Deck 15: Urinary System Diseases and Disorders
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Deck 15: Urinary System Diseases and Disorders
1
Polycystic kidney disease:
A) Causes multiple fluid-filled sacs or cysts in the renal tubules.
B) Is one of the most common hereditary disorders in the United States.
C) Both A and B
D) None of the above
A) Causes multiple fluid-filled sacs or cysts in the renal tubules.
B) Is one of the most common hereditary disorders in the United States.
C) Both A and B
D) None of the above
C
2
Acute pyelonephritis requires minimization of symptoms through:
A) Preventing UTIs and controlling secondary hypertension.
B) A diet high in protein.
C) Antipyretics.
D) Ingestion of large quantities of cranberry juice.
A) Preventing UTIs and controlling secondary hypertension.
B) A diet high in protein.
C) Antipyretics.
D) Ingestion of large quantities of cranberry juice.
A
3
Kidneys:
A) Help regulate the water and electrolyte balance and the acid-base content of the blood.
B) Filter waste products of metabolism.
C) Provide energy from the body's digestion.
D) Both A and B
A) Help regulate the water and electrolyte balance and the acid-base content of the blood.
B) Filter waste products of metabolism.
C) Provide energy from the body's digestion.
D) Both A and B
D
4
Urinalysis includes testing the:
A) Specific gravity, pH, presence of protein, blood, sugar, and ketones.
B) Filtration of wastes.
C) Urine for microorganisms.
D) Urine for a rapid sedimentation rate.
A) Specific gravity, pH, presence of protein, blood, sugar, and ketones.
B) Filtration of wastes.
C) Urine for microorganisms.
D) Urine for a rapid sedimentation rate.
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5
The definitive diagnostic sign(s) of nephrotic syndrome is/are:
A) Shortness of breath and anorexia.
B) The presence of corticosteroids in the blood.
C) Renal biopsy.
D) Hyperlipemia.
A) Shortness of breath and anorexia.
B) The presence of corticosteroids in the blood.
C) Renal biopsy.
D) Hyperlipemia.
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6
Incontinence is the:
A) Inability of the kidneys to produce urine.
B) Common symptom of neurogenic bladder.
C) Inability to control urination.
D) Both B and C
A) Inability of the kidneys to produce urine.
B) Common symptom of neurogenic bladder.
C) Inability to control urination.
D) Both B and C
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7
Microscopic examination of urine looks for the presence of:
A) Viral and bacterial infestation.
B) Any peculiar odor.
C) Blood cells, casts, bacteria, and crystals.
D) Any genetic defect.
A) Viral and bacterial infestation.
B) Any peculiar odor.
C) Blood cells, casts, bacteria, and crystals.
D) Any genetic defect.
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8
Treatment of ESRD aims to:
A) Relieve symptoms and guard against complications.
B) Retard deterioration of remaining renal function.
C) Help the body compensate for existing impairment.
D) All of the above
A) Relieve symptoms and guard against complications.
B) Retard deterioration of remaining renal function.
C) Help the body compensate for existing impairment.
D) All of the above
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9
Inflammation of the bladder is called:
A) Urethritis.
B) Nephritis.
C) Cystitis.
D) Ureteritis.
A) Urethritis.
B) Nephritis.
C) Cystitis.
D) Ureteritis.
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10
Renal calculi are:
A) An uncommon cause of urinary obstruction.
B) Also called uroliths or kidney stones.
C) Often caused by hypoparathyroidism.
D) Caused by an insufficient amount of vitamin D intake.
A) An uncommon cause of urinary obstruction.
B) Also called uroliths or kidney stones.
C) Often caused by hypoparathyroidism.
D) Caused by an insufficient amount of vitamin D intake.
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11
Scanty or little urination is called:
A) Hematuria.
B) Oliguria.
C) Dysuria.
D) None of the above
A) Hematuria.
B) Oliguria.
C) Dysuria.
D) None of the above
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12
Acute tubular necrosis:
A) Is due to renal ischemia.
B) Is a common cause of acute renal failure in older adults.
C) Results in hypokalemia.
D) Both B and C
A) Is due to renal ischemia.
B) Is a common cause of acute renal failure in older adults.
C) Results in hypokalemia.
D) Both B and C
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13
Symptoms of pyelonephritis include all of the following except:
A) Pyuria.
B) Dysuria.
C) Nocturia.
