Urogenital Flashcards

1
Q

Oliguria in the dog/aetiology?

o Chronic renal insufficiency, nephrosis/nephritis, pyometra
o Inadequate water intake, dehydration, acute nephrosis
o Dehydration, renal insufficiency, chronic liver disease
o Endocrine disorders, hepatopathies

A

o Inadequate water intake, dehydration, acute nephrosis

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2
Q

Oliguria/definition/dog?

o Urine output <50 ml/ttkg/day
o Urine output <100 ml/ttkg/day
o Urine output <30 ml/ttkg/day
o Urine output <6-10 ml/ttkg/day

A

o Urine output <6-10 ml/ttkg/day

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3
Q

Polydipsia/definition/dog and cat?

o Dog and cat: water intake >50ml/bwkg/day
o Dog: water intake >80-100ml/bwkg/day, Cat: water intake >100ml/bwkg/day
o Dog and cat: water intake >100ml/bwkg/day
o Dog: water intake >50ml/bwkg/day, Cat: water intake >100ml/bwkg/day

A

o Dog: water intake >80-100ml/bwkg/day, Cat: water intake >100ml/bwkg/day

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4
Q

Polydipsia/definition/dog:

o Water consumption >50-60ml/bwkg/day
o Water consumption >80-100ml/bwkg/day
o Water consumption >150-180ml/bwkg/day
o Water consumption > 180-200ml/bwkg/day

A

o Water consumption >80-100ml/bwkg/day

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5
Q

In which endocrine disorder there is NO polydipsia/polyuria?

o	Diabetes mellitus
o	Diabetes insipidus
o	Hypothyroidism
o	Cushing's syndrome
o	Hyperthyroidism
A

Hypothyroidism

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6
Q

The approx. upper limit of inorganic phosphate in the plasma of the dog and cat is?

o 1.2 mmol/l
o 3.5 mmol/l
o 2.0 mmol/l
o 0.8 mmol/l

A

o 2.0 mmol/l

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7
Q

If a dog is azotaemia, then? (choose the right answer)

o The ammonia level is increased in its blood
o The 1⁄2 of its nephrons has been destroyed in their kidneys
o It may have been dehydrated
o It has urethral obstruction

A

The ammonia level is increased in its blood

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8
Q

Praerenal azotaemia… Which is the wrong answer?

o Could be due to dehydration
o May cause kidney damage without treatment
o Can be corrected with fluid therapy
o May be caused by urine leaking through the wall of the urinary organs

A

o May be caused by urine leaking through the wall of the urinary organs

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9
Q

Which treatment is not affecting the severity of proteinuria?

o	Renal diet
o	Antihypertensive drugs
o	Omega-3 fatty acids
o	ACE-inhibitors
o	All of them above decrease proteinuria
o	None of them above decreases proteinuria
A

o All of them above decrease proteinuria

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10
Q

IRIS stage-I chronic renal failure is associated with?

o Azotaemia
o Anaemia, metabolic acidosis
o Uraemia
o Decreased specific gravity of urine

A

o Anaemia, metabolic acidosis

Tror denne: Decreased specific gravity of urine

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11
Q

The creatinine level of dogs and cats with IRIS stage 1 chronic kidney disease is;

o Normal
o >240umol/l
o >340 umol/l
o >440 umol/l

A

o Normal

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12
Q

Causes of anaemia in chronic kidney patients. Which answer is NOT correct?

o Lack of erythropoietin
o Gastrointestinal bleeding/ulcers
o Deceased survival of red blood cells
o Haemolysis

A

o Haemolysis

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13
Q

Which treatment does NOT affect the PTH-level in chronic renal cases?

o Feeding renal diet
o Adding phosphorus binders to the diet
o ACE-inhibitor therapy

A

o ACE-inhibitor therapy

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14
Q

Common symptoms of chronic renal diseases?

o Abdominal pain, polyuria, hypocalcaemia
o Papillary oedema, hypokalaemia, dysuria
o Regenerative anaemia, hypertension, hypophosphataemia
o Non-regenerative anaemia, hypertension, blindness

A

o Non-regenerative anaemia, hypertension, blindness

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15
Q

Treatment of CKD patients include: (which answer is not correct)?

