HIGH YIELD Flashcards

1
Q

renal fxn?

A
urine formation
excretion of waste products of protein metabolism
reg of fluid and electrolyte balance
reg of acid-base balance
hormone fxn
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2
Q

what are the products of nitrogen waste clearance?

A

urea
ammonia
creatinine
uric acid

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3
Q

what are the tests of renal function?

A

BUN
creatinine
creatinine clearance
urine protein

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4
Q

what non renal factors is BUN influenced by?

A

dietary protein intake
anabolic/catabolic states
hydration status
pregnancy

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5
Q

T/F, creatinine is influenced by a lot of non renal factors?

name some

A

F, fewer

lean body mass

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6
Q

the creatinine standardization program estimates?

takes into account?

A

GFR

children
obese
bed-ridden
amputees

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7
Q

this is a better measure of renal function than BUN or creatinine?

range?

A

creatinine clearance

125 mL/min

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8
Q

why is urine protein not typically used?

abnormal amount like greater than 150 mg indicates?

A

24 hr turnaround

renal disease

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9
Q

normal ratio of BUN to Cr is?

when the ratio is high what does this mean?

what does pregnancy do to this?

A

10:1 - 12:1

renal parenchymal damage or other abnormalities like excess urea production from GI bleeding or decreased urine flow

ratio decreases due to increased GFR

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10
Q

what method can be used to more effectively dialyze urea?

A

hemodialysis, even more than creatinine

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11
Q

this syndrome is characterized by heavy proteinuria and protein excretion is typically 3.5g/24 hrs?

A

nephrotic syndrome

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12
Q

typical biomarkers of AKI?

A

kidney injury molecule (KIM-1)
interleukin-18
TIMP (tissue inhibitor of metalloproteinases)
insulin-like growth factor binding protein-7

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13
Q

how is azotemia classified?

A

prerenal
renal
postrenal

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14
Q

psychosis
anemia
peripheral neuropathy
CV

these are S/S of what AKI?

A

uremia

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15
Q

examples of AKI?

A

azotemia

uremia

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16
Q

pituitary insufficiency, renal insensitivity

deficiency in high serum osmolality, continued production of dilute urine with further increase in serum osmolality

this is an example of?

A

diabetes insipidus

17
Q

persistent release of ADH unrelated to serum osmolality

low serum osmolality with continued production of concentrated urine leading to further decrease in serum osmolality

A

SIADH (inappropriate secretion of ADH)

18
Q

common problem of renal calculi?

A

M>F
familial
underlying disease associated

19
Q

types of stones?

A

calcium
triple phosphate
uric acid
cystine

20
Q

kidneystones can occur at any level of the urinary tract, T/F?

A

T