Description : A 60-year-old man was diagnosed last year with adenocarcinoma of the lung, and a 4 cm mass lesion was treated with a right lower lobectomy. He now has an ... 2) Membranous glomerulonephritis 3) Minimal change glomerulonephritis 4) Nodular glomerulosclerosis 5) Rapidly progressive glomerulonephritis
Last Answer : Answers-2 Most cases of membranous GN are idiopathic, but in some patients there is a history of an infection or a malignancy (usually lung) with antigenemia.
Description : Among the following, the most sensitive indicator of glomerular function is (A) Serum urea (B) Serum creatinine (C) Urea clearance (D) Creatinine clearance
Last Answer : Answer : D
Description : Creatinine EDTA clearance is a test to measure (A) Renal plasma flow (B) Filtration fraction (C) Glomerular filtration rate (D) Tubular function
Last Answer : Answer : C
Description : A 15-year-old girl was seen by her family physician because of increasing lethargy. She had a recent history of the "flu". Biochemistry tests show that she has renal impairement. ... will likely develop a restrictive lung disease 5) She will probably improve with additional corticosteroid therapy
Last Answer : Answers-2 The findings point to focal segmental glomerulosclerosis (FSGS), which leads to chronic renal failure in half of cases. The lack of resolution with corticosteroid therapy and the progression to chronic renal failure is what sets FSGS apart from minimal change disease.
Description : An important finding in glycinuria is (A) Excess excretion of oxalate in the urine (B) Deficiency of enzyme glycinase (C) Significantly increased serum glycine level (D) Defect in renal tubular reabsorption of glycine
Description : Urea clearance test is used to determine the (A) Glomerular filtration rate (B) Renal plasma flow (C) Ability of kidney to concentrate the urine (D) Measurement of tubular mass
Last Answer : Answer : A
Description : Rank the following laboratory tests and procedures in terms of their relative value to a 65-year-old woman who is to undergo elective resection of a sigmoid cancer. A. Carcinoembryonic antigen (CEA). B. ... Arterial blood oxygen tension (PaO 2) on room air. G. Serum sodium concentration (Na+).
Last Answer : Answer: CDFEBAG DISCUSSION: The most important test by far is the electrocardiogram, with its capacity to indicate signs of occult heart disease. The second most important evaluation is the hemoglobin ... for resection of the colon is always normal and would be of least value among these tests
Description : The following findings are normal in pregnancy: a. elevated erythrocyte sedimentation rate (ESR) b. raised serum urea c. raised serum creatinine d. elevated white blood cell count
Last Answer : elevated white blood cell count
Description : ADH test is based on the measurement of (A) Specific gravity of urine (B) Concentration of urea in urine (C) Concentration of urea in blood (D) Volume of urine in ml/minute
Last Answer : A
Description : Among the following, a test of tubular function is (A) Creatinine clearance (B) Inulin clearance (C) PAH clearance (D) PSP excretion test
Description : When the nurse notes that the post cardiac surgery patient demonstrates low urine output (< 25 ml/hr) with high specific gravity (> 1.025), the nurse suspects: a) Inadequate fluid volume Urine ... by high urine output with low specific gravity. d) Anuria The anuric patient does not produce urine.
Last Answer : a) Inadequate fluid volume Urine output of less than 25 ml/hr may indicate a decrease in cardiac output. A high specific gravity indicates increased concentration of solutes in the urine which occurs with inadequate fluid volume.
Description : The abnormal constituent of urine is – (1) urea (2) creatinine (3) albumin (4) sodium
Last Answer : (3) albumin Explanation: The tests employed to detect commonly present abnormal constituents are proteins, glucose, ketone bodies, bile pigments, bile salts and blood. The liver synthesizes a type of ... easily get trapped in the kidney's filter and finally they are reabsorbed in the blood stream.
Description : Which one of the following is an abnormal constituent of urine? (1) Creatinine (2) Urea (3) Uric acid (4) Ketone bodies
Last Answer : (4) Ketone bodies Explanation: Ketone bodies are three watersoluble compounds that are produced as byproducts when fatty acids are broken down for energy in the liver. Two of the three are ... exceeds the rate of utilization, their concentration in blood increases, this is known as ketonemia.
