1. A patient with gouty arthritis develops renal calculi. d. uric acid crys-
The composition of these calculi is most likely to be tals
a. potassium oxalate.
b. struvite.
c. cysteine.
d. uric acid crystals.
2. Uterine prolapse is caused by a relaxation of the a. cardinal liga-
a. cardinal ligaments ments
b. abdominal organs
c. cervix
d. vaginal musculature
3. The microorganisms that causes the vast majority of B) Escherichia coli
urinary tract infections is
A) Klebsiella
B) Escherichia coli
C) Herpes simplex virus
D) Candida albicans
4. the condition associated with end-stage chronic renal d. hyperkalemia.
disease that is the most immediately life threatening
is
a. azotemia.
b. increased creatinine.
c. hypertension.
d. hyperkalemia.
5. a progressive decrease in the force of the urinary d. prostatic en-
stream, dribbling of urine, and dificulity initiating the largement.
urinary stream are characteristic of
a. prostatitis.
b. urinary calculi.
c. bladder carcinoma.
d. prostatic enlargement.
6. The most likely cause of anemia in a patient with a. insufficient ery-
end-stage renal disease is thropoietin.
a. insufficient erythropoietin.
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b. blood loss secondary to hematuria.
c. vitamin B12 deficiency secondary to deficient intrin-
sic factor.
d. iron deficiency.
7. The pathophysiologic basis of acute glomeru- d. an immune com-
lonephritis is plex reaction
a. renal ischemia.
b. bacterial invasion of the glomerulus.
c. an anaphylactic reaction.
d. an immune complex reaction.
8. Which condition is caused by a genetic defect? d. Polycystic kid-
a. Acute pyelonephritis ney disease
b. Hydroureter
c. Incontinence
d. Polycystic kidney disease
9. The most common type of renal stone is b. calcium.
a. uric acid.
b. calcium.
c. struvite.
d. cysteine
10. A patient, age 3, has vesicoureteral reflux. "Why does B. "When he uri-
that make him have so many bladder infections?" nates, urine runs
asks his mother. The nurse's best response is back toward his
A. "When he urinates, the urine makes a fluid trail kidneys and then
to the bladder, and if he does not clean himself well, into the bladder
bacteria will enter and make a bladder infection." again, making it
B. "When he urinates, urine runs back toward his kid- easy for bacteria
neys and then into the bladder again, making it easy to grow if they
for bacteria to grow if they reach the bladder." reach the bladder."
C. "When he urinates, urine leaks into his bowel and
bacteria from the bowel leak into the bladder, where
they grow and make a bladder infection."
D. "When he urinates, urine stays in his bladder and
the normal bacteria that live in the bladder have a
chance to grow and cause a bladder infection."
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