Renal and Urinary tract Diseases

Question 1

1. A common finding in the urinalysis of a patient with
   urolithiasis is:
   a. WBC casts
   b. Azotemia
   c. Microalbumin
   d. RBCs or small amount of blood

Answer 1

d. RBCs or small amount of blood

Question 2

2. This test is considered to be a hallmark of kidney disease
   the best urinalysis test for renal disease.
   a. Creatinine
   b. Protein
   c. Microscopic crystal examination
   d. BUN

Answer 2

b. Protein

Question 3

3. The following urinary tests are helpful in examining
   patients with diabetes for kidney disease:
   a. Microalbumin
   b. GFR
   c. Creatinine
   d. All of the above are helpful

Answer 3

d. All of the above are helpful

Question 4

4. A urinalysis and blood work performed on a 13-year-old
   girl yield the following results:
   The above are MOST consistent with

a. Yeast infections
b. Pyelonephritis
c. Acute glomerulonephritis
d. Renal failure

Answer 4

c. Acute glomerulonephritis

Question 5

5. Which of the following casts is more associated with
   a chronic glomerulonephritis than with an acute
   glomerulonephritis?
   a. WBC cast
   b. RBC cast
   c. Waxy cast
   d. Hyaline cast

Answer 5

c. Waxy cast

Question 6

6. Which of these systemic diseases contribute to kidney
   damage and disease?
   a. Diabetes mellitus
   b. Systemic lupus erythematosis
   c. Hypertension
   d. Amyloidosis
   e. All of the above

Answer 6

e. All of the above

Question 7

7. WBC casts are more likely to be indicative of which of
   these?
   a. Cystitis
   b. Urethritis
   c. Pyelonephritis
   d. Aminoaciduria

Answer 7

c. Pyelonephritis

Question 8

8. A 3-year-old girl has edema that is noticeable in her eyelids. Urinalysis and blood tests reveal the following results:
   Serum albumin: decreased
   Serum cholesterol: elevated
   Serum urea nitrogen: elevated
   Urinalysis: protein 4+; hyaline, granular, and
   fatty casts

This is most compatible with:
a. Acute poststreptococcal glomerulonephritis
b. Minimal change glomerular disease
c. Acute pyelonephritis
d. Diabetes mellitus

Answer 8

b. Minimal change glomerular disease

Question 9

9. Renal failure would most likely not be associated with
   which of these:
   a. Systemic shock with drop in blood pressure
   b. Transfusion reaction
   c. Urine with a high specific gravity
   d. ↓-GFR

Answer 9

c. Urine with a high specific gravity

Question 10

10. Kimmelstiel-Wilson disease is related to:
    a. Alport disease
    b. Acute glomerulonephritis
    c. Diabetes
    d. Urolithiasis

Answer 10

c. Diabetes