Description : The abnormal constituent of urine is (1) urea (2) creatinine (3) albumin (4) sodium
Last Answer : albumin
Description : Which one of the following is an abnormal constituent of urine ? (1) Creatinine (2) Urea (3) Uric acid (4)Ketone bodies
Last Answer : Ketone bodies
Description : Creatinine clearance is deceased in (A) Acute tubular necrosis (B) Acute glomerulonephritis (C) Hypertension (D) Myopathies
Description : Normal range of serum creatinine is (A) 0.6–1.5 mg/dl (B) 9–11 mg/dl (C) 20–45 mg/dl (D) 60–100 mg/dl
Description : Which of the following statement(s) is/are true concerning the assessment of protein reserve? a. Conventional serum proteins such as albumin and globulin are early indicators of malnutrition b. The ... d. Measurement of urea excretion in urine can be used as a measurement of protein breakdown
Last Answer : Answer: d Since protein is the functional and structural chemical of the body, most nutritional assessment techniques are estimates of protein reserves. The actual nitrogen balance can ... patients convert from reactive to anergic, and reactivity can be restored by nutritional repletion
Description : Organic compound of small molecular size is (A) Urea (B) Uric acid (C) Creatinine (D) Phosphates
Description : When NH3 is perfused through a dog’s liver ______ is formed, while ______ is formed in the birds liver. (A) Urea, Uric acid (B) Urea, allantoin (C) Uric acid, creatinine (D) Uric acid, Urea
Description : Gout is characterized by increased plasma levels of (A) Urea (B) Uric acid (C) Creatine (D) Creatinine
Last Answer : Answer : B
Description : Mechanism by which NH3 is removed from the kidneys is (A) Urea formation (B) Uric acid formation (C) Creatinine formation (D) None of these
Description : NH3 is removed from brain mainly by (A) Creatinine formation (B) Uric acid production (C) Urea formation (D) Glutamine formation
Description : In humans, NH3 is detoxified in liver as (A) Creatinine (B) Uric acid (C) Urea (D) Uronic acid
Description : NH3 is detoxified in brain chiefly as (A) Urea (B) Uric acid (C) Creatinine (D) Glutamine
Description : Non-protein nitrogenous substances in blood include all of the following except (A) Urea (B) Uric acid (C) Creatinine (D) Inositol
Description : Which of the following statement(s) concerning laboratory studies used in monitoring a patient with intravenous heparinization is/are correct? a. The platelet count should be followed because of the ... serum creatinine should be measured daily to allow adjustments in dose based on renal function
Last Answer : Answer: a, c In monitoring the effect of heparin, an activated partial thromboplastin time (aPTT) of 1.5 control or a thrombin clotting time (TCT) of 2 times control reflects adequate ... system. Therefore the dose of heparin need not be adjusted in cases of liver or renal dysfunction
Description : Urine specific gravity of 1.054 indicates (A) Excellent renal function (B) Inappropriate secretion of ADH (C) Extreme dehydration (D) Presence of glucose or protein
Description : The normal daily output of Urea through urine in grams: (A) 10 to 20 (B) 15 to 25 (C) 20 to 30 (D) 25 to 35
Description : An inherited or acquired renal tubular defect in the reabsorption of phosphate (Vit D resistant ricket) is characterized with (A) Normal serum Phosphate (B) High serum phosphate (C ... blood phosphorous with elevated alkaline Phosphate (D) A high blood phosphorous with decreased alkaline phosphatase
Description : A man has an Escherichia coli bacteremia with a low-grade fever (101.6°F). Appropriate management of his fever would be (a) Give acetaminophen 650 mg orally every 4 hours (b) Give aspirin 650 ... fever curve to monitor his response to antibiotic therapy (e) Use tepid water baths to reduce the fever
Last Answer : Ans: D
Description : ADH (A) Reabsorbs water from renal tubules (B) Excretes water from renal tubules (C) Excretes hypotonic urine (D) Causes low specific gravity of urine 210 MCQs IN BIOCHEMISTRY
Description : Which of the following concerning the pH of urine is correct? 1) is a useful indicator of the acid/base balance of the blood 2) rises on a vegetarian diet 3) is determined by the concentration of ... lower than 5.5 in renal tubular acidosis 5) would be above 7.0 after prolonged and severe vomiting
Last Answer : Answers-2 c - excretion of ammonium occurs when an acid urine is produced but the pH of urine is of course determined by the concentration of H+ ions d-unable to lower the pH to ... and distal nephron and this perpetuates the metabolic alkalosis until the fluid balance is restored with IV fluids.
