SIR JED PART 3 Flashcards

1
Q

NOT VALUABLE DETECTOR OF EARLY RENAL DISEASE BUT IS USED TO KNOW THE EXTENT OF NEPHRON. DAMAGE OF KNOWN CAUSE OF RENAL DAMAGE

A

GLOMERULAR FILTRATION TESTS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

GENERALLY CONSIDERED THE BEST OVERALL INDICATOR OF THE LVEL OF KIDNEY FUNCTION

A

GLOMERULAR FILTRATION RATE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

THE STANDARD TEST USED TO MEASURE THE FILTERING CAPACITY OF THE GLOMERULI

A

CLEARANCE TEST

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

MEASURE THE RATE AT WHICH THE KIDNEYS ARE ABLE TO REMOVE A FILTRABLE SUBSTANCE FROM THE BLOOD

A

CLEARANCEE TEST

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

NOT REABSORBED NOR SECRETED BY THE TUBULES. GOLD STANDARD

A

INULIN CLEARANCE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

VALUABLE TO MEASURE VIABILITY OF TRANSPLANT KIDNEY

A

RADIONUCLEOTIDES

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

OLD— FILTEREDD , REABSORBED EARLIEST GLOMERULAR FILTRATION RATE

A

UREA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

SMALL PROTEIN PRODUCED BY ALL NUCLEATED CELLS FILTERED THEN REABSORBED AND BROKEN DOWN BY RTE

A

CYSTATIN C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

GLUCOCORTICOIDS ______ PRODUCTION OF CYSTATIN C

A

REDUCED

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

FROM HLA AND REMOVED FROM PLASMA BY FILTRATION
MORE SENSITIVE INDICATOR OF A DECREASE IN GFR THAN CREATININE CLEARANCE

A

BETA 2 MICROGLOBULIN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

HIGH CREATININE CLEARANCE IN BLOOD

A

GLOMERULAR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

HIGH CREATININE CLEARANCE IN URINE=

A

TUBULAR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

FOR RENAL INTEGRITY

A

BETA 2 MICROGLOBUIN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

MOST COMMONLY USED
FOUND AT A RELATIVE CONSTANT LEVEL IN THE BLOOD

A

CREATININE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

GENTAMICIN, CEPHALOSPORINS,AND CIMETIDINE WHICH INHIBIT _____

A

CREATININE GO TO GLOMERULAR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

CREATININE CLEARANCE IS BASED ON ______

A

JAFFE REACTION

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

NV FOR CREATININE CLEARANCE MALEE

A

107-139ML/MIN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

NV OF CREATININE CLEARANCE FOR FEMALE

A

87-107 ML/MIN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

VALUES ARE CONSIDERABLY _____ IN OLDER PEOPLE

A

LOWER

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

FORMULA IN CREATININE CLEARANCE

A

UV/P X 1.73/A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

THIS TEST IS NOT RELIABLE FOR PX WHO HAS IMMUNE DISORDERS

A

BETA 2 MICROGLOBULIN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

WHAT ARE THE VARIABLES IN COCKGROFT GAULT GFR FORMULA?

A

AGE, SEX, BODY WEIGHT IN KILOGRAMS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

WHAT ARE THE VARIABLES IN MDRD?

A

AGE SEX RACE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

MDRD IDMS IS MOST ACCURATE WHEN RESULTS ARE ____

A

LOWER THAN 60ML/MIN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

NEWER METHOD DO NOT REQUIRE THE COLLECTION OF TIME URINE SPECIMEN USING JUST SERUM CREATININE, CYSTATIN C OR BETA 2 MICROGLOBULIN VALUES

A

ESTIMATED GLOMERULAR FILTRATION RATE (eGFR)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

USED FOR ROUTINELY SCREENING PX AS PART OF A METABOLIC PROFILE AND ALSO TO MONITOR PATIENTS ALREADY DIAGNOSED WITH RENAL DISEASE OR AT RISK FOR RENAL DISEASE

A

eGFR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

LOW MOLECULAR WEIGHT GLYCOPROTEIN THAT FUNCTION AS PROTAGLYDIN D SYNTHASE

A

BETA TRACE PROTEIN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

MARKER FOR CSF LEAKAGE

A

OTORRHEA
RHINORRHEA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

FILTERED AT THE GLOMERULUS FREELY AND NOT REABSROBED

A

TRYPTOPHAN GLYCOCONJUGATE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

WHAT METHOD IS. USED TO DETECT TRYOTOPHAN GLYCOCONJUGATE ?

A

HPLC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

THIS TEST IS NOT RECOMMENDED FOR TRANSPLANT PX

A

CYSTATIN C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

tubules are both

A

reabsorption and secretion of substance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

PCT REABSORBS ____

A

BICARBONATES, URIC ACID, UREA, WATER, AMINO ACID, GLUCOSE, SALT,, CALCIUM, PROTEIN, PHOSPHATE

34
Q

IN ACTIVE TRANSPORT THE ______ REABSORBS IN PCT

A

GLUCOSE
AMINO ACID
SALT

35
Q

IN ACTIVE TRANSPORT THE ___ REABSORBS IN ASCENDING LOOP OF HENLE

A

CHLORIDE

36
Q

IN ACTIVE TRANSPORT THE ___ REABSORBS IN PCT AND DCT

A

SODIUM

37
Q

IN PASSIVE TRANSPORT THE ___ REABSORBS IN ALL PARTS EXCEPT IN ASCENDING LOOP OF HENLE

A

WATER

38
Q

IN PASSIVE TRANSPORT THE ___ REABSORBS IN PCT AND ALH

A

UREA

39
Q

IN PASSIVE TRANSPORT THE ___ REABSORBS IN ALH

A

SODIUM

40
Q

THE PALSMA CONCENTRATION AT WHICH ACTIVE TRANSPORT STOPS

A

RENAL THRESHOLD

41
Q

WHAT IS THE GLUCOSE RENAL THRESHOLD?

