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1. Clinical manifestations of renal diseases

Total questions: 41

Worksheet time: 21mins

Name
Class
Date
1.

Flank pain, fever and chills may be indicative of:

a)

Ureteral colic

b)

Urethral pain

c)

Bladder pain

d)

Pyelonephritis

2.

Kidney pain is characterized by:

a)

Intense

b)

dull

c)

aching

d)

steady felted

3.

It causes violent hyperperistalsis with paroxysmal spasms. It is a very intense pain, accompanied by sweating, prostration and occasionally shock, The patients can also present nausea and/or vomiting. Usually, ureteral colic is more strongly and suddenly than renal one.

a)

Ureteral colic

b)

Low back pain

c)

Bladder pain

d)

Urethral pain

4.

It is usually duller, less radiated, and more

a)

Ureteral colic

b)

Low back pain

c)

Bladder pain

d)

Urethral pain

5.

It is an intense pain in the suprapubic region and urethra.

a)

Ureteral colic

b)

Low back pain

c)

Bladder pain

d)

Urethral pain

6.

Pain accompanied by burning, dysuria and tenesmus. It radiates to the perineum and urethral meatus.

a)

Urethral pain

b)

Bladder pain

c)

Low back pain

d)

Ureteral colic

7.

The presence of more than 5 red blood cells per microscopic field is called:

a)

Hematuria

b)

Pyuria

c)

Dysuria

d)

Anuria

8.

The precipitation of phosphates in alkaline urine causes:

a)

Hematuria

b)

Pyuria

c)

Dysuria

d)

Anuria

9.

Can be caused by allergic reactions, urethral irritants, and genitourinary trauma causing painful urination.

a)

Anuria

b)

Dysuria

c)

pyuria

d)

Hematuria

10.

It may be due to:

1. Lack of emission (secretory): Kidney failure

2. Lack of excretion: (excretory): Blockage of upper urinary tract

a)

Anuria

b)

Dysuria

c)

Pyuria

d)

Hematuria

11.

Foam urine ->

a)

albuminuria

b)

chyluria

12.

<500 ml urine volume indicates:

a)

oliguria

b)

polyuria

13.

>1,500 ml urine volume indicates:

a)

polyuria

b)

oliguria

14.

Normal urine density fluctuates between:

a)

1.025

b)

1.035

c)

1.045

d)

1.015

15.

< 150 mg of protein in 24 hr.

a)

Normal

b)

proteinuria

16.

Casts: Precipitated protein

a)

Hyalines

b)

Granular

c)

Leukocyte

d)

Hematic

17.

Casts: by degeneration of epithelial cells, leukocytes or erythrocytes, albumin and fat

a)

Hyalines

b)

Granular

c)

Leukocyte

d)

Waxy

18.

Casts: made up of leukocytes agglutinated by a protein matrix

a)

Leukocyte

b)

Purulent

c)

Hematic

d)

Waxy

19.

Casts: degenerated erythrocytes; and always indicate renal disease and are characteristic of nephritic syndromes.

a)

Hematic

b)

Waxy

c)

Granular

d)

Purulent

20.

Casts: suggest tubular flow is very slow, indicating chronic kidney disease.

a)

Waxy

b)

Hematic

c)

Leukocyte

d)

Granular

21.

It is characterized by different types of acute or chronic low back pain, accompanied by alterations in urination and modifications in the urine appearance.

a)

Local

renal

syndrome

b)

Nephritic

syndrome

c)

Nephrotic

syndrome

d)

AKI

22.

The main origin of this syndrome comes from the presence of local

masses.

a)

Local

renal

syndrome

b)

Nephritic

syndrome

c)

Nephrotic

syndrome

d)

AKI

23.

Glomerular inflammation defined by hematuria, oliguria, blood high pressure, and edema.

a)

Nephritic

syndrome

b)

Nephrotic

syndrome

c)

AKI

d)

CKI

24.

