ADVANCED PATHOPHYSIOLOGY 530 - EXAM 3 WITH COMPLETE
SOLUTIONS
Awpatientwiswdiagnosedwwithwawkidneywstonewthatwiswcomposedwofwmagnesium,wa
mmonium,wandwphosphate.wWhatwtypewofwurinarywcalculuswiswthis?
A)wCalcium
B)wStruvite
C)wUricwacid
D)wIndinavirw-wcorrectwanswer-B)wStruvite
Awpatientwhaswuncontrolledworwprematurewcontractionswofwthewdetrusorwmuscle.wW
hichwconditionwiswassociatedwwithwthiswmedicalwproblem?
A)wSpinalwcordwinjury
B)wImmunewsystemwdysfunction
C)wCongestivewheartwfailure
D)wRenalwcarcinomaw-wcorrectwanswer-A)wSpinalwcordwinjury
Whichwstatementwregardingwrenalwcellwcarcinomawiswcorrect?
A)wItwiswassociatedwwithwp53.
B)wSymptomswincludewpainlesswhematuria.
C)wEarlywstageswproducewawlargewabdominalwmass.
D)wGranularwcellwtumorswhavewbetterwprognosis.w-wcorrectwanswer-
B)wSymptomswincludewpainlesswhematuria.
Awpatientwwhowreportswabdominalwandwbackwpainwhaswbeenwdiagnosedwwithwbacte
riawinwthewurine.wWhatwiswthewappropriatewtermwforwinvolvementwofwthewupperwurina
rywtractwthatwiswlikelywtowcausewsuchwsymptoms?
, A)wCystitis
B)wPyelonephritis
C)wUrinarywtractwinfection
D)wAsymptomaticwbacteriuriaw-wcorrectwanswer-B)wPyelonephritis
Withwwhichwbacteriawiswacutewglomerulonephritiswassociated?
A)wEscherichiawcoli
B)wStaphylococcus
C)wGroupwAwStreptococcus
D)wKlebsiellaw-wcorrectwanswer-C)wGroupwAwStreptococcus
Awdiabeticwchildwwithw4.0wgwofwproteinwinwherwurineweachwdaywiswexperiencingwede
mawandwvitaminwDwdeficiency.wWhichwiswthewmostwlikelywdiagnosis?
A)wNephriticwsyndrome
B)wNephroticwsyndrome
C)wAcutewrenalwfailure
D)wRapidlywprogressivewglomerulonephritisw-wcorrectwanswer-Nephroticwsyndrome
Aw2-month-
oldwmalewpatientwpresentswwithwthewurethralwopeningwonwthewdorsalwsurfacewofwthe
wpenis.wWhichwtermwiswthewcorrectwnamewforwthiswanomaly?
A)wHypospadias
B)wEpispadias
C)wExstrophy
D)wUreteropelvicwjunctionw-wcorrectwanswer-Epispadias
Awpatientwpresentswwithwwide-setweyes,w"parrotwbeak"wnose,wlow-
setwears,wandwrecedingwchin.wWhatwiswthewrenalwmanifestationwassociatedwwithwthi
swpresentation?
A)wPotterwsyndrome
B)wPolycysticwkidneywdisease
C)wInfundibularwstenosis
D)wMegacalycosisw-wcorrectwanswer-Potterwsyndrome
Aw6-year-
oldwhaswjustwrecoveredwfromwstreptococcalwpharyngitis.wWhichwstatementwregardin
gwthiswchild'swacutewpoststreptococcalwglomerulonephritiswiswtrue?
A)wAntibody-antigenwcomplexeswofwIgM,wIgG,wandwIgAwarewdeposited.
B)wThewexactwmechanismwofwimmunewcomplexeswiswunknown.
C)wTherewiswdecreasedwvascularwpermeability.
D)wNowsignswofwinflammationwarewpresent.w-wcorrectwanswer-
Thewexactwmechanismwofwimmunewcomplexeswiswunknown.
Awpatientwpresentswwithwskinwlesionswaswwellwaswhematuria,wproteinuria,wandwabdo
minalwpain.wWhichwiswthewmostwlikelywcausewofwthesewsymptoms?
