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
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
o Vitamin-D administration

A

o Diuretics per os

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26
Q

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

A

o Dehydration

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27
Q

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

A

o Can be repeated up to 5 times in case of anuria

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28
Q

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

A

o Polyuria, azotaemia

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29
Q

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

A

o Interstitial cystitis, urolithiasis

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30
Q

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

A

o Increase water intake

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31
Q

Can be utilised in urocystitis prevention?

o Urine alkalisation
o Urine acidification
o Diuresis
o None of the above

A

o None of the above

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32
Q

Renal amyloidosis typically found in which cat breed?

o Persian
o Siamese
o Abyssinian
o Bengal

A

o Abyssinian

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33
Q

Causes of acute interstitial nephritis in small animals?

o E. coli, Proteus ascending infection
o Antifreeze poisoning
o Leptospirosis
o Ureter stone

A

o Leptospirosis

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34
Q

Which is NOT associated with nephrosis syndrome?

o Subcutaneous oedema
o Glomerulonephropathies
o Hypotension
o Higher thrombosis risk

A

o Hypotension

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35
Q

Possible causes of hydronephrosis

o Ureter stone
o Granuloma formation following neutralization
o Ascending infection
o Transitional cell carcinoma in the bladder

A

o Ureter stone

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36
Q

Which of the following conditions does not cause hydronephrosis

o Ureteral torsion
o Ureteral stricture associated with previous surgery
o Ureteral tumor
o Ureterolithiasis

A

o Ureteral torsion

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37
Q

Which of the followings surgery is indicated in case of unilateral hydronephrosis

o Partial nephrectomy
o Unilateral nephroureterectomy
o Kidney-drainage
o Euthanasia

A

o Unilateral nephroureterectomy

38
Q

A common sequel of vesicoureteral reflux?

o Pyelonephritis
o Urocystitis
o Endometritis
o Tubulonephrosis

A

o Pyelonephritis

39
Q

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

A

o Aspiration of pus and rinsing of the renal pelvis accelerates healing

40
Q

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

A

o Dalmatians always form urate uroliths

41
Q

The most important aspect of struvite urolithiasis treatment in dogs?

o Diet
o Antibiotics
o Urine acidification
o None of them from above

A

o Urine acidification

eller diet?

42
Q

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

A

o Struvite in the bladder -> obstruction of the urethra -> rupture of the urethra

43
Q

Which of the following uroliths is surely radiodense

o Struvite
o Calcium-oxalate c
o Ammonium-urate
o Cystine

A

o Calcium-oxalate c

44
Q

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

A

o Urethro hydropropulsion

45
Q

Renal cysts are…

o Always congenital
o Always bilateral
o Are mainly incidental findings
o Generally causing renal failure

A

o Are mainly incidental findings

46
Q

Causes of water belly?

A

o Urinary calculi

47
Q

Fanconi syndrome symptoms in dogs: which answer is wrong?

o Glucosuria
o Metabolic acidosis
o Aminoaciduria
o Ketonuria

A

o Ketonuria

48
Q

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

A

o Blood dripping from urethra between urinations

49
Q

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

A

o It can differentiate cyst from abscess

50
Q

Which of the following procedures is not recommended for surgical resolution of prostatic cysts

o Marsupalisation
o Omentalisation
o Drainage
o Puncture

A

o Puncture

51
Q

This radiographic image is characteristic for the following urinary disorder?

o Ectopic ureter
o Urinary bladder rupture
o Urinary bladder neoplasm
o Polyposis cystitis

A

o Urinary bladder rupture

52
Q

Which of the following breeds is usually not affected by ectopic ureter?

o German shepherd
o Labrador
o Husky
o West highland terrier

A

o German shepherd

53
Q

• 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

A

o Are occurring only in females

54
Q

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-)

A

o Intravenous urography + pneumocystography

55
Q

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

A

o Only in symptomatic cases, castration, finasteride

56
Q

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

A

o Blood dripping from urethra between urinations

57
Q

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

A

o Remnants of the Müllerian-duct or retention cysts

58
Q

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

A

o Can be removed by surgery

59
Q
Anti-emetics/dog?
o	Haloperidol, torecan, cimetidine
o	Chlorpromaszine, tiethylperazine, maropitant, metoclopramide
o	Ondansetron, omeprazole, nizatidine
o	Metoclopramide, maropitant, famotidine
A

o Chlorpromaszine, tiethylperazine, maropitant, metoclopramide

60
Q

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

A

o Dalmatians always form urate uroliths

61
Q

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

A

o The kidney is occluded via clamping both the renal artery and vein

62
Q

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

A

o Urethrohydropropulsion

63
Q

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

A

o Early dissectable urethral section, wider and safer stroma?

64
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

65
Q

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

A

Dehydration

66
Q

Blood in the urine is detected with?

o Benzidine test
o Sodium nitroprusside reagent
o Glutaraldehyde test
o Donne test

A

o Benzidine test

67
Q

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

A

o May react to NSAID treatment

68
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
o Vitamin-D administration

A

o ACE-inhibitor therapy

69
Q

What is your diagnosis based on the pictures?

o Cystitis
o Urolithasis
o Normal findings
o Bladder tumour

A

o Cystitis

70
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

71
Q

This radiographic image is characteristic for the following urinary disorder?

o Ectopic ureter
o Urinary bladder rupture
o Urinary bladder neoplasm
o Polyposis cystitis

A

o Urinary bladder rupture

72
Q

Ketone bodies in the urine are detected by:

o Sulfosalicilic acid solution
o Sodium nitroprusid reagen
o 10% NaOH-solution
o Gmelin reagent

A

o Sodium nitroprusid reagen

73
Q

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

A

o Only in symptomatic cases, castration, finasteride

74
Q

Can be utilised in urocystitis prevention?

o Urine alkalisation
o Urine acidification
o Diuresis
o None of the above

A

o None of the above

75
Q

The most important aspect of struvite urolithiasis treatment in dogs?

o Diet
o Antibiotics
o Urine acidification
o None of them from above

A

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
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

o The ammonia level is increased in its blood

77
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

78
Q

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

A

o Detection of severe proteinuria

79
Q

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

A

o In state-I the creatinine level is only mildly elevated

80
Q

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

A

o Ischemia, nephrotoxic materials

81
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

82
Q

ACE-inhibitors

o Ramipril, benazepril, amlodipine
o Ramipril, enalapril, benazepril
o Ramipril, kaptopril, hidralazin
o Zofenopril, captopril, diovan

A

o Ramipril, enalapril, benazepril

83
Q

Most common causes of lower urinary tract disease in dogs

o Prostate diseases
o Sterile cystitis
o Urolithiasis
o Bacterial cystitis

A

o Bacterial cystitis

84
Q

2nd most common lower urinary tract disease of dogs?

A

Urolithiasis

85
Q

Prolongs the survival of dogs and cats with CKD

A

Urinary diet

86
Q

Urinary stone type that cannot be dissolved medically?

A

o Ca oxalate

87
Q

Most common lower urinary tract diseases in cats?

A

o Feline idiopathic cystitis (FIC)

88
Q

To determine the urine concentrating ability of the kidney we use

A

USG (refractormeter)

89
Q

What is not true for feline interstitial cystitis

A

o Affected cats are mostly outdoor animals

90
Q

Does not cause hydronephrosis

A

Urtheral torsion