A

160-180

42
Q

WHAT IS THE AVERAGE RENAL THRESHOLD OF GLUCOSE

A

170

43
Q

______ BEGINS IN THE DLH AND ALH

A

TUBULAR CONCENTRATION

44
Q

IMPERMEABLE TO WATER

A

ALH

45
Q

MAINTAINS TE OSMOTIC GRADIENT OF THE MEDULLA

A

COUNTERCURRENT MECHANISM/MULTIPLICATION

46
Q

REGULATES SODIUM REABSORPTION

A

ALDOSTERONE

47
Q

DCT SECRETES:

A

K HYDROGEN ION, AMMONIA

48
Q

FINAL ADJUSTMENT. OF URINARY COMPOSITION

A

DCT

49
Q

FINAL CONCENTRATION OF THE FILTRATE THROUGH THE REABSORPTION OF WATER BEGINS IN THE LATE DCT AND CONTINUES IN THE ___

A

COLLECTING DCUT

50
Q

LOW BODY WHYDRATION WHAT WILL BE THE URINE VOLUME?

A

INCREASED

51
Q

HIGH BODY WHYDRATION WHAT WILL BE THE URINE VOLUME?

A

DECREASE

52
Q

FACTORS SUPPRESS THE SECRETION OF ANTIDIURETIC HORMONES>

A

COFFEE
ALCOHOL
DIURETICS

53
Q

USED TO EVALUATE TUBULAR REABSORPTION.

A

CONCENTRATION TEST

54
Q

TEST TO DETERMINE THE ABILITY OF THE TUBULES TO REABSORB THE ESSENTIAL SALTS ADN WATER THAT HAVE BEEN NONSELECTIVELY FILTERED BY THE GLOMERULUS

A

CONCENTRATION TEST

55
Q

THE FIRST FX AFFECTED IN RENAL DISEASE

A

LOSS OF TUBULAR REABSORPTION

56
Q

OLD TEST. THAT THE PX IS DERIVED OF FLUID FOR 24 HRS

A

FISHBERG

57
Q

THIS OLDE METHOD COMPARE DAY AND NIGHT URINE IN TERMSOF VOLUME AND SG

A

MOSENTHAL

58
Q

INFLUENCED BY THE. NUMBER AND DENSITY OF PARTICLES IN A SOLUTION
MOST USEFUL AS A SCREENING PROCEDURE

A

SPECIFIC GRAVITY

59
Q

QUANTITATIVE MEASUREMENT OF RENAL CONCENTRATING ABILITY I BEST ASSERTED THROUGH ____

A

OSMOMETRY

60
Q

_____ OF SODIUM CHLORIDE CONTRIBUTE THE MOST TO A URINE OSMOLALITY

A

ONE OSMOL

61
Q

DEFINED AS 1 G MOLECULAR WEIGHT OF A SUBSTANCE DIVIDED BY THE NUMBER OF PARTICLES INTO WHICH DISSOCIATE

A

OSMOLE

62
Q

UNIT OF MEASURE USED IN THE CLINICAL LABORATORY

A

MILLIOSMOLE mOsm

63
Q

urine osmolality range

A

50-1400 mOsm

64
Q

urine to serum ratio (controlled fluid intake for 12 hrs

A

3:1

65
Q

nonormal random condition, the ratio of urine to seruum osmolality should be at least

A

1:1

66
Q

true or false
measurement of osmolality is more accurate than specific gravity

A

TRUE

67
Q

WHAT TYPE OF DI IS LOW ADH PRODUCTION

A

NEUROGENIC DI

68
Q

TYPE OF DI THAT IS ADH RESISTANCE

A

NEPHROGENIC DI

69
Q

WHAT STAGE OF CKD IS THIS
KIDNEY DAMAGE WITH NORMAL OR HIGH GFR

A

STAGE 1

70
Q

WHAT STAGE OF CKD IS THIS
KIDNEY DAMAGE WITH NORMAL OR LOW GFR

A

STAGE 2

71
Q

WHAT STAGE OF CKD IS THIS
MODERATE LOW GFR

A

3A

72
Q

WHAT STAGE OF CKD IS THIS
MODERATE TO SEVERE LOW GFR

A

3B

73
Q

WHAT STAGE OF CKD IS THIS
SEVERE LOW GFR

A

STAGE 4

74
Q

WHAT STAGE OF CKD IS THIS
KIDNEY FAILURE

A

STAGE 5

75
Q

THIS IS REMOVED BUT OSMOSIS I

A

WATER AND SODIUM CHLORIDE

76
Q

WHAT RADIOISTOPE IS USED IN RADIONUCLEOTIDE?

A

125I

77
Q

WASTE PRODUCT OF MUSCLE METBOLISM

A

CREATININE

78
Q

ADH PRODUCTION:

A

HYPOTHALAMUS

79
Q

ADH SECRETION/RELEASED

A

POSTERIOR PITUITARY GLAND BY RAAS STIMULATION

80
Q

ADH. REGULATES THE FINAL URINE CONCENTRATION BY CONTROLING

A

TUBULAR PERMEABILITY