MT Flashcards
Which substance(s) is(are) NOT secreted by kidneys?
leukotriens
. In nephrotic syndrome there is a selective significant increase of glomerular permeability for which of the following?
protein
Which disease is characterized by formation of cavities in the lungs?
Wegener’s granulomatosis
Which protein-to-protein ratio is typical for nephrotic syndrome?
albumin to globulin ration is less than 1
During regular annual exam of a symptom free patient the high blood level of BUN was found. Which term describes this abnormality best?
azotemia
Which pathogenetic mechanism of glomerulonephritis is associated with immune complex formation outside kidney?
circulating immune complex deposition
Anti-GBM pathogenetic mechanism of glomerulonephritis corresponds to which subtype of antibody-dependent type of hypersensitivity reactions?
. complement-mediated reactions
Which of the following is NOT associated with nephrotic syndrome
Buerger’s disease
Which acute glomerulonephritis associated with nephritic syndrome most often turns into chronic glomerulonephritis
crescent glomerulonephritis
.Necrotizing papillitis in the kidney develops more often in which of the following disorders
diabetes mellitus
Kimmelstiel-Wilson disease is characterized morphologically by which of the following?
ball-like depositions within the mesangium
Which of the following is the most common glomerular disease?
Berger’s disease
In crescentic glomerulonephritis the crescents in the glomeruli are formed by which of the following?
hyperplasia of parietal epithelial cells
Pathogenesis of kidney involvement in Goodpasture’s syndrome corresponds to which type of hypersensitivity reactions?
antibody-dependent
Which of the following is most common disorder(s) eventually resulting in ischemic heart disease?
atherosclerosis
Which organ(s) is(are) NOT typical reservoir (storage) of the chronic infection in the body?
liver
Which kind of angina pectoris is also known as pre-infarction angina?
crescendo
Long-term hypertension eventually leads to congestive heart failure. in this case which of the following sings and consequences of this transformation comes to he clinical attention first?
lung edema
Posterior deviation of esophagus on the x-ray film testifies to _____
enlargement of left atrium
What is NOT a part of atheroma
siderohages
Migratory arthritis is typical manifestation of which disease?
rheumatic fever
What is the best term describing the compensatory reaction of the left atrial myocardium in mitral stenosis
eccentric hypertrophy
Ortopnea means the development of dyspnea in congestive heart failure in which change of patient’s position?
change from standing to lying position
Prinzmetal’s angina means the obstruction of coronary artery because of ____
spasm
Onion-skinning” is typically accompanied by which pathology?
necrotizing arteriolitis
Pathogenesis of which disease is known as “the molecular mimicry”?
rheumatic fever
Pulmonary artery stenosis develops in which disease?
pulmonary artery is not involve in all of the above
Which of the following is associated with right-sided cardiac failure?
plural effusion
Cor pulmonale is NOT associated with ____
all of the above are typical for cor pulmonale
Left ventricular failure is usually caused by the following diseases except _____
bronchiectasis
Left ventricular failure is usually caused by the following diseases except _____
lung emphysema
Which pathology may often be complicated by venous infarction?
paraesophgeal hernia
Smoking compromises which component of the stomach mucous barrier?
mucosal blood flow
Boerhaave syndrome is characterized by which of the following?
esophageal rupture
Helicobacter pylori is found in *____ patients with duodenal peptic ulcer and in ** _____ of ones with stomach peptic ulcer
*100%;**70%
Which disease develops most commonly in alcoholics?
Mallory-Weiss syndrome
What is NOT correct for gastrinomas?
do not metastasize
Which disease is considered the major cause of esophageal varices?
liver cirrhosis
Aspirin leads to gastrointestinal side-effects by suppression of which component of the mucous barrier?
elaboration of prostaglandins
Traction diverticulum results from ______
mediastinal lymphadenitis
Which disorder is known to develop multiple peptic ulcers?
Zollinger-Ellison syndrome
Chagas disease is associated with development of which pathology?
achalasia
Metaplasia in Barrett esophagus is characterized by replacement of _____ epithelial cells to _____ epithelial cells
squamous / columnar
Which disease could result in ischemic-hemorrhagic stroke?
subacute bacterial endocarditis
In nephritic syndrome there is a selective increase of glomerular permeability of which of the following?
red blood cells
Which of the following is the most common glomerular disease?
IgA nephropathy
In nephritic syndrome, which substance eventually resulting in hypertension is secreted primarily?
renin
In crescentic glomerulonephritis the crescents in the glomeruli are formed by which of the following?
proliferation of parietal epithelial cells
During regular annual exam of a symptom free patient the high blood level of creatinine was found. Which term describes this abnormality best?
azotemia
In Heymann’s nephritis, in which layer of the glomerular arteriole wall will the immune complexes be formed or deposited?
space between podocytes and glomerular basement membrane
A characteristic sign of nephritic syndrome is _____
azotemia
Kimmelstiel-Wilson disease is characterized morphologically by which of the following?
ball like depositions within the mesangium
Which organ(s) is (are) NOT involved in polyarteritis nodosa
lungs
Which of the following diseases more often predisposes to development of pyelonephritis
acute cystitis
What is NOT typical for stomach ulcer?
tendency to be multiple
What is NOT a complication of duodenal peptic ulcer?
malignancy
esophageal diverticulum near midpoint of the
esophagus
traction diverticulum
esophageal diverticulum near upper
esophagus
zenker diverticulum
azotemia
increased BUN blood urea nitrogen
increased creatine
decrease GFR (glomerular filtration rate)
uremia
azotemia+ combo of clinical signs and
glomerular involvement
almost always autoimmune
Diseases of the interstitial tissue or tubules
almost always infection or intoxication
Juxtaglomerular Cells “Security”
- produce renin
- control blood pressure in afferent arteriole
- Angiotensin II