Immunological disorders are the most common causes, but it

can be origin from local or systemic infectious or inflammatory processes.

a)

Nephritic

syndrome

b)

Nephrotic

syndrom

c)

Acute

kidney

injury

d)

Chronic

kidney

injury

25.

Defined by intense proteinuria (> 3.5 g/day), edema, hypoalbuminemia (<3.0 g/dl), alpha 2 globulin increased levels, hyperlipidemia, urinary fatty casts and hyper coagulation.

a)

Nephrotic

syndrome

b)

Nephritic

syndrome

c)

Acute

kidney

injury

d)

Chronic

kidney

injury

26.

Caused by severe lesions of the glomerular capillary walls that results in massive filtering of proteins that exceed reabsorption tubular capacity.

a)

Nephrotic

syndrome

b)

Nephritic

syndrome

c)

Acute

kidney

injury

d)

Chronic

kidney

injury

27.

Defined by rapid decline in glomerular filtration rate (GFR, within hours to days) until oliguric ranges (< 20 ml/h or <400 ml/day), dysregulation of fluid and electrolyte balance, and retention of metabolic waste products.

a)

Acute

kidney

injury

b)

Nephrotic

syndrome

c)

Uremic

syndrome

d)

Chronic

kidney

injury

28.

Symptoms of AKI depends on the level of catabolites, therefore, these symptoms are from: acute uremia, neurologic (stupor), GI (uremic breath, nausea, vomiting, digestive tracts hemorrhages), hematologic symptoms (anemia, purpura).

a)

Nitrogen

b)

Electrolytes

c)

Blood pH

29.

Symptoms of AKI depends on the level of catabolites, therefore, these symptoms are from: hyperreflexia, muscle spasms, electrocardiographic

changes (T-spike waves, widening of the QRS complex, PR interval elongation, among others) that can lead in cardiac arrest

a)

Nitrogen

b)

Electrolytes

c)

Blood pH

30.

Symptoms of AKI depends on the level of catabolites, therefore, these symptoms are from:Blood pH: metabolic acidosis, Kussmaul’s breathing

a)

Nitrogen

b)

Electrolytes

c)

Blood pH

31.

Defined by the presence of a diminished GFR that is persistently < 60 mL/minute/1.73 m2 for at least 3 months, from any cause, and/or persistent albuminuria.

a)

Chronic

kidney

injury

b)

Uremic

syndrome

c)

Acute

kidney

injury

d)

Nephrotic

syndrome

32.

CKI can be present polyuria (range of 2 to 3 L/day), hypostenuria and gradual increasing of blood creatinine levels. It is characteristic the urine rhythm inversion (nicturia). These stages are often called compensated chronic renal failure.

[STAGE]

a)

initial

b)

later

33.

In CKI we can notice hyperazoemia and diuresis decrease until normal (pseudonormaluria) or oliguric ranges (< 400 ml/day) creatinine blood levels increasing, electrolyte imbalance, anemia (normocytic, normochromic)

[STAGE]

a)

initial

b)

later

34.

In CKI, the progression toward uremia or uremic syndrome.

[STAGE]

a)

Final

b)

later

c)

initial

35.

Defined by dramatic and irreversible hyperazoemia (>100 mg/dl) which is constantly increasing until it culminates in the death of the patient.

a)

Uremic

syndrome

b)

Chronic

kidney

injury

c)

Acute

kidney

injury

d)

Nephritic

syndrome

36.

Stage 1: normal or high GFR

a)

>90

b)

89> - >60

c)

59> - >40

d)

44> - >40

37.

Stage2: mild decreased GFR

a)

>90

b)

89 - 60

c)

59-40

d)

29- 15

38.

Stage 3A: mild to moderate decreased GFR

a)

>90

b)

89-60

c)

59-40

d)

44-30

39.

Stage 3B: mild to moderate decreased GFR

a)

>90

b)

59-40

c)

44-30

d)

29-15

40.

Stage 4: severely decreased GFR

a)

44-30

b)

29-15

c)

<15

d)

59-40

41.

Stage 5: Kidney failure

a)

<15

b)

<20

c)

<25

d)

<30