As always, I invite students and non-students to submit multiple choice questions appropriate for the upcoming exam on the Renal System (Physiology and Pathophysiology questions). Post questions with answers (three wrong and one right) in the comments section below.
Also, here’s an opportunity for two points of extra credit on the upcoming exam:
Submit your answer quick – only the first correct response (also posted in comments) earns points. I will try to post several more questions over the weekend – note, these extra credit vignettes may come from any of the chapters we studied this semester)
Presentation
A 62 year old man presented at the ER with sudden sensation of food being caught in his throat while swallowing. The patient is highly agitated and convinced he is choking although he appears to be getting air.
An emergency endoscopy reveals food stuck in the esophagus. With pressure, food bolus passed into the stomach successfully. A subsequent barium swallow and X Ray produced the image here.
What is the diagnosis?
DownHouseSoftware 
Madison Mott
April 24, 2015 at 9:56 pm
Achalasia
downhousesoftware
April 25, 2015 at 10:19 pm
points go to Madison
Kerry
April 24, 2015 at 10:00 pm
achalasia
Jennifer
April 24, 2015 at 10:12 pm
What is the physiological reason the kidneys play a crucial a role in controlling blood pressure. Is it….
A. If your blood pressure is too high it is not good for your heart
B. The angiotensinogen renin system is the best way
C. The loop of henley can’t withstand the pressure
D. sufficient pressure is required to filter material from blood through the nephron
Answer D
I’m sure this question could be worded way better!
downhousesoftware
April 25, 2015 at 10:22 pm
It’s a good question, but I agree that it may need smoothing out somehow.
Tayler
April 24, 2015 at 10:22 pm
I’m going to go with dysphagia! Right?… Delete this if I am wrong.
Tayler
April 26, 2015 at 9:46 am
Which lab test is most commenly used as a screening measure of renal function?
A) BUN
B)Blood Test
C)Serum Creatine
D) Sodium
Jennifer
April 26, 2015 at 6:22 pm
Taylor, this question is difficult because both BUN and Serum Creatine can detect renal insufficiency. Is one more commonly used over another? Im not sure.
downhousesoftware
April 26, 2015 at 7:18 pm
I agree that this one might need some clarity – also, noting that BUN = Blood Urea Nitrogen. And ‘blood test’ is a bit nebulous. However, I do like the question – it is important to know how to assess the function of each organ system and recognize why these values indicate organ failure.
Morgan
April 26, 2015 at 6:58 pm
For Taylers question the answer is creatine its on page 618
Jennifer
April 28, 2015 at 10:06 am
I was really glad we discussed this in class. One more thing I can understand in my nursing classes!!!
Tayler
April 27, 2015 at 11:38 am
Which incontinence is caused by the decreased ability of the vesicourethral sphincter to prevent the escape of urine during activities?
A)Urge Incontinence
B)Overflow
C)Overactive Bladder
D) Stress Incontinence
Tayler
April 27, 2015 at 11:44 am
Which type of renal failure is caused by the obstruction of urine output from the kidneys?
A)Prerenal Failure
B)Postrenal Failure
C)Intrinsic Renal Failure
D)End Of Life Renal Failure
Jennifer Mallory
April 30, 2015 at 12:20 pm
b
Tayler
April 27, 2015 at 11:55 am
A patient recently had a computed tomography (CT) and was diagnosed with Polycystic Kidney Disease. What had the doctor seen that indicated that diagnoses?
A)Renal calculi in the kidneys
B)Fluid-filled sacs in the tubular structures of the kidney
C)Malignant tumor
D)A rapid decline in kidney function
Jennifer Mallory
April 30, 2015 at 12:20 pm
b
Jennifer Mallory
April 28, 2015 at 10:42 am
Ok, here are a few questions. These are found in chapter 25 pages 622 – 627.
My question relate to the following topics:
The clinical manifestations of glomerular disorders generally fall into one of five categories.
– acute nephritic syndrome
– rapidly progressive glomerulonephritis
– nephrotic syndrome
– asymptomatic hematuria or proteniura
– Chronic glomerulonephritis
There are also several disease that cause secondary glomerular kidney disease such as systemic lupus, diabetes, and hypertension.
1.) Acute nephritic syndrome evokes an inflammatory response in the glomeruli and results in extracellular fluid accumulation ad edema because of a decreased GFR. What clinical manifestations would a nurse observe?
A. bradycardia, polyuria, dehydration
B. Hematuria, oliguria, hypertension
C. Decreased sensation in the lower extremities
D. None, this typer of Glomerular disease goes unnoticed by the patient and the provider.
2.) The glomerular membrane acts as a size-specific barrier through which filtrate from the blood must pass. One type of glomerular disease that affects this function is know as nephrotic syndrome. What are some clinical manifestations a nurse would observe?
A.) hematuria, oliguria, hypertension
B.) Hyperalbuminemia, dehydration
C.) Proteinuria, hypoalbuminemia, generalized edema
D.) None, thype of glomerular disease goes unnoticed by the patient and the provider.
3.) Rapidly progressive glomerulonephritis is a syndrome characterized by signs of sever glomerular injury, is rapidly progressive and does not have a specific cause. What is one disease associated with this type of glomerular disease?
A.) Staphycocci infection
B.) diabetes
C.) Goodpasture syndrome
D.) kidney transplant
4.) Asymptomatic glomerular disorders are not generally recognized or brought up to healthcare providers, and many times remain undiagnosed. What are two clinical signs associated with asymptomatic glomerular disorders that may be seen in a patient even though they have no other complaints?
A.) Hemituria and proteinuria
B.) Itchy skin and watery eyes
C.) Generalized edema and toenail fungus
D.) Constipation and anxiety
5.) many immunologic, metabolic and hereditary diseases are associated with glomerular injury. With many of these diseases glomerular injury is a secondary manifestation. What is an example of this type of disease.
A.) Diabetes mellitus
B.) Hypertension
C.) Exema
D.) Both A and B
Answers: B, C, C, A, D
morgan
May 3, 2015 at 8:44 pm
1.Painful or difficult urination is called?
A:Nocturia
B:Dysuria
C:Polyuria
D:Stomatitis
Answer B
2.A condition in which very high levels of protein are lost in the urine and abnormally LOW LEVELS OF PROTEINS are present in the blood
A:NEPHROTIC SYNDROME
B:GLOMERULONEPHRITIS
C:ERYTHROPOEITIN
D:HYDRONEPHROSIS
Answer A
3.Very low urine production
A. Proteinuria
B.Renal dysplasia
C. oliguria
D. Hydronephrosis
Answer C
4.In renal _____, the kidneys do not develop to normal size.
A.Potter syndrome
B. hypoplasia
C. dysplasia
D. multicystic
Answer: B