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WorksheetsRenal Summative 1
Total questions: 64
Worksheet time: 32mins
Syntopy of ren dextra anterior with the question mark is…
gaster
duodenum
pelvis renalis
cauda pancreatitis
What nerves play a role in colic pain?
ilioinguinal and iliohypogastric nerve
vagal nerve and truncus sympathicus
vagal nerve and subcostal nerve
iliohypogastric and phrenic nerve
Complete the sequence below!
renal artery→ segmental artery→ (1)→ arcuate artery→(2)
(1)testicular artery, (2)interlobar artery
(1)interlobar artery, (2)cortical radiate veins
(1) afferent arteriole, (2) efferent arteriole
(1)interlobar artery, (2)cortical radiate artery
A man present with urination incontinence and premature ejaculation. where would the anatomical problems concerning pelvic floor muscles lies within?
m. transversus perinei profundus and m. sphincter urethra externus
m. transversus perinei profundus and m. sphincter urethra internus
m. bulbospongiosus and m. ischiocavernosus
m. transversus perinei superficialis and m. transversus urethrae externus
Pontine micturition center stimulates sympathetic nerve to relax detrusor muscle and contract internal urethral sphincter muscle
True
False
Renal corpuscle is prominent in medulla
True
False
What is the structure pointed by question mark?
thick limb ascending
papillary duct of bellini
collecting tubule
vasa recta
What is the structure pointed by question mark?
papillary duct of bellini
collecting duct
proximal straight tubule
thick limb descending
Choose the correct order of glomerular filtration from capillary lumen to urinary space!
(1) fenestrations, (2) podocytes slits, (3) basement membrane
(1) basement membrane, (2)podocytes, (3) fenestrations
(1) fenestrations, (2) basement membrane, (3) podocytes slits
(1) podocytes slits, (2) basement membrane, (3) fenestrations
… lines the luminal mucosa of bladder
detrusor muscle
transitional epithelium
tunica adventitia
corpus spongiosum
Acid-base balance is influenced by…
H2O, H+, HCO3-
pCO2, HCO3-, H+
HCO3-, H+, CO2
pO2, CO2, HCO3-
D3 can help enhance the immune system because it plays a role in Ca2+ metabolism. This can be easily obtained by sunbathing for 15 mins/day at 10AM
True
False
Which of the following is true about the efferent arteriole?
carries blood to the glomerulus
filters a protein-free plasma into the tubular component
carries blood from the glomerulus
involved in exchanges with the fluid in the tubular lumen
Secretion will occur if the pressure exerted by the capillary is greater than the pressure outside of the capillary
True
False
The urge to pee is first felt at what volume (mL)?
120 mL
130 mL
140 mL
150 mL
What is the normal pH range in our body?
7.00 - 7.10
7.15 - 7.25
7.35 -7.45
7.40 - 7.50
Which of these are NOT the effect of pH disturbances?
Unstable cell membrane
Alter protein structure
Break lipid structure
Denature proteins (e.g., enzyme and hormones)
What happens if we add acid to a buffer?
It will react to the acid of the buffer and will result in a slightly basic environment
It will react to the base conjugate of the buffer and will result in a slightly acid environment
Buffer is a mixture of strong acid and its conjugate base
True
False
What indicates the strength of an acid?
Kw
Ka
Ka
Kh
The strongest influence for ADH release is
Osmolarity greater than 280 mOsm
Decreased blood pressure
Decreases in atrial stretch due to low volume
Increased blood pressure
The aquaporin two, when triggered by Vasopressin will attached on the basolateral side of the tubular cells
True
False
Ingesting istonic saline willchange osmolarity and cause increase of volume
True
False
Which did not happened when the blood pressure is low?
Increased in sympathetic activity
Release of renin from granular cell
Adrenal cortex releases aldosteron
Proximal tubule will increase Na+ Absorption
Nacl transportation will be increased
Which is NOT the cause of acidosis metabolism?
Ingesting too much alcohol
Excessive bicarbonate ion
Depletion of lactic acid
Shock
Starvation
The 2nd most common cause of acid base imbalance?