o Renal diet, phosphorus binders
o ACE-inhibitors, anti-hypertensive drugs
o Erythropoietin inj. Potassium supplementation
o Diuretics per os

A

o Diuretics per os

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16
Q

The most effective gastric protectant for dogs with chronic kidney disease is:

o pantoprazole
o famotidine
o sucralfate
o benazepril

A

pantoprazole

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17
Q

The progression of renal diseases caused by: which answer is NOT correct?

o Proteinuria
o Isostenuria
o Hyperparathyroidism
o Glomerular hypertension

A

o Hyperparathyroidism

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18
Q

Rubber jaw/Underlying disorders/dog

o Chronic thyroid disease, secondary hypothyroidism
o Chronic thyroid disease, secondary hyperthyroidism
o Chronic renal disease, secondary hypoparathyroidsm
o Chronic renal disease, secondary hyperparathyroidism

A

o Chronic renal disease, secondary hyperparathyroidism

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19
Q

Causes of anaemia in chronic kidney patients. Which answer is NOT correct?

o Lack of erythropoietin
o Gastrointestinal bleeding/ulcers
o Deceased survival of red blood cells
o Haemolysis

A

o Haemolysis

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20
Q

What is the main and initiating cause of calcium-phosphorus imbalance in chronic renal failure?

o Inadequate vitamin-D production
o Poor absorption of calcium from the gastrointestinal tract
o Retention of phosphorus
o Nephrocalcinosis

A

o Retention of phosphorus

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21
Q

Rubber jaw/Underlying disorders/dog

o Chronic thyroid disease, secondary hypothyroidism
o Chronic thyroid disease, secondary hyperthyroidism
o Chronic renal disease, secondary hypoparathyroidsm
o Chronic renal disease, secondary hyperparathyroidism

A

Chronic renal disease, secondary hyperparathyroidism

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22
Q

Common symptoms of chronic renal diseases?

o Abdominal pain, polyuria, hypocalcaemia
o Papillary oedema, hypokalaemia, dysuria
o Regenerative anaemia, hypertension, hypophosphataemia
o Non-regenerative anaemia, hypertension, blindness

A

Non-regenerative anaemia, hypertension, blindness

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23
Q

The suspicion of antifreeze poisoning is supported by? Which answer is wrong from the list below?

o The demonstration of calcium-dihydrate crystals in urine sediment
o The detection of ethylene-glycol in blood
o Detection of ethylene-glycol in urine
o The observation of marked halo-signs in the kidneys during ultrasonography

A

o The demonstration of calcium-dihydrate crystals in urine sediment

(detection of calcium-oxalate monohydrate crystals in urine, from 6h)

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24
Q

What treatment if not adequate for a dog that drank 3dl antifreeze 12 hours ago?

o D-penicillamine
o Haemodialysis
o 4-methylprazole
o Ethanol iv.

