Quiz Ch36

Question 1

1. Which of the following is NOT a determinant of severity for obstructive uropathy?
   A. Location of the blockage
   B. Degree of completeness of the blockage
   C. Type of blockage
   D. Duration of the blockage

Answer 1

C. Type of blockage

Question 2

2. When deposition of excessive amounts of extracellular matrix occurs, what is this process called?
A.   Tubulointerstitial fibrosis  
B.   Compensatory hypertrophy  
C.   Obligatory growth  
D.   Compensatory growth

Answer 2

A. Tubulointerstitial fibrosis

Question 3

3. Which of the following is a risk factor for postobstructive diuresis?
A.   Unilateral obstruction  
B.   Hypertension  
C.   Dehydration  
D.   Neurogenic diabetes insipidus

Answer 3

B. Hypertension

Question 4

4. A stone is composed of magnesium, ammonium, and phosphate. What type of urinary calculus is this?
A.   Calcium  
B.   Struvite  
C.   Uric acid  
D.   Indinavir

Answer 4

B. Struvite

Question 5

5. Which of the following is NOT one of the factors that are required before a stone is formed?
   A. Supersaturation of one of the salts
   B. Precipitation from a liquid to a solid
   C. Aggregation
   D. Low concentration of salt

Answer 5

D. Low concentration of salt

Question 6

6. Which of the following is NOT a cause of lower urinary tract obstruction?
A.   Kidney stone  
B.   Bladder neck dyssynergia  
C.   Prostate enlargement  
D.   Urethral stricture

Answer 6

A. Kidney stone

Question 7

7. A person has uncontrolled or premature contractions of the detrusor muscle. Which of the following conditions is associated with this medical problem?
A.   Spinal cord injury  
B.   Immune system dysfunction  
C.   Congestive heart failure  
D.   Renal carcinoma

Answer 7

A. Spinal cord injury

Question 8

8. Which of the following is NOT a result of urodynamic testing?
   A. Quantifies severity of obstruction
   B. Determines bacterial cause of urinary tract infection
   C. Measures detrusor contraction strength
   D. Identifies the cause of urinary retention

Answer 8

B. Determines bacterial cause of urinary tract infection

Question 9

9. Which of the following is TRUE regarding renal cell carcinoma?
   A. It is associated with TP53.
   B. Symptoms include hematuria.
   C. Early stages produce a large abdominal mass.
   D. Granular cell tumors have better prognosis.

Answer 9

B. Symptoms include hematuria.

Question 10

10. A person is complaining of abdominal and back pain. You have diagnosed bacteria in the urine. What is the appropriate term for involvement of the upper urinary tract?
A.   Cystitis  
B.   Pyelonephritis  
C.   Urinary tract infection  
D.   Asymptomatic bacteriuria

Answer 10

B. Pyelonephritis

Question 11

11. Which bacteria are the most common cause of urinary tract infections?
A.   Klebsiella  
B.   Proteus  
C.   Escherichia coli  
D.   Staphylococcus

Answer 11

C. Escherichia coli

Question 12

12. Several factors contribute to bacterial virulence within the urinary tract. Which of the following is NOT one of the factors?
A.   Fimbriae expression  
B.   Sidophore production  
C.   Mucous production  
D.   Biofilm formation

Answer 12

C. Mucous production

Question 13

13. With which bacteria is acute glomerulonephritis associated?
A.   E. coli  
B.   Staphylococcus  
C.   Group A Streptococcus  
D.   Klebsiella

Answer 13

C. Group A Streptococcus