Biochemistry Flashcards

1
Q

2 main renal indications of glomerular function?

A

GFR

proteinuria

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2
Q

problems with using inulin to measure GFR?

A

endogenous

not easy to measure

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3
Q

creatinine is secreted into the renal tubule T or F

A

F

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4
Q

what does creatinine actually measure

A

marker of muscle protein breakdown

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5
Q

what percentage of creatinine is filtered by the kidney?

A

90-95% filtered

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6
Q

creatinine tends to overestimate the GFR slightly T or F

A

T

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7
Q

high creatinine indicates renal disease T or F

A

T

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8
Q

relationship between creatinine and GFR?

A

as GFR decreases, creatinine will rise

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9
Q

creatinine is more effectively measured when GFR is very high T or F

A

F, it changes very minimally when GFR is high

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10
Q

how can creatinine measure high GFR levels more clearly?

A

measure urine creatinine clearance

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11
Q

eGFR is not great at measuring high GFR levels T or F

A

T

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12
Q

2 methods of measuring levels of proteinuria?

A

24hr urine collection

spot sample for protein/creatinine ratio

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13
Q

will microalbuminuria show up on dipstick?

A

no

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14
Q

what dipstick reading will nephrotic syndrome show up as?

A

3+

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15
Q

what does microalbuminuria mean?

A

excretion of albumin in abnormal quantities but still below the limit of protein detection

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16
Q

mciroalbuminuria is the earliest expression of…

A

diabetic nephropathy

17
Q

what are plasma cells’ nuclei like?

A

very prominent

18
Q

there is less protein in the vascular compartment in nephrotic syndrome T or F

A

T

19
Q

what fluid compartment contains more albumin than any other in nephrotic syndrome?

A

interstitial

20
Q

cause of stones?

A

blood loss +/i hypovolaemia

21
Q

do tubules work in pre-renal or intrinsic renal failure?

A

pre-renal

22
Q

will urine sodium be higher in pre-renal or intrinsic renal failure?

A

intrinsic renal

23
Q

hgih serum osmolarity = more concentrated urine T or F

A

T