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Chapter 26 - Renal Part 3 Pathology, Pharmacology, & Embryo

Total questions: 16

Worksheet time: 9mins

Name
Class
Date
1.

The _________ of the embryo gives rise to collecting ducts, calyces, renal pelves, and ureters.

a)

pronephros

b)

mesonephros

c)

metanephric mesoderm

d)

metanephros

e)

ureteric bud

2.

The _________ of the embryo develops into nephrons.

a)

pronephros

b)

mesonephros

c)

metanephric mesoderm

d)

metanephros

e)

ureteric bud

3.
Drugs or substances that cause a person to urinate more frequently
a)
catheterization
b)
incontinence
c)
calculus
d)
diuretics
4.
Hemodialysis/Peritoneal dialysis is  
a)
Removal of fluids by convection
b)
The removal of solutes by diffusion down a concentration gradient between blood and dialysate
c)
Refers to the combination of both hemodialysis and hemofiltration
d)
Combination of hemodialysis, hemofiltration, and hemodiafiltration being applied continuously for days to weeks in patients with AKI
5.

As a new NP you know that creatinine is best described as

a)

A substance produced by the kidney

b)

A product related to skeletal muscle metabolism

c)

Produced by the liver and filtered by the kidney

d)

A by product of protein metabolism

6.

______________ is released by interstitial cells in peritubular capillary bed in response to hypoxia.

a)

Eythropoietin

b)

Calciferol

c)

Prostaglandins

d)

Dopamine

7.

Which of the following statements accurately reflect aging of the kidneys?

1. The kidneys decrease in size. 2. Glomerular filtration rate decreases. 3. Renal blood flow decreases.

a)

1 only

b)

2 only

c)

3 only

d)

1 and 2 are correct.

e)

1, 2, and 3 are correct.

8.

A patient is being treated with furosemide, a loop diuretic, for her blood pressure. Furosemide works by inhibiting the transport system of the thick ascending limb of the loop of Henle. Which of the following is most inhibited by this drug?

a)

Na+–K+–2Cl– symporters

b)

Na+-Glucose symporter

c)

Na+-H+ symporter

d)

Na+-H+ antiporter

9.

A generalized reabsorption defect in the proximal convoluted tubule

a)

Fanconi syndrome

b)

Bartter syndrome

c)

Gitelman syndrome

d)

Liddle syndrome

10.

A diuretic that inhibits carbonic anhydrase which is commonly used for glaucoma, altitude sickness, and systemic hypertension.

a)

Acetazolamide

b)

Furiosomide

c)

Spironolactone

d)

Amiloride

e)

Hydrochlorothiazide

11.

A competitive aldosterone receptor antagonists in cortical

collecting tubule.

a)

Acetazolamide

b)

Furiosomide

c)

Spironolactone

d)

Hydrochlorothiazide

12.

Which of the following substances are the most common cuprits for renal calculi (kidney stones).

a)

Calcium oxalate

b)

Ammonium magnesium phosphate (struvite stones)

c)

Uric acid

d)

Cystine

13.

Incremental reductions in ________ define the stages of chronic kidney disease

a)

Glomerular filtration rate

b)

Inulin clearance

c)

Renal plasma flow

d)

Renal blood flow

e)

Capsular hydrostatic pressure

14.

Lisinopril is an ACE inhibitor used in treating hypertension and heart failure. The enzyme inhibited by these drugs is secreted by which of the following organs?

a)

Juxtaglomerular cells

b)

Liver

c)

Lungs

d)

Hypothalamus

e)

Adrenal cortex

15.

Nephrotic syndrome (massive proteinuria >3.5 g/day) is a general result of ___________.

a)

Podocyte disruption

b)

Glomerular basement membrane disruption

c)

Mesangial cell disease

d)

Macula densa dysfunction

16.

A 68-year-old man was treated for a ruptured brain aneurysm a month ago and is here today for a follow-up appointment. He has a history of hypertension, hematuria, and renal failure. He is also complaining of flank pain bilaterally. An ultrasound reveals enlarged kidneys with numerous renal cysts within the renal cortex and medulla. Which of the following is the underlying medical condition responsible for this patient's condition?

a)

Autosomal dominant polycystic kidney disease

b)

Autosomal recessive polycystic kidney disease

c)

Autosomal dominant tubulointerstitial kidney disease

d)

Complex renal cysts disease