L1 – Urine Composition (bio) (Popcorn)🍿 Flashcards

1
Q

A 40 year old man came to the clinic with losing of appetite, nausea, fatigue, the urinalysis revealed that there is Bence Jones proteins, what is the most liked diagnosis?
A. Multiple Myeloma B. Nephrotic syndrome C. Diabetesmellitus
D. Flu

A

A

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2
Q

A man was in a severe car accident and suffered major crush injuries to his lower limbs. What do you expect to find elevated in his plasma and urine?
A. Myoglobin
B. Cysteine
C. Phenylalanine D. ANS

A

A

Explanation: Rhabdomyolysis (muscle destruction)

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3
Q

Normally primary urine:
A. water, urea, sodium chloride B. water,urea,bilirubin
C. water,urea,protein
D. water, protein, sodium

A

A

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4
Q

A 17-year-old girl went on a starvation diet, the finding in her urinalysis would show:
A. glucose
B. Ketones
C. Amino acids
D. Albumin

A

B

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5
Q

What type of proteinuria cannot be detected by dipstick method?
A. proteinuria with multiple myeloma B. proteinuria with fever
C. proteinuriawithfanconisyndrome D. proteinuria with nephrotic syndrome

A

A

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6
Q

What type of proteinuria cannot be detected by dipstick method?
A. proteinuria with multiple myeloma B. proteinuria with fever
C. proteinuriawithfanconisyndrome D. proteinuria with nephrotic syndrome

A

A

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7
Q

Which of the following indicates orthostatic proteinuria
A. No protein in urine when the patient wakes up in early morning
B. Renal tubular Damage during sleep
C. protein in urine when the patient stands up
D. protein leaks through the glomerulus

A

C

Explanation: in this condition protein appears in urine when the patient is sitting or standing

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8
Q

All of the following about microscopic hematuria is true except:
A. degree of hematuria correlate with severity B. constantly asymptomatic
C. candetectbydipstickormicroscopic
D. urine apparently normal

A

A

Not in slides but all other options are correct

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9
Q

Cystinuria is an increase of cystine in urine caused by:
A. Damage to the glomerular membrane due a shock
B. Associated with diabetes
C. Body’s inability to reabsorb amino acids in renal tubules
D. Increase in synthesis of amino acids

A

C

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10
Q

Result of a urine test for a newborn boy demonstrates increased levels of phenylalanine. Which of the following mechanisms is most likely to cause an increase of this amino acid in urine?
A. Increase proximal tubules secretion
B. Decrease tubular reabsorption.
C. Metabolic disorder results from defects in breakdown of amino acids
D. Increased protein synthesis

A

C

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11
Q

Which of the following will be increased in the plasma of a patient with Kidney failure:
A. Active form of vitamin D B. Angiotensinogen
C. Wasteproductlikeurea D. Erythropoietin

A

C

Lecture Bio 1 / Female slide 8
(Kidney is the major route of urea excretion)

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12
Q

Which of the following is a normal inorganic urinary constituent?
A. Sulphate B. Urea
C. Creatinine D. Uric acid

A

A

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13
Q

Which of the following is a normal substance secreted by the renal tubules?
A. Creatinine B. Protein

C. Inulin D. Sodium

A

A

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14
Q

A 21-year-old soldier does a routine check-up, and the physician finds there is a protein in the urine with other normal tests. What is the next step?
A. Repeat plasma creatinine
B. Take a urine sample in the morning C. Doglucosetolerancetest
D. Reassure the patient

A

B

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15
Q

Which of the following will be increased in the plasma of a patient with Kidney failure?
A. Active form of vitamin D B. Angiotensinogen
C. Wasteproductslikeurea D. Erythropoietin

A

C

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16
Q

Which of the following constitutes urine can be detected by dipstick
Albumin Myoglobin Bence Jones Globulin

A

A

(B could be true too, Female slide 29)