D) Glycosuria.
A) Pyuria.
B) Dysuria.
C) Nocturia.
D) Glycosuria.
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14
Nephrotic syndrome is characterized by severe:
A) Proteinuria.
B) Nocturia.
C) Polyuria.
D) Dysuria.
A) Proteinuria.
B) Nocturia.
C) Polyuria.
D) Dysuria.
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15
ESRD:
A) Is not caused by diabetes mellitus or hypertension.
B) Has a good prognosis.
C) Is the gradual, progressive deterioration of kidney function.
D) Is more common in children.
A) Is not caused by diabetes mellitus or hypertension.
B) Has a good prognosis.
C) Is the gradual, progressive deterioration of kidney function.
D) Is more common in children.
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16
Glomerulonephritis usually follows which of the following?
A) HIV infection
B) Streptococcal infection of the respiratory tract
C) Staphylococcal infection
D) A birth defect
A) HIV infection
B) Streptococcal infection of the respiratory tract
C) Staphylococcal infection
D) A birth defect
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17
Polycystic kidney disease:
A) Comes in three forms, each due to a genetic defect.
B) Creates symptoms of colic and flank pain and blood in urine.
C) Is clearly identified on an MRI.
D) Rarely leads to kidney dialysis.
A) Comes in three forms, each due to a genetic defect.
B) Creates symptoms of colic and flank pain and blood in urine.
C) Is clearly identified on an MRI.
D) Rarely leads to kidney dialysis.
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18
Acute pyelonephritis is:
A) Inflammation of the kidney and renal pelvis.
B) Due to infection, most commonly the Escherichia coli bacteria.
C) Determined partly by culture and sensitivity tests on a clean-catch urine specimen.
D) All of the above
A) Inflammation of the kidney and renal pelvis.
B) Due to infection, most commonly the Escherichia coli bacteria.
C) Determined partly by culture and sensitivity tests on a clean-catch urine specimen.
D) All of the above
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19
During a physical examination and diagnosis of polycystic kidney disease, the physician may find:
A) Atrophied kidneys.
B) Hypertension.
C) Nephritis.
D) Lower-than-normal body temperature.
A) Atrophied kidneys.
B) Hypertension.
C) Nephritis.
D) Lower-than-normal body temperature.
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20
Causes of ESRD include:
A) Diabetes.
B) Pregnancy.
C) Fevers.
D) All of the above
A) Diabetes.
B) Pregnancy.
C) Fevers.
D) All of the above
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21
Acute tubular necrosis is the rapid destruction of the tubular segments of the renal pelvis in the kidneys.
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22
Immunosuppressive drugs given to kidney transplant clients, make the clients more susceptible to infections and other diseases.
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23
Peritoneal dialysis can be performed by individuals themselves.
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24
Tumors of the bladder are almost always malignant, and they metastasize readily.
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25
Renal cell carcinoma is the most common type of kidney cancer.
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26
A person suffering from a renal calculi has no feeling of urgency.
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27
Surgery is sometimes required to dilate a ureteral stricture.
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28
Another name for hemodialysis is extracorporeal lithotripsy.
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29
Preventive measures for UTI include complete emptying of the bladder and avoiding "holding urine."
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30
The urinary system is responsible for filtering the blood and eliminating the wastes from the body.
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31
Continuous renal replacement therapy is generally used in an ambulatory care center.
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32
Renal calculi are the most common cause of urinary obstruction.
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33
The prognosis for individuals with acute glomerulonephritis is good.
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34
Antibiotics are not the treatment of choice for UTI.
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35
Large amounts of the fluid that pass through a nephron are excreted as urine.
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36
Most urinary tract infections begin in the kidneys and travel down throughout the urinary tract.
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37
Complementary therapy for UTIs includes drinking pure and unsweetened blueberry or cranberry juice.
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38
No treatment will stop the course of polycystic kidney disease.
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39
In any cancer of the urinary system, treatment protocol is determined by the stage and spread of the cancer.
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40
The prognosis for nephrotic syndrome is not good in adults, as it is probably a manifestation of a serious progressive kidney disorder.
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41
Match the terms with their definitions.
a.Kidney stone
b.Lack of color
c.Produced when protein-containing foods are broken down in the body
d.Distention of the renal pelvis and calyces
e.Unusually high amounts of nitrogenous compounds in the blood
f.Ionized salt
g.Difficult or painful urination
h.Cuplike extension of the renal pelvis
i.Excessive amounts of potassium in the blood
j.Procedure through the urethra to remove cancerous tissue from the bladder
Calyx
a.Kidney stone
b.Lack of color
c.Produced when protein-containing foods are broken down in the body
d.Distention of the renal pelvis and calyces
e.Unusually high amounts of nitrogenous compounds in the blood
f.Ionized salt
g.Difficult or painful urination
h.Cuplike extension of the renal pelvis
i.Excessive amounts of potassium in the blood
j.Procedure through the urethra to remove cancerous tissue from the bladder
Calyx
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42
Match the terms with their definitions.
a.Kidney stone
b.Lack of color
c.Produced when protein-containing foods are broken down in the body
d.Distention of the renal pelvis and calyces
e.Unusually high amounts of nitrogenous compounds in the blood
f.Ionized salt
g.Difficult or painful urination
h.Cuplike extension of the renal pelvis
i.Excessive amounts of potassium in the blood
j.Procedure through the urethra to remove cancerous tissue from the bladder
Dysuria
a.Kidney stone
b.Lack of color
c.Produced when protein-containing foods are broken down in the body
d.Distention of the renal pelvis and calyces
e.Unusually high amounts of nitrogenous compounds in the blood
f.Ionized salt
g.Difficult or painful urination
h.Cuplike extension of the renal pelvis
i.Excessive amounts of potassium in the blood
j.Procedure through the urethra to remove cancerous tissue from the bladder
Dysuria
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43
Match the terms with their definitions.
a.Kidney stone
b.Lack of color
c.Produced when protein-containing foods are broken down in the body
d.Distention of the renal pelvis and calyces
e.Unusually high amounts of nitrogenous compounds in the blood
f.Ionized salt
g.Difficult or painful urination
h.Cuplike extension of the renal pelvis
i.Excessive amounts of potassium in the blood
j.Procedure through the urethra to remove cancerous tissue from the bladder
Electrolyte
a.Kidney stone
b.Lack of color
c.Produced when protein-containing foods are broken down in the body
d.Distention of the renal pelvis and calyces
e.Unusually high amounts of nitrogenous compounds in the blood
f.Ionized salt
g.Difficult or painful urination
h.Cuplike extension of the renal pelvis
i.Excessive amounts of potassium in the blood
j.Procedure through the urethra to remove cancerous tissue from the bladder
Electrolyte
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44
Match the terms with their definitions.
a.Kidney stone
b.Lack of color
c.Produced when protein-containing foods are broken down in the body
d.Distention of the renal pelvis and calyces
e.Unusually high amounts of nitrogenous compounds in the blood
f.Ionized salt
g.Difficult or painful urination
h.Cuplike extension of the renal pelvis
i.Excessive amounts of potassium in the blood
j.Procedure through the urethra to remove cancerous tissue from the bladder
Urea
a.Kidney stone
b.Lack of color
c.Produced when protein-containing foods are broken down in the body
d.Distention of the renal pelvis and calyces
e.Unusually high amounts of nitrogenous compounds in the blood
f.Ionized salt
g.Difficult or painful urination
h.Cuplike extension of the renal pelvis
i.Excessive amounts of potassium in the blood
j.Procedure through the urethra to remove cancerous tissue from the bladder
Urea
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45
Match the terms with their definitions.
a.Kidney stone
b.Lack of color
c.Produced when protein-containing foods are broken down in the body
d.Distention of the renal pelvis and calyces
e.Unusually high amounts of nitrogenous compounds in the blood
f.Ionized salt
g.Difficult or painful urination
h.Cuplike extension of the renal pelvis
i.Excessive amounts of potassium in the blood
j.Procedure through the urethra to remove cancerous tissue from the bladder
Hyperkalemia
a.Kidney stone
b.Lack of color
c.Produced when protein-containing foods are broken down in the body
d.Distention of the renal pelvis and calyces
e.Unusually high amounts of nitrogenous compounds in the blood
f.Ionized salt
g.Difficult or painful urination
h.Cuplike extension of the renal pelvis
i.Excessive amounts of potassium in the blood
j.Procedure through the urethra to remove cancerous tissue from the bladder
Hyperkalemia
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46
Match the terms with their definitions.