A)wHenoch-Schonleinwpurpura
B)wHemolyticwuremicwsyndrome
C)wPrimarywnephroticwsyndrome
D)wMinimalwchangewnephropathyw-wcorrectwanswer-Henoch-Schonleinwpurpura
SOLUTIONS
Awpatientwiswdiagnosedwwithwawkidneywstonewthatwiswcomposedwofwmagnesium,wa
mmonium,wandwphosphate.wWhatwtypewofwurinarywcalculuswiswthis?
A)wCalcium
B)wStruvite
C)wUricwacid
D)wIndinavirw-wcorrectwanswer-B)wStruvite
Awpatientwhaswuncontrolledworwprematurewcontractionswofwthewdetrusorwmuscle.wW
hichwconditionwiswassociatedwwithwthiswmedicalwproblem?
A)wSpinalwcordwinjury
B)wImmunewsystemwdysfunction
C)wCongestivewheartwfailure
D)wRenalwcarcinomaw-wcorrectwanswer-A)wSpinalwcordwinjury
Whichwstatementwregardingwrenalwcellwcarcinomawiswcorrect?
A)wItwiswassociatedwwithwp53.
B)wSymptomswincludewpainlesswhematuria.
C)wEarlywstageswproducewawlargewabdominalwmass.
D)wGranularwcellwtumorswhavewbetterwprognosis.w-wcorrectwanswer-
B)wSymptomswincludewpainlesswhematuria.
Awpatientwwhowreportswabdominalwandwbackwpainwhaswbeenwdiagnosedwwithwbacte
riawinwthewurine.wWhatwiswthewappropriatewtermwforwinvolvementwofwthewupperwurina
rywtractwthatwiswlikelywtowcausewsuchwsymptoms?
, A)wCystitis
B)wPyelonephritis
C)wUrinarywtractwinfection
D)wAsymptomaticwbacteriuriaw-wcorrectwanswer-B)wPyelonephritis
Withwwhichwbacteriawiswacutewglomerulonephritiswassociated?
A)wEscherichiawcoli
B)wStaphylococcus
C)wGroupwAwStreptococcus
D)wKlebsiellaw-wcorrectwanswer-C)wGroupwAwStreptococcus
Awdiabeticwchildwwithw4.0wgwofwproteinwinwherwurineweachwdaywiswexperiencingwede
mawandwvitaminwDwdeficiency.wWhichwiswthewmostwlikelywdiagnosis?
A)wNephriticwsyndrome
B)wNephroticwsyndrome
C)wAcutewrenalwfailure
D)wRapidlywprogressivewglomerulonephritisw-wcorrectwanswer-Nephroticwsyndrome
Aw2-month-
oldwmalewpatientwpresentswwithwthewurethralwopeningwonwthewdorsalwsurfacewofwthe
wpenis.wWhichwtermwiswthewcorrectwnamewforwthiswanomaly?
A)wHypospadias
B)wEpispadias
C)wExstrophy
D)wUreteropelvicwjunctionw-wcorrectwanswer-Epispadias
Awpatientwpresentswwithwwide-setweyes,w"parrotwbeak"wnose,wlow-
setwears,wandwrecedingwchin.wWhatwiswthewrenalwmanifestationwassociatedwwithwthi
swpresentation?
A)wPotterwsyndrome
B)wPolycysticwkidneywdisease
C)wInfundibularwstenosis
D)wMegacalycosisw-wcorrectwanswer-Potterwsyndrome
Aw6-year-
oldwhaswjustwrecoveredwfromwstreptococcalwpharyngitis.wWhichwstatementwregardin
gwthiswchild'swacutewpoststreptococcalwglomerulonephritiswiswtrue?
A)wAntibody-antigenwcomplexeswofwIgM,wIgG,wandwIgAwarewdeposited.
B)wThewexactwmechanismwofwimmunewcomplexeswiswunknown.
C)wTherewiswdecreasedwvascularwpermeability.
D)wNowsignswofwinflammationwarewpresent.w-wcorrectwanswer-
Thewexactwmechanismwofwimmunewcomplexeswiswunknown.
Awpatientwpresentswwithwskinwlesionswaswwellwaswhematuria,wproteinuria,wandwabdo
minalwpain.wWhichwiswthewmostwlikelywcausewofwthesewsymptoms?
A)wHenoch-Schonleinwpurpura
B)wHemolyticwuremicwsyndrome
C)wPrimarywnephroticwsyndrome
D)wMinimalwchangewnephropathyw-wcorrectwanswer-Henoch-Schonleinwpurpura