6th Assessment Renal Flashcards
To relieve the obstruction, which of the following is initially done?
An J stent is inserted under direct vision using a cystoscope
Which process is most affected by blood pressure?
- glomerular filtration
- tubular secretion
- tubular reabsorption
- loop of Henle diffusion
glomerular filtration
Prehn’s signs is positive if: ‘
- Lifting of the testis with the palm of the hands exacerbates scrotal pain
- Lifting the testis with the palm of the hands lessens the scrotal pain
- Pulling down the testis exacerbates the scrotal pain
- Pulling down the testis lessens the scrotal pain
Lifting the testis with the palm of the hands lessens the scrotal pain
A 7 year old male previously well patient came home complaining of severe right scrotal pain which occurred suddenly while he was playing with his classmates at the school park. The intern who examined the patient is considering testicular torsion. Which of the following is more indicative of a testicular torsion?
- Testicular swelling
- The pain is acute
- Presence of cremasteric reflex
- High riding, transverse lying testis
High riding, transverse lying testis
Where is the location of the external urethral sphincter in the human male?
membranous urethra
Tubular reabsorption occurs from the nephron tubules into the _____.
peritubular capillaries
The most common reason for emergency room admittance due to a renal problem is:
Renal colic
The most common mechanism for a urethral injury is
Straddle injury to the perineum
Painless hematuria is _______________________ until proven otherwise.
- Kidney stone
- Bladder cancer
- Kidney cancer
- Ureteral tumor
Kidney cancer
Most of the mucosa of the urinary bladder is thrown into folds called ____________ that allow for extreme.
Rugae
What portion of the nephron does not absorb water passively by osmosis?
- descending limb of nephron loop
- distal convoluted tubule
- all of these portions absorb water passively by osmosis
- proximal convoluted tubule
all of these portions absorb water passively by osmosis.
Which of these has the highest concentration in the urine?
- Glucose
- Uric acid
- Glucose
- Sodium
Na
The countercurrent multiplier mechanism occurs at the _____.
loop of Henle
n the kidneys, where are most microvilli found?
proximal convoluted tubule
The striated appearance of the pyramids is caused by _____.
microtubules
Which of the following are not found in the glomerular filtrate?
- Creatinine
- Uric acid
- Glucose
- Protein
Protein
Which of the ff is a true emergency that needs urgent intervention within 4-6 hours?
- Appendiceal torsion
- Testicular torsion
- Epididymitis
- Testicular hematoma
Testicular torsion
A stone from the kidney that falls along the ureter will probably be stuck in the narrowest part of the ureter which is located in the?
Pelvo – ureteral junction
A 70 year old male is in the ER with acute urinary retention. On rectal exam, a firm mass was felt anterior to the rectum. The most common cause of this problem in this particular patient is?
Prostatic enlargement
Which of the following is true regarding renal colic?
- Slow insidious onset
- Is often due to the passage of a stone formed in the kidney, down through the ureter.
- Steady pain accompanied by muscle guarding
- Presence of vomiting excludes renal colic
Is often due to the passage of a stone formed in the kidney, down through the ureter.
Which of the following is true regarding hematuria?
- Hematuria necessitates surgical intervention eventually
- Hematuria is always accompanied by flank pains
- Hematuria is not ruled out if the color of the urine is not bloody
- RBC count of 10 /HPF is considered hematuria
Hematuria necessitates surgical intervention eventually
A 29 year old female just came out of surgery for the removal of the appendix under spinal anesthesia. After six hours, the effect of the anesthetic has waned. The patient is now complaining of discomfort because of her in ability to void. On physical exam by the intern, the urinary is palpable above the symphysis pubis. This condition is:
- Chronic urinary retention
- Acute urinary retention
Acute urinary retention
Which of the following is usually not found in the urine?
- Urea
- Uric acid
- Magnesium
- Glucose
Glucose
The renal corpuscle is comprised of a glomerulus and _____.
- Bowman’s capsule
- proximal convoluted tubule
- loop of Henle
- distal convoluted tubule
Bowman’s capsule
