SAM4 Flashcards
Which one of the following is true in case of tubular proteinuria
1. Small sized proteins appear in the urine
2. UPC >2
3. UPC <0
4. Ketonuria
Small sized proteins appear in the urine
IRIS stage 1 chronic renal failure is associated with
1. Azotemia
2. Anaemia, metabolic acidosis
3. Uremia
4. Decreased specific gravity of urine
Decreased specific gravity of urine
The creatinine level of dogs and cats with IRIS stage 1 chronic kidney disease is
1. Normal <140
2. >240 umol/L
3. >340 umol/L
4. 440 umol/L
Normal <140
IRIS classification of CKD. Wrong answer
1. 4 stages determined by serum creatinine levels
2. Stage 1 the creatinine is only mildly elevated
3. Substages based on presence of proteinuria
4. Substages based on degree of hypertension
Stage 1 the creatinine is only mildly elevated
The progression of renal disease is caused by… Which is not correct?
1. Proteinuria
2. Isosthenuria
3. Hyperparathyroidism
4. Glomerular hypertension
Isosthenuria
Which statement is true about the progression of CKD?
1. Hypertension and proteinuria can increase the hyperfiltration of the nephrons
2. Renal fibrosis is primarily caused by the excessive production of parathormone
3. The progression of CKD is generally reversible with specific therapy
4. The loss of functional nephrosis leads to an increase in the glomerular filtration rate
Hypertension and proteinuria can increase the hyperfiltration of the nephrons
It prolongs the survival of dogs and cats with chronic kidney disease
1. Increased phosphorus intake
2. Medical reduction of proteinuria
3. Urinary diet
4. ABC are all true
Medical reduction of proteinuria
Which therapy is not recommended for the treatment of dehydration in chronic kidney
disease?
1. Administration of intravenous infusion
2. Administration of subcutaneous infusion
3. Increase of water consumption
4. Dialysis treatment
Dialysis treatment
Which is not an indication for dialysis treatment?
1. Anuric acute kidney injury
2. Polyuric acute kidney injury unresponsive to fluid therapy
3. Chronic renal failure, renal fibrosis
4. Removal of toxins in case of acute toxicosis
Chronic renal failure, renal fibrosis
Treatment of chronic kidney disease (CKD) patients include… Which answer is not correct?
1. Renal diet, phosphate binders
2. ACE-inhibitors, antihypertensive drugs
3. Erythropoietin inj., potassium supplementation
4. Diuretics per os
Diuretics per os
In case of elevated blood creatinine concentration
1. The animal is uremic azote
2. The animal has kidney disease
3. The animal has azotemia
4. The animal was fed with too much protein
The animal has azotemia
Which of the following suture materials is not recommended for cystotomy wound closure?
1. PDS
2. Polyglyconate
3. Gltcomer
4. Poliglecaprone
Poliglecaprone
Which of the following suture patterns is not recommended for cystotomy wound closure?
1. Double layer continuous lembert
2. Double layer (penetrating lembert) suture
3. Single layer seromuscular continuous suture
4. Double layer interrupted lembert
Double layer (penetrating lembert) suture
Which of the following findings indicates the diagnosis of the urinary bladder rupture?
1. If the cystourethral catheterization cannot harvest urine in a traumatized patient
2. If the urine is blood obtained via cystourethral catheterization in a traumatized patient
3. If the contrast leakage is confirmed by positive anterograde cystography
4. If the contrast leakage is confirmed by positive retrograde cystography
If the contrast leakage is confirmed by positive retrograde cystography
Which of the following tools/findings is of the lowest diagnostic value in the diagnosis of
urinary bladder tumours?
1. Double contrast cystography
2. Ultrasonography
3. Urine sediment analysis/cytology
4. Therapy-irresponsive hematuria
Therapy-irresponsive hematuria
Abnormalities that are typical for chronic renal disease. Which answer is wrong?
1. Hypertension
2. PU/PD
3. Hypophosphatemia
4. Hypokalaemia
Hypophosphatemia
What is not typical for acute kidney failure?
1. Azotaemia
2. Hypokalaemia
3. Oliguria, anuria
4. Metabolic acidosis
Hypokalaemia
Which circumstances may cause nephrosis/acute kidney injury? Which answer is wrong?
1. Hypotension, dehydration
2. Overhydration with crystalloid infusion
3. Hypothermia, NSAID therapy
4. Antibiotics, chemotherapy
Overhydration with crystalloid infusion
Postrenal azotzemia… Which is the wrong answer?
1. May be due to urethral obstruction
2. May cause kidney damage without treatment
3. May be due to severe dehydration
4. May be due to ureter rupture
May be due to severe dehydration
Which one of the following is not typical in case of acute kidney injury
1. Cachexia
2. Vomitus
3. Metabolic acidosis
4. Uraemic ulcers
Cachexia
Which one of the following is not typical in case of babesiosis?