A

o D-penicillamine

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25
Treatment of CKD patients include: (which answer is not correct)? o Renal diet, phosphorus binders o ACE-inhibitors, anti-hypertensive drugs o Erythropoietin inj. Potassium supplementation o Diuretics per os o Vitamin-D administration
o Diuretics per os
26
Causes of hypertension in kidney patients. Which answer is not correct? o Prolonged activation of the renin-angiotensin-aldosterone system o Increased peripheral resistance o Dehydration o Systemic vasoconstriction
o Dehydration
27
Which statement is wrong? In acute kidney failure mannitol infusion... o Should only be given to a previously rehydrated patient o Can be repeated up to 5 times in case of anuria o Can be repeated may times if diuresis is present o Is recommended in oliguria
o Can be repeated up to 5 times in case of anuria
28
Symptoms of lower urinary tract disease in small animals? Which answer is wrong? o Hematuria, pollakiuria o Stranguria, dysuria o Polyuria, azotaemia o Periruia, incontinence
o Polyuria, azotaemia
29
Most common causes of lower urinary tract disease in cats? o Bladder tumour, prostate alteration o Anatomical disorders, foreign bodies o Bacterial infection, urolithiasis o Interstitial cystitis, urolithiasis
o Interstitial cystitis, urolithiasis
30
How would you treat a cat diagnosed with interstitial cystitis (FIC)? o Antibiotics o Urine acidifying diet o Catheterisation, flushing out of the bladder with isotonic saline o Increase water intake
o Increase water intake
31
Can be utilised in urocystitis prevention? o Urine alkalisation o Urine acidification o Diuresis o None of the above
o None of the above
32
Renal amyloidosis typically found in which cat breed? o Persian o Siamese o Abyssinian o Bengal
o Abyssinian
33
Causes of acute interstitial nephritis in small animals? o E. coli, Proteus ascending infection o Antifreeze poisoning o Leptospirosis o Ureter stone
o Leptospirosis
34
Which is NOT associated with nephrosis syndrome? o Subcutaneous oedema o Glomerulonephropathies o Hypotension o Higher thrombosis risk
o Hypotension
35
Possible causes of hydronephrosis o Ureter stone o Granuloma formation following neutralization o Ascending infection o Transitional cell carcinoma in the bladder
o Ureter stone
36
Which of the following conditions does not cause hydronephrosis o Ureteral torsion o Ureteral stricture associated with previous surgery o Ureteral tumor o Ureterolithiasis
o Ureteral torsion
37
Which of the followings surgery is indicated in case of unilateral hydronephrosis o Partial nephrectomy o Unilateral nephroureterectomy o Kidney-drainage o Euthanasia
o Unilateral nephroureterectomy
38
A common sequel of vesicoureteral reflux? o Pyelonephritis o Urocystitis o Endometritis o Tubulonephrosis
o Pyelonephritis
39
Which statement is true about the treatment of pyelonephritis: o 1-2 weeks of antibiotic therapy is required o Aspiration of pus and rinsing of the renal pelvis accelerates healing o Treatment of anemia should be started as soon as possible o Conservative treatment is usually unsuccessful, thus unilateral nephrectomy is the solution
o Aspiration of pus and rinsing of the renal pelvis accelerates healing
40
Which of the following statements is incorrect regarding nephrolithiasis o It can occur bilaterally o It can lead to ureterolithiasis o It can be caused by congenital disorder o Dalmatians always form urate uroliths
o Dalmatians always form urate uroliths
41
The most important aspect of struvite urolithiasis treatment in dogs? o Diet o Antibiotics o Urine acidification o None of them from above
o Urine acidification eller diet?
42
Urolithiasis of feedlot bulls/pathogenesis? o Struvite in the bladder -> obstruction of the urethra -> rupture of the urethra o Struvite formation -> cystitis, pyelitis -> nephritis -> renal failure o Calcium-oxalate stones in renal pelvis and bladder -> nephritis, cystitis, obturation of the urethra o Ca-oxalate formation -> cystitis, pyelitis -> nephritis -> renal failure
o Struvite in the bladder -> obstruction of the urethra -> rupture of the urethra
43
Which of the following uroliths is surely radiodense o Struvite o Calcium-oxalate c o Ammonium-urate o Cystine
o Calcium-oxalate c
44
Which of the following therapeutic steps is to be taken first after diagnosing urethral obturation in a male dog o Urethro hydropropulsion o Prescrotal urethrostomy o Scrotal urethrostomy o Perineal urethrostomy
o Urethro hydropropulsion
45
Renal cysts are... o Always congenital o Always bilateral o Are mainly incidental findings o Generally causing renal failure
o Are mainly incidental findings
46
Causes of water belly?
o Urinary calculi