Metabolic acidosis
Respiratory acidosis
Metabolic alkalosis
Respiratory alkalosis
Guess the wrong statement
Anaerobic glucose metabolism will produce lactic acid
H2CO3 is part of the volatile acid
Organic acid yields only ketone bodies
Transporting co2 as bicarbonate ion release hydrogen ion
Increase in plasma osmolality cause decrease in saliva
True
False
Metabolic acidosis will be compensate by
Increase respiration rate
Secretion of bicarbonate ion
Decrease respiration rate
Retention of bicarbonate ion
Biofilm will cause infections and makes it harder for antibiotic to push through
True
False
Asymptomatic UTI is when microbiology test show 10^5 CFU/ml urine
True
False
Staphylococcus saprophyticus is common cause for UTI
True
False
Intrinsic urinary tract abnormalities include:
Stents
Urethral catheters
Neurogenic bladder
Corynebacterium is highly susceptible to vancomycin
True
False
Sequestration happens in falciparum, knowlesi, and vivax. it is a process in which not all of the RBC that is infected by this protozoa is present in the peripheral circulation.
True
False
Children with chronic malaria nephropathy may have a good prognosis (reversible in 4-6 weeks)
True
False
How long is the hepatic phase of p. vivax?
8 days
5.5 days
3 days
12 days
Asexual growth of p. malariae happens outside the host’s body
True
False
A strong indication for renal and urinary tract disorders by P.Vivax indicated by the binding of P.Vivax to chondroitin sulphate A
True
False
Red color of urine happens due to glomerular hemorrhage
True
False
Presence of ketone in the urine indicates high level/increase of fat metabolism
True
False
The recommended time frame for urine sample collection is : <3 hours
True
False
What causes the yellow-green color foam in urine
Protien
Bilirubin
Nitrate
Glucose
What is the benefit of using morning urine sample?
Can evaluate substances that requires incubation or augmentation such as nitrite and protein
Can evaluate substances that requires incubation or augmentation such as nitrite and protein
Can be used for emergency setting
Immediate result
The reference interval for Serum Na+ is 126 to 135 mmol/L.
True
False
A nurse is caring for a client who has a high fever and is hyperventilating. His ABG results are pH 7.51, PaCO2 28 mm Hg, and HCO3- 24 mEq/L. The nurse should identify that the client has which of the following acid-base imbalances?
Metabolic Acidosis
Metabolic Alkalosis
Respiratory Acidosis
Respiratory Alkalosis
The average concentration of potassium in the erythrocytes is 105mmol/L.
True
False
It is recommended to do hemolysis before measuring the concentration of potassium
True
False
A nurse is caring for a client whose ABG results are PH 7.30, PaCO2 32 mm Hg, and HCO3 19 meq/L. the nurse should identify that the client has which of the following acid-base imbalances
Metabolic Acidosis
Metabolic Alkalosis
Respiratory Acidosis
Respiratory Alkalosis
The most common cause for post infection glomerulonephritis is group B streptococcus alpha hemolyticus
True
False
Which is the right order for eradication of acute UTI ?
(1) prevent urosepsis
(2) eliminate acute infection
(3) reduce/prevent renal parenchymal damage
(1)-(2)-(3)
(3)-(2)-(1)
(3)-(1)-(2)
(2)-(1)-(3)
Do not think that glomerulonephritis or nephritic syndrome is post streptococcal if the patient has :
family history of glomerular disease
no evidence of extra-renal disease
no previous history of similar symptoms for the past year
no evidence of chronic kidney disease
Most frequent route of infection of UTI in neonates is
ascending from urethral orifice
descending from bladder/kidney
from surface of skin
hematogenous
How to achieve high sensitivity for UTI testing ?
leukocyte esterase test
nitrile stick test
microscopy test
combine a,b,and c
blood test
Which of the following is not the etiology of nephritic syndrome
Infection
Genetics
Trauma
Drugs
How many days after pharyngitis will clinical manifestation of postinfectious nephritic syndrom occur ?
2-3 days
3-6 weeks
7-14 days
4-8 days
Post-streptococcal glomerular disease is more common in adults then children
True
False
Glomerulus affected by nephritic syndrome when viewed under light microscopy will show...
Enlarged and hypercellular appearance
superepithelial deposits
antibody complexes
starry sky, granular appearance
Early antibiotic treatment is likely to prevent PSGN
True
False
Hyponatremia is when plasma concentration of Na+ is <135mmol/L (T)
True
False
Potassium imbalance from K+ redistribution can be caused by metabolic acidosis
True
False
What is the normal level for potassium in adults ?
2.3 - 5.1
3.4 - 4.8
3.7 - 5.9
3.6 - 7.2
Below are symptoms of hypokalemia except
muscle weakness
respiratory failure
cardiac arrhythmia
GI muscle weakness
Edema is NOT caused by
increased venous pressure due to heart failure
high plasma protein in liver disease
high capillary permeability due to anaphylactic shock
low lymph drainage due to obstruction in filariasis
