Patients with chronic kidney disease are unlikely to develop hyperkalemia provided they
secrete adequate amounts of:
A) antidiuretic hormone
B) Renin
C) Aldosterone
D) Natriuretic peptide - ANSWER Aldosterone
The Randall's plaque pathway for the genesis of a kidney stone involves a stone that is:
A) attached to plugs protruding from the opening of Bellini ducts
B) fixed to the surface of a renal papilla at sites of interstitial apatite plaque
C) formed in free solution in the renal system collection
D) formed in the interstitial or tubular compartment of the renal medulla - ANSWER fixed
to the surface of a renal papilla at sites of interstitial apatite plaque
Which of the following is NOT associated with renal stone development?
A) high urine protein
B) low urine citrate
C) high urine calcium
D) low urine volume - ANSWER High urine protein
Kidneys regulate acid-base balance by the following:
A) releasing carbon dioxide
B) synthesis of ammonia
,C) reabsorption of phosphates
D) excretion of sodium chloride - ANS Producing ammonia
The volume of blood the kidneys can clear of creatinine in 1 minutes is:
A) tubular reabsorption
B) tubular secretion
C) glomerular filtration rate
D) creatinine clearance - ANS Creatinine clearance
Which of the following lab values is an amino acid breakdown that represents the
glomerular filtration rate and metabolism in muscles?
A) uric acid
B) creatinine
C) nitrate
D) phosphate - ANSWER Creatinine
Which of the following is NOT an essential function of the kidney?
A) Erythropoiesis
B) Regulation of calcium formation
C) Acid base balance
D) Regulation of body's temperature - ANS Regulation of body's temperature ( Essential
renal functions: Fluid and acid base balance; electrolyte concentration; excretion of
wastes and excess fluid; blood pressure regulation; facilitation of erythropoiesis which
is the production of red blood cells; and Vitamin D and calcium synthesis
Medicines that may cause acute retention of urine are as follows:
A) proton pump inhibitors
B) antihyperglycemics
C) beta blockers
, D) antihistamines - ANSWER Antihistamines Tricyclic antidepressants, antispasmodics,
antiparkinsonian, antipsychotics, vertigo treatment, bronchodilators, and over active
bladder drugs.
Nephrons in the kidney:
A) are of no significance to the kidneys ability to clear plasma solutes
B) are only present within the distal convoluted tubule
C) contribute to total glomerular filtration rate
D) are poorly designed to maintain glomerular filtration rate - ANSWER Contribute to
total glomerular filtration rate
A 45 year old gentleman with peripheral neuropathy complains of nocturia. Which form
of incontinence is most commonly seen with this presentation?
A) Functional incontinence
B) Overflow incontinence
C) Urge incontinence
D) Idiopathic incontinence - ANSWER Urge incontinence. Bladder dysfunction can
develop as a result of several neurological conditions, including peripheral neuropathy.
Dysfunction can be due to debris or over-activity, or obstruction of the bladder outlet
and result in urge urinary incontinence or stress incontinence, respectively. Diabetic
neuropathy is the most common cause of peripheral neuropathy associated bladder
dysfunction. Overflow incontinence results from impaired detrusor contractility.
Functional incontinence is a results of a physical or mental impairment preventing
successful voiding Idiopathic incontinence develops suddenly as a result of disease.
Aldosterone helps regulate water reabsorption by regulating which one of the following
electrolyte?
A) Phosphate
B) Chloride
C) Calcium
D) Sodium - ANS Sodium. Aldosterone regulates the water reabsorption of the distal
tubules and changes the urine concentration by its role in increasing the reabsorption of
sodium. High plasma aldosterone concentration stimulates the tubules to reabsorb
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