47
Fanconi syndrome symptoms in dogs: which answer is wrong? o Glucosuria o Metabolic acidosis o Aminoaciduria o Ketonuria
o Ketonuria
48
Most important sign of benign prostatic hypertrophy in dogs? o Fever, alopecia, inappetence o Blood dripping from urethra between urinations o Macroscopic haematuria o Clear urine at the beginning of urination, blood in urine at the end of urination
o Blood dripping from urethra between urinations
49
Which statement is incorrect concerning prostate UL? o It can detect fluid accumulation within the organ o It can detect parenchymal hypertrophy o It can differentiate cyst from abscess o It provides possibility of core biopsy
o It can differentiate cyst from abscess
50
Which of the following procedures is not recommended for surgical resolution of prostatic cysts o Marsupalisation o Omentalisation o Drainage o Puncture
o Puncture
51
This radiographic image is characteristic for the following urinary disorder? o Ectopic ureter o Urinary bladder rupture o Urinary bladder neoplasm o Polyposis cystitis
o Urinary bladder rupture
52
Which of the following breeds is usually not affected by ectopic ureter? o German shepherd o Labrador o Husky o West highland terrier
o German shepherd
53
• Ectopic ureters. Which answer is wrong? o Are causing constant urine dripping o Are occurring only in females o Can be diagnosed by X-ray or CT-exam
o Are occurring only in females
54
Which of the followings is the most informative one for diagnosing ectopic ureter? o Cystoscopy o Double contrast cystography o Intravenous urography + pneumocystography o Urinary scintigraphy (TcO4-)
o Intravenous urography + pneumocystography
55
Treatment of benign prostatic hypertrophy in dogs? o Only together with paraprostatic cysts, surgery o Even in asymptomatic cases, castration, based on US-diagnosis, large dose of oestrogens o Only in symptomatic cases, castration, finasteride o Only in symptomatic cases, surgical removal of the gland
o Only in symptomatic cases, castration, finasteride
56
Most important sign of benign prostatic hypertrophy in dogs? o Fever, alopecia, inappetence o Blood dripping from urethra between urinations o Macroscopic haematuria o Clear urine at the beginning of urination, blood in urine at the end of urination
o Blood dripping from urethra between urinations
57
Paraprostic cysts are? o Caused by ascending infections (e.g. E. coli) o Caused by prostatic tumour or squamous metaplasia o Remnants of the Müllerian-duct or retention cysts o Small fluid filled cavities
o Remnants of the Müllerian-duct or retention cysts
58
Prostatic tumors in dogs, which is not true? o Can be removed by surgery o May occur in castrated males o Mostly adenocarcinoma o Can be diagnosed from a biopsy specimen
o Can be removed by surgery
59
``` Anti-emetics/dog? o Haloperidol, torecan, cimetidine o Chlorpromaszine, tiethylperazine, maropitant, metoclopramide o Ondansetron, omeprazole, nizatidine o Metoclopramide, maropitant, famotidine ```
o Chlorpromaszine, tiethylperazine, maropitant, metoclopramide
60
Which of the following statements is incorrect regarding nephrolithiasis o It can occur bilaterally o It can lead to ureterolithiasis o It can be caused by congenital disorder o Dalmatians always form urate uroliths
o Dalmatians always form urate uroliths
61
Which statement is correct? During nephrotomy o The kidney is occluded via clamping both the renal artery and vein o Renal vein is to to be occluded so that the arterial supply remains intact o Renal artery is to be occluded so that the venous drainage remains intact o The ureter is also occluded
o The kidney is occluded via clamping both the renal artery and vein
62
Which of the following therapeutic steps is to be taken first after diagnosing urethral obturation in a male dog o Urethrohydropropulsion o Prescrotal urethrostomy o Scrotal urethrostomy o Perineal urethrostomy
o Urethrohydropropulsion
63
What is the advantage of scrotal uretrostomy o Castratio can prevent urinary incontinence o The perineal urethrostomy can be avoided o Early dissectable urethral section, wider and safer stroma? o The cystotomy can be avoided
o Early dissectable urethral section, wider and safer stroma?
64
Praerenal azotaemia... Which is the wrong answer? o Could be due to dehydration o May cause kidney damage without treatment o Can be corrected with fluid therapy o May be caused by urine leaking through the wall of the urinary organs
o May be caused by urine leaking through the wall of the urinary organs
65
Causes of hypertension in kidney patients. Which answer is not correct? o Prolonged activation of the renin-angiotensin-aldosterone system o Increased peripheral resistance o Dehydration o Systemic vasoconstriction
Dehydration
66
Blood in the urine is detected with? o Benzidine test o Sodium nitroprusside reagent o Glutaraldehyde test o Donne test
o Benzidine test
67
Transitional cell carcinoma in the bladder: o Is not an invasive tumor o May react to NSAID treatment o Can be easily removed from the cranial pole of the bladder o Is connected to the mucosa by a thin neck
o May react to NSAID treatment
68
Which treatment does NOT affect the PTH-level in chronic renal cases? o Feeding renal diet o Adding phosphorus binders to the diet o ACE-inhibitor therapy o Vitamin-D administration
o ACE-inhibitor therapy
69
What is your diagnosis based on the pictures? o Cystitis o Urolithasis o Normal findings o Bladder tumour
o Cystitis
70
What is the main and initiating cause of calcium-phosphorus imbalance in chronic renal failure? o Inadequate vitamin-D production o Poor absorption of calcium from the gastrointestinal tract o Retention of phosphorus o Nephrocalcinosis
o Retention of phosphorus
71
This radiographic image is characteristic for the following urinary disorder? o Ectopic ureter o Urinary bladder rupture o Urinary bladder neoplasm o Polyposis cystitis
o Urinary bladder rupture
72
Ketone bodies in the urine are detected by: o Sulfosalicilic acid solution o Sodium nitroprusid reagen o 10% NaOH-solution o Gmelin reagent
o Sodium nitroprusid reagen
73
Treatment of benign prostatic hypertrophy in dogs? o Only together with paraprostatic cysts, surgery o Even in asymptomatic cases, castration, based on US-diagnosis, large dose of oestrogens o Only in symptomatic cases, castration, finasteride o Only in symptomatic cases, surgical removal of the gland
o Only in symptomatic cases, castration, finasteride
74
Can be utilised in urocystitis prevention? o Urine alkalisation o Urine acidification o Diuresis o None of the above
o None of the above
75
The most important aspect of struvite urolithiasis treatment in dogs? o Diet o Antibiotics o Urine acidification o None of them from above
o None of them from above ``` SVAR: Dietary dissolution Mostly surgery Sup. th. to decr. pH AB to treat UTI (2-4w.) ``` så alle, men mest diet?
76
If a dog is azotaemia, then? (choose the right answer) o The ammonia level is increased in its blood o The 1⁄2 of its nephrons has been destroyed in their kidneys o It may have been dehydrated o It has urethral obstruction
o The ammonia level is increased in its blood
77
Treatment of CKD patients include: (which answer is not correct)? o Renal diet, phosphorus binders o ACE-inhibitors, anti-hypertensive drugs o Erythropoietin inj. Potassium supplementation o Diuretics per os
o Diuretics per os
78
What is the most important test for diagnosing glomerulonephropathies? o Determination of the blood creatinine and urea values o Determination of the urine specific gravity by a refractometer o Detection of severe proteinuria
o Detection of severe proteinuria
79
IRIS classification of CKD. Which answer is wrong? o There are 4 stages determined by the serum creatinine level o In state-I the creatinine level is only mildly elevated o There are substages based on the presence of proteinuria o There are substages based on the degree of hypertension
o In state-I the creatinine level is only mildly elevated
80
Causes of glomerular diseases in small animals. Which answer is NOT correct? o Adhesions of immune complexes to the basement membrane o Ischemia, nephrotoxic materials o Amyloidosis o Congenital/acquired basal membrane/podocyte injury
o Ischemia, nephrotoxic materials
81
Common symptoms of chronic renal diseases? o Abdominal pain, polyuria, hypocalcaemia o Papillary oedema, hypokalaemia, dysuria o Regenerative anaemia, hypertension, hypophosphataemia o Non-regenerative anaemia, hypertension, blindness
o Non-regenerative anaemia, hypertension, blindness
82
ACE-inhibitors o Ramipril, benazepril, amlodipine o Ramipril, enalapril, benazepril o Ramipril, kaptopril, hidralazin o Zofenopril, captopril, diovan
o Ramipril, enalapril, benazepril
83
Most common causes of lower urinary tract disease in dogs o Prostate diseases o Sterile cystitis o Urolithiasis o Bacterial cystitis
o Bacterial cystitis
84
2nd most common lower urinary tract disease of dogs?
Urolithiasis
85
Prolongs the survival of dogs and cats with CKD
Urinary diet
86
Urinary stone type that cannot be dissolved medically?
o Ca oxalate
87
Most common lower urinary tract diseases in cats?
o Feline idiopathic cystitis (FIC)
88
To determine the urine concentrating ability of the kidney we use
USG (refractormeter)
89
What is not true for feline interstitial cystitis
o Affected cats are mostly outdoor animals
90
Does not cause hydronephrosis
Urtheral torsion