Description : A 75-year-old man had been receiving gentamicin (an aminoglycoside antibiotic) to treat an urinary tract infection. After three months of therapy patient's serum creatinine levels were 10 mg/ ... Type II allergic reaction b)Type III allergic reaction c) Pseudo allergic reaction d) Overdose toxicity
Last Answer : d) Overdose toxicity
Description : Urine examination in secondary dehydration shows (A) Ketonuria (B) Low specific gravity (C) High specific gravity (D) Albuminuria
Description : Specific gravity of urine is decreased in (A) Diabetes mellitus (B) Acute glomerulonephritis (C) Diarrhoea (D) Chronic glomerulonephritis
Last Answer : B
Description : Specific gravity of urine is raised in all of the following except (A) Diabetes mellitus (B) Diabetes insipidus (C) Dehydration (D) Acute glomerulonephritis
Last Answer : D
Description : Normal specific gravity of urine is (A) 1.000–1.010 (B) 1.012–1.024 (C) 1.025–1.034 (D) 1.035–1.045
Description : Fixation of specific gravity of urine to 1.010 is found in (A) Diabetes insipidus (B) Compulsive polydypsia (C) Cystinosis (D) Chronic glomerulonephritis
Description : Specific gravity of urine increases in (A) Diabetes mellitus (B) Chronic glomerulonephritis (C) Compulsive polydypsia (D) Hypercalcemia
Description : The specific gravity of urine normally ranges from (A) 0.900–0.999 (B) 1.003–1.030 (C) 1.000–1.001 (D) 1.101–1.120
Description : Essential amino acids have been advocated as standard therapy for renal failure. Which of the following statements are true? A. Increased survival from acute renal failure has been reported ... BUN and creatinine to the same degree as solutions containing excessive nonessential amino acids.
Last Answer : Answer: BC DISCUSSION: Essential amino acids and hypertonic dextrose, as opposed to hypertonic dextrose alone, was reported by Abel and co-workers to be associated with a decreased mortality rate ... renal failure have not been carried out in sufficient numbers to yield answers to this question
Description : Which of the following statements accurately reflects a rule of thumb upon which the nurse may rely in assessing the patient's fluid balance? a) Minimal intake of 1.5 liters per day If food and fluids are ... 2 liters per day Minimal intake, as a rule of thumb, is less than 2 liters per day.
Last Answer : a) Minimal intake of 1.5 liters per day If food and fluids are withheld, IV fluids (3L/day) are usually prescribed.
Description : Which of the following statements are true of a patient with hyperglycemia and hyponatremia? A. The sodium concentration must be corrected by 5 mEq. per 100 mg. per 100 ml. elevation in blood ... . E. Early in treatment adequate urine output is a reliable measure of adequate volume resuscitation.
Last Answer : Answer: D DISCUSSION: Each 100-mg. per 100 ml. elevation in blood glucose causes a fall in serum sodium concentration of approximately 2 mEq. per liter. Excess serum glucose ... correction of the patient's associated acidosis produce movement of potassium ions into the intracellular compartment
Description : Normal range of serum urea is (A) 0.6–1.5 mg/dl (B) 9–11 mg/dl (C) 20–45 mg/dl (D) 60–100 mg/dl
Description : An Afro-Carribean male aged 48 years presents with gradual onset of exertional dyspnoea, non productive cough, malaise, weight loss and polyarthralgia. Schirmers test indicates a dry eye. X-ray ... 2) Serum phosphorus 3) Urea and electrolytes 4) Thallium Scan 5) Quantitative Immunoglobulins.
Last Answer : Answers-4 This condition is sarcoidosis. Serum calcium, Serum phosphorus, Chem7 and Chem 20 and Quantitative Immunoglobulins are all used in establishing the diagnosis. Gallium scan is helpful in ... areas of poor perfusion. It is particularly used in cardiology to detect areas of ischaemia.
Description : Which one of the following sub-stances is normally found in urine? (1) blood proteins (2) creatinine (3) red blood cells Fir (4) white blood cells rniw
Last Answer : (2) creatinine Explanation: Creatinine is a chemical waste molecule that is generated from muscle metabolism. It is transported through the bloodstream to the kidneys. The kidneys filter out most of ... in the urine. High levels of creatinine warn of possible malfunction or failure of the kidneys.
Description : An 80 year old male presented with dull aching loin pain & interrupted voiding of urine. BUN and creatinine were increased. US revealed a bilateral hydronephrosis. What is the most probable Dx? a) Stricture of the urethra b) Urinary bladder tumor c) BPH d) Pelvic CA e) Renal stone
Last Answer : c) BPH
Description : Which one of the following substances is normally found in urine? (1) blood proteins (2) creatinine
Last Answer : creatinine
Description : Inulin clearance is a measure of (A) Glomerular filtration rate (B) Tubular secretion flow (C) Tubular reabsorption rate (D) Renal plasma flow