Chapter 39 Flashcards

1
Q

Congenital counterclockwise twist of the penile shaft

A

penile torsion

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2
Q

ventral bend of the penis

A

chordee

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3
Q

absence of the urethra

A

urethral atresia

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4
Q

membrane that blocks the urethral lumen

A

urethral valve

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5
Q

kidneys develop from the ___ so that neonatal renal blood flow preferentially goes to nephrons with ___ loops; this contributes to formation of urine that is more ___ than adult urine.

A

central toward the periphery; short; dilute

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6
Q

urine formation begins by the ___ month of gestation.

A

third

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7
Q

the glomerular filtration rate ____ at birth and attains adult levels by ____ of age.

A

increases; 2 years

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8
Q

Because of renal immaturity, premature infants and neonates develop dehydration and acidosis ____ when they have diarrhea or insufficient fluid intake.

A

rapidly

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9
Q

An infant’s daily intake and output of fluid is nearly ____ of the extracellular fluid volume, which is much ___ than for an adult.

A

50%; more

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10
Q

Bladder infection is also known as ____.

A

cystitis

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11
Q

Cystitis causes detrusor muscle hyperactivity that ____ bladder capacity.

A

decreases

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12
Q

Before age 1, urinary tract infections are more common in ____; after age 1, they are more common in _____.

A

boys; girls

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13
Q

Differentiating between bladder and kidney infection in children is ____.

A

difficult

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14
Q

UTI in a previously toilet-trained child may cause ____.

A

enuresis

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15
Q

Most children acquire bladder control before ___ of age.

A

5

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16
Q

Incontinence in a child 5 or higher when no structural or neurologic abnormalities are found is called

A

functional incontinence.

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17
Q

Idiopathic nephrotic syndrome also is known as ___ nephrotic syndrome and occurs in the ____ of preexisting renal disease.

A

primary; absence

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18
Q

type of pediatric acute kidney injury caused by urethral valves

A

postrenal

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19
Q

type of pediatric acute kidney injury caused by hemolytic uremic syndrome

20
Q

type of pediatric acute kidney injury caused by ureteropelvic junction obstruction

21
Q

type of pediatric acute kidney injury caused by glomerulonephritis

22
Q

type of pediatric acute kidney injury caused by hemorrhage

23
Q

type of pediatric acute kidney injury caused by severe dehydration

24
Q

The abnormal insertion angle of a ureter is associated with what condition?

A

vesicoureteral reflux

25
when the urethral meatus is located on the ventral side of the penis
hypospadias
26
when the urethral meatus is located on the dorsal side of the penis
epispadias
27
This kidney is small but otherwise normal
hypolastic kidney
28
this kidney contains abnormal tissue
dysplastic kidney
29
When a child has not developed bladder control beyond the age at which bladder control is usually acheived
primary incontinence
30
when a child who has been dry for at least 6 months becomes incontinent again
secondary incontinence
31
When kidneys fuse in the midline as they ascend during development, the U-shaped kidney is called a ____.
horseshoe kidney
32
Failure of the abdominal muscles and anterior bladder to fuse in the midline with subsequent exposure of the posterior bladder mucosa is called _____ of the bladder.
exstrophy
33
Blockage of the tapered point where the renal pelvis transitions into the ureter is called ____
ureteropelvic junction obstruction
34
ureteropelvic junction obstruction causes this in neonates
hydronephrosis
35
When a kidney contains both renal and nonrenal tissues, this condition is called
renal dysplasia
36
Autosomal dominant polycystic kidney disease arises from mutations of a gene that produces
polycystins
37
Another name for Wilms tumor is
nephroblastoma
38
A tumor of the kidney that usually presents as an enlarging, firm, nontender smooth muscle mass on one side of the abdomen.
Wilms tumor
39
Nephrotic syndrome is characterized by proteinuria, _____, hyperlipidemia, and ____.
hypoalbuminemia; edema
40
Edema in nephrotic syndrome is often _____ in the morning and more evident in the _____ and ____ later in the day.
periorbital; abdomen & lower extremities
41
The most common histopathology pattern of nephrotic syndrome in children is
minimal change nephropathy
42
Urine is foamy with nephrotic syndrome because it has
a lot of protein in it.
43
A condition in which a lot of cysts form and fill up with fluid that compress normal kidney tissue so that it can't function.
polycystic kidney disease
44
Normally, the ____ surrounding the developing baby helps the lungs develop.
amniotic fluid
45
When the immune system defends against the strep organisms, and once the strep is gone, the immune system attacks the kidneys and damages them.
poststreptococcal glomerulonephritis
46
In Henoch-Schonlein purpura nephritis, the clinical manifestations include ___ and ____ in addition to the renal ones.
purpura and arthritis