1 Wilkes University NSG 530 - Advanced Pathophysiology Exam 1, 2, 3 & 4. Complete Solution Package Latest Update 2 NSG 530 - Exam 1 A patient is diagnosed with a k idney stone that is composed of magnesium, ammonium, and phosphate. What type of urinary calculus is this? A) Calcium B) Struvite C) Uric acid D) Indinavir B) Struvite A patient has uncontrolled or premature contractions of the detrusor muscle. Which con dition is associated with this medical problem? A) Spinal cord injury B) Immune system dysfunction C) Congestive heart failure D) Renal carcinoma A) Spinal cord injury Which statement regarding renal cell carcinoma is correct? A) It is associated with p53. B) Symptoms include painless hematuria. C) Early stages produce a large abdominal mass. D) Granular cell tumors have better prognosis. B) Symptoms include painless hematuria. 3 A patient who reports abdominal and back pain has been diagnosed with bacteria in the urine. What is the appropriate term for involvement of the upper urinary tract that is likely to cause such symptoms? A) Cystitis B) Pyelonephritis C) Urinary tract infection D) Asymptomatic bacteriuria B) Pyelonephriti s With which bacteria is acute glomerulonephritis associated? A) Escherichia coli B) Staphylococcus C) Group A Streptococcus D) Klebsiella C) Group A Streptococcus A diabetic child with 4.0 g of protein in her urine each day is experiencing edema and v itamin D deficiency. Which is the most likely diagnosis? A) Nephritic syndrome B) Nephrotic syndrome C) Acute renal failure D) Rapidly progressive glomerulonephritis Nephrotic syndrome A 2-month -old male patient presents with the urethral opening on the dorsal surface of the penis. Which term is the correct name for this anomaly? A) Hypospadias B) Epispadias 4 C) Exstrophy D) Ureteropelvic junction Epispadias A patient presents with wide -set eyes, "parrot beak" nose, low -set ears, and receding chin. What is the renal manifestation associated with this presentation? A) Potter syndrome B) Polycystic kidney disease C) Infundibular stenosis D) Megacalycosis Potter syndrome A 6-year -old has just recovered from streptococcal pharyngitis. Which statement regarding this child's acute poststreptococcal glomerulonephritis is true? A) Antibody -antigen complexes of IgM, IgG, and IgA are deposited. B) The exact mechanism of immune complexes is unknow n. C) There is decreased vascular permeability. D) No signs of inflammation are present. The exact mechanism of immune complexes is unknown. A patient presents with skin lesions as well as hematuria, proteinuria, and abdominal pain. Which is the most likely cause of these symptoms? A) Henoch -Schonlein purpura B) Hemolytic uremic syndrome C) Primary nephrotic syndrome D) Minimal change nephropat hy Henoch -Schonlein purpura
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