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What is the most important noninvasive test for diagnostic evaluation of renal disease? correct answers Urinalysis with microscopic exam of urinary sediment Results: -Muddy brown granular casts and epithelial casts in patient with acute renal failure = acute tubular necrosis -One red cell vast = vasculitis or glomerulonephritis -Significant proteinuria = glomerular disease RBCs uniform and round= extrarenal bleeding RBCs dysmorphic= renal lesions Acute Renal Failure correct answers Abrupt fall in GFR over period of minutes to days with rapid and sustained rise in nitrogenous waste products in blood Rate of waste production rate of renal excretion Classification according to severity Managing ARF correct answers ID and tx pre-renal and post-renal factors Optimize cardiac output and renal blood flow A 52- year old woman who has had Type 2 diabetes for 15 years is concerned about her kidneys. She has a history of three urinary tract infections within the past 8 months, but is currently asymptomatic. Which of the following is the best course to follow? correct answers Recheck urine during the visit, send a urine specimen for culture and sensitivity, and refer to a nephrologist A 35 year old patient is being worked up for microscopic hematuria. All of the following are differential diagnoses of microscopic hematuria except: correct answers Renal artery stenosis (Kidney stones Bladder cancer Acute pyelonephritis) A patient who has been prescribed warfarin sodium (Coumadin) is advised to avoid eating large amounts of leafy green vegetables because: correct answers The high vitamin K levels will decrease the INR In the US, the most common cause of cancer deaths in men is: correct answers lung cancer The red blood cells in pernicious anemia will show: correct answers Macrocytic cells Beta thalassemia minor is considered a: correct answers Microcytic anemia
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