ADVANCED PATHOPHYSIOLOGY NSG 530 EXAM 3 QUESTIONS
AND ANSWERS GRADED A+ LATEST UPDATE.
A patient is diagnosed with a kidney stone that is composed of magnesium, ammonium, and phosphate.
What type of urinary calculus is this?
A) Calcium
B) Struvite
C) Uric acid
D) Indinavir ANS >> B) Struvite
A patient has uncontrolled or premature contractions of the detrusor muscle. Which condition is
associated with this medical problem?
A) Spinal cord injury
B) Immune system dysfunction
C) Congestive heart failure
D) Renal carcinoma ANS >> A) Spinal cord injury
Which statement regarding renal cell carcinoma is correct?
A) It is associated with p53.
B) Symptoms include painless haematuria.
C) Early stages produce a large abdominal mass.
D) Granular cell tumours have better prognosis. ANS >> B) Symptoms include painless haematuria.
,ADVANCED PATHOPHYSIOLOGY NSG 530 EXAM 3
A patient who reports abdominal and back pain has been diagnosed with bacteria in the urine. What is
the appropriate term for involvement of the upper urinary tract that is likely to cause such symptoms?
A) Cystitis
B) Pyelonephritis
C) Urinary tract infection
D) