Deck 30: The Renal and Urologic Systems

Question 1

Which of the following is not considered a characteristic of Beckwith-Wiedemann syndrome (BWS)?

A) body overgrowth
B) hyperglycemia
C) failure of the abdominal wall to close
D) enlarged tongue

Answer 1

hyperglycemia

Question 2

Which of the following is a true statement regarding chronic kidney disease and exercise?

A) It is best to exercise on nondialysis days
B) The most important independent quality of life predictor is the usual level of exercise activity.
C) People on dialysis have a higher maximum metabolic equivalent (MET) level than the corresponding age-matched population.
D) Individuals with chronic renal disease will benefit from stationary bicycle exercise at 80% to 90% of target heart rate.

Answer 2

The most important independent quality of life predictor is the usual level of exercise activity.

Question 3

Which of the following is not considered to be a classic symptom of renal cell carcinoma?

A) flank pain
B) blood in urine
C) decreased urine output
D) palpable abdominal mass

Answer 3

decreased urine output

Question 4

Which of the following would be an uncommon site for extraskeletal calcification associated with ESRD?

A) coronary arteries
B) large intestines
C) lungs
D) skin

Question 5

What type of renal cell carcinoma (RCC)has the best survival rate?

A) sporadic papillary RCC
B) clear cell RCC
C) metastatic papillary RCC
D) metastatic clear cell RCC

Question 6

What is the number one prevention strategy for bladder cancer?

A) increasing consumption of fruits
B) smoking cessation
C) large fluid intake
D) vitamins

Question 7

Which of the following is a leading cause of end-stage renal disease (ESRD)?

A) acquired cystic disease
B) cystic renal dysplasia
C) polycystic kidney disease (PKD)
D) single cysts

Question 8

Which of the following is true regarding aging and the renal system?

A) There is a gradual increase of blood flow to the kidneys.
B) There is a reduction of nephrons.
C) There is a decrease in volume of urine.
D) There is a tendency toward lesser renal vasoconstriction.

Question 9

A patient is beginning a pelvic floor strengthening program secondary to urinary incontinence.Which of the following muscles is inappropriate to strengthen during this intervention?

A) gluteus medius
B) pelvic diaphragm
C) urogenital diaphragm
D) external sphincter muscle

Question 10

A radical cystectomy is not indicated for a cancerous bladder tumor in which of the following stages?

A) stage I
B) stage II
C) stage III
D) stage IV

Question 11

At what stage of chronic kidney disease will levels of creatinine and blood urea nitrogen (BUN)first begin to increase?

A) stage I
B) stage II
C) stage III
D) stage IV

Question 12

Which of the following muscles are first affected with weakness associated with ESRD?

A) triceps
B) quadriceps
C) gastrocnemius
D) gluteus medius

Question 13

Which patient population is at risk for a urinary tract infection due to the dilation of the upper urinary system?

A) young females
B) females in a long-term care setting
C) middle-age females
D) pregnant women

Question 14

At what stage of chronic kidney disease is an individual most likely to exhibit asterixis?

A) stage II
B) stage III
C) stage IV
D) stage V

Question 15

Which of the following types of urinary incontinence is marked by a sudden unexpected urge to urinate and then the uncontrolled loss of urine?

A) functional incontinence
B) stress incontinence
C) hyperreflexive bladder
D) overflow incontinence

Question 16

What patient population is most likely to exhibit mental status changes with a UTI?

A) young females
B) young males
C) middle-age females
D) elderly females

Question 17

Which of the following is the least likely cause of chronic kidney disease?

A) excessive aspirin use
B) diabetes
C) hypertension
D) glomerulonephritis

Question 18

Which of the following laboratory levels will be lower for an individual with ESRD?

A) hemoglobin
B) potassium
C) creatinine
D) BUN

Question 19

Which of the following types of renal calculi is caused by recurrent bacterial UTIs?

A) calcium stones
B) struvite stones
C) uric acid stones
D) cystine stones

Question 20

Which of the following bacteria are most often implicated in ascending UTIs?

A) Escherichia coli
B) Proteus
C) Klebsiella
D) Enterobacter