1. Myoglobinuria
2. Icterus
3. Vomitus
4. Acute kidney injury
Myoglobinuria
Which of the following therapeutic steps is to be taken first after diagnosing urethral
obturation in male dogs
1. Urethral hydropropulsion
2. Prescrotal urethrostomy
3. Scrotal urethrostomy
4. Perineal urehtrostomy
Urethral hydropropulsion
True about urohyudropropulsion
1. Requires good surgical skills
2. No sedation is required
3. Renal pelvis is connected to the bladder with special shunt
4. This technique may be suitable for removing small stones from the urinary
bladder
This technique may be suitable for removing small stones from the urinary
bladder
What is the advantage of scrotal urethrostomy
1. Castration can prevent urinary incontinence
2. The perineal urethrostomy can be avoided
3. Easily dissectable urethrenlargeal section, wide and safe stoma
4. The cystotomy can be avoided
Easily dissectable urethrenlargeal section, wide and safe stoma
Which of the following factors does not affect the success of feline perineal urethrostomy?
1. Mucocutaneous approximation of the stoma
2. Transection of bulbospongiosus muscle
3. Transection of ischiocavernosus muscle
4. Type of suture material
Transection of bulbospongiosus muscle
Which one of the following is indicated in case of unilateral hydronephrosis?
1. Partial nephrectomy nephrosis
2. Unilateral nephroureteroectomy
3. Kidney drainage
4. Euthanasia
Unilateral nephroureteroectomy
Which of the following does not cause hydronephrosis?
1. Urethral stricture associated with previous surgery
2. Urethral torsion
3. Urethral tumor
4. Urethrolithiasis
Urethral torsion
Possible causes of hydronephrosis, which is the wrong answer?
1. Ureter stone
2. Granuloma formation following neutralization
3. Ascending infection
4. Transitional cell carcinoma in the bladder
Ascending infection
Causes of acute nephrosis.. Which is wrong?
1. Immune complex deposition
2. Renal ischaemia
3. Nephrotoxic materials
4. Hemoglobin, myoglobin
Immune complex deposition
What statement is true about immune-complex glomerulonephritis?
1. Diagnosis is made based on the typical US image of the kidneys
2. Urine protein/creatinine ratio is typically high
3. An important element of therapy is broad-spectrum AB treatment
4. Serum albumin level is increased
Urine protein/creatinine ratio is typically high
Oliguria definition dog
1. Urine output less than 50 ml/ttkg/day
2. Urine output less than 100 ml/ttkg/day
3. Urine output less than 30 ml/ttkg/day
4. Urine output less than 6-10 ml/ttkg/day
Urine output less than 6-10 ml/ttkg/day
Oliguria in the dog/etiology
1. Chronic renal disease, nephrosis/nephritis, pyometra
2. Inadequate water intake, dehydration, acute nephrosis
3. Dehydration, renal insufficiency, chronic liver disease
4. Endocrine disorders, hepatopathies
Inadequate water intake, dehydration, acute nephrosis
Which of the following statement is incorrect regarding nephrolithiasis?
1. It can occur bilaterally
2. It can lead to ureterolithiasis
3. It can be caused by congenital disorder
4. Dalmatians always form urate uroliths
Treatment of nephritis
1. ACE inhibitors, omega-3 fatty acids
2. Puncture and flushing of the renal pelvis
3. Systemic antibiotics (?)
4. Fluid therapy
FALSE: Puncture and flushing of the renal pelvis
Which is the least important to establish the diagnosis of kidney disease
1. Blood urea creatinine measurement
2. Measurement of blood phosphorus, calcium and potassium levels
3. Urine sediment evaluation and urine specific gravity measurement
4. Detection of proteinuria
Measurement of blood phosphorus, calcium and potassium levels
The suspicion of antifreeze poisoning is supported by… Which answer is wrong from the list
below?
1. The demonstration of calcium-dihydrate crystals in urine sediment
2. The detection of ethylene-glycol in blood
3. Detection of ethylene glycol in urine
4. The observation of marked halo-signs in the kidneys during ultrasonography
The demonstration of calcium-dihydrate crystals in urine sediment
Which of the following uroliths appears in case of ethylene-glycol toxicosis?
1. Struvite
2. Calcium-oxalate dihydrate
3. Calcium-oxalate monohydrate
4. Purine
Calcium-oxalate monohydrate
Antidote of ethylene glycol toxicosis
1. Etil alcohol
2. Fomepizole
3. Both
4. Neither
Both
Which of the following uroliths appears usually in case of dog’s bacterial cystitis?
1. Urate
2. Calcium oxalate monohydrate
3. Cystine
4. Struvite
Struvite
Which treatment is not recommended in feline interstitial cystitis (FIC)?
1. Increased water intake
2. Facial pheromones
3. Urine acidification
4. Adding toys, scratching posts, climbing, hiding places, additional litters
Urine acidification
What is not true for feline interstitial cystitis (FIC)
1. Antibiotics (AB) are useless
2. Affected cats mostly fed dry food
3. Affected cats are mostly outdoor animals
4. Affected cats are mostly neutered animals
Affected cats are mostly outdoor animals
How do you treat a cat with FIC
- Increase water intake