ventral urethra in girls
    A. epispadias
    B. renal dysplasia
    C. bilateral agenesis
    D. bladder exstrophy
    E. hypoplastic kidney
    F. renal dysplasia
    G. hypospadias
    A. epispadias
    (this multiple choice question has been scrambled)
  22. Results from abnormal differentiation of renal tissue
    A. hypoplastic kidney
    B. hypospadias
    C. renal dysplasia
    D. renal dysplasia
    E. bilateral agenesis
    F. bladder exstrophy
    G. epispadias
    F. bladder exstrophy
    (this multiple choice question has been scrambled)
  23. Exposed bladder mucosa through a fissure in the abdominal wall
    A. bladder exstrophy
    B. bilateral agenesis
    C. hypospadias
    D. epispadias
    E. renal dysplasia
    F. renal dysplasia
    G. hypoplastic kidney
    A. bladder exstrophy
    (this multiple choice question has been scrambled)
  24. Urethral meatus opening on the ventral side of the penis
    A. hypospadias
    B. bladder exstrophy
    C. renal dysplasia
    D. epispadias
    E. hypoplastic kidney
    F. renal dysplasia
    G. bilateral agenesis
    A. hypospadias
    (this multiple choice question has been scrambled)
  25. Obstruction of the renal collection system
    A. bladder exstrophy
    B. bilateral agenesis
    C. hypospadias
    D. epispadias
    E. renal dysplasia
    F. hypoplastic kidney
    G. renal dysplasia
    E. renal dysplasia
    (this multiple choice question has been scrambled)

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