a.Kidney stone
b.Lack of color
c.Produced when protein-containing foods are broken down in the body
d.Distention of the renal pelvis and calyces
e.Unusually high amounts of nitrogenous compounds in the blood
f.Ionized salt
g.Difficult or painful urination
h.Cuplike extension of the renal pelvis
i.Excessive amounts of potassium in the blood
j.Procedure through the urethra to remove cancerous tissue from the bladder
Azotemia
a.Kidney stone
b.Lack of color
c.Produced when protein-containing foods are broken down in the body
d.Distention of the renal pelvis and calyces
e.Unusually high amounts of nitrogenous compounds in the blood
f.Ionized salt
g.Difficult or painful urination
h.Cuplike extension of the renal pelvis
i.Excessive amounts of potassium in the blood
j.Procedure through the urethra to remove cancerous tissue from the bladder
Azotemia
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47
Match the terms with their definitions.
a.Kidney stone
b.Lack of color
c.Produced when protein-containing foods are broken down in the body
d.Distention of the renal pelvis and calyces
e.Unusually high amounts of nitrogenous compounds in the blood
f.Ionized salt
g.Difficult or painful urination
h.Cuplike extension of the renal pelvis
i.Excessive amounts of potassium in the blood
j.Procedure through the urethra to remove cancerous tissue from the bladder
Transurethral resection
a.Kidney stone
b.Lack of color
c.Produced when protein-containing foods are broken down in the body
d.Distention of the renal pelvis and calyces
e.Unusually high amounts of nitrogenous compounds in the blood
f.Ionized salt
g.Difficult or painful urination
h.Cuplike extension of the renal pelvis
i.Excessive amounts of potassium in the blood
j.Procedure through the urethra to remove cancerous tissue from the bladder
Transurethral resection
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48
Match the terms with their definitions.
a.Kidney stone
b.Lack of color
c.Produced when protein-containing foods are broken down in the body
d.Distention of the renal pelvis and calyces
e.Unusually high amounts of nitrogenous compounds in the blood
f.Ionized salt
g.Difficult or painful urination
h.Cuplike extension of the renal pelvis
i.Excessive amounts of potassium in the blood
j.Procedure through the urethra to remove cancerous tissue from the bladder
Hydronephrosis
a.Kidney stone
b.Lack of color
c.Produced when protein-containing foods are broken down in the body
d.Distention of the renal pelvis and calyces
e.Unusually high amounts of nitrogenous compounds in the blood
f.Ionized salt
g.Difficult or painful urination
h.Cuplike extension of the renal pelvis
i.Excessive amounts of potassium in the blood
j.Procedure through the urethra to remove cancerous tissue from the bladder
Hydronephrosis
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49
Match the terms with their definitions.
a.Kidney stone
b.Lack of color
c.Produced when protein-containing foods are broken down in the body
d.Distention of the renal pelvis and calyces
e.Unusually high amounts of nitrogenous compounds in the blood
f.Ionized salt
g.Difficult or painful urination
h.Cuplike extension of the renal pelvis
i.Excessive amounts of potassium in the blood
j.Procedure through the urethra to remove cancerous tissue from the bladder
Pallor
a.Kidney stone
b.Lack of color
c.Produced when protein-containing foods are broken down in the body
d.Distention of the renal pelvis and calyces
e.Unusually high amounts of nitrogenous compounds in the blood
f.Ionized salt
g.Difficult or painful urination
h.Cuplike extension of the renal pelvis
i.Excessive amounts of potassium in the blood
j.Procedure through the urethra to remove cancerous tissue from the bladder
Pallor
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50
Match the terms with their definitions.
a.Kidney stone
b.Lack of color
c.Produced when protein-containing foods are broken down in the body
d.Distention of the renal pelvis and calyces
e.Unusually high amounts of nitrogenous compounds in the blood
f.Ionized salt
g.Difficult or painful urination
h.Cuplike extension of the renal pelvis
i.Excessive amounts of potassium in the blood
j.Procedure through the urethra to remove cancerous tissue from the bladder
Urolith
a.Kidney stone
b.Lack of color
c.Produced when protein-containing foods are broken down in the body
d.Distention of the renal pelvis and calyces
e.Unusually high amounts of nitrogenous compounds in the blood
f.Ionized salt
g.Difficult or painful urination
h.Cuplike extension of the renal pelvis
i.Excessive amounts of potassium in the blood
j.Procedure through the urethra to remove cancerous tissue from the bladder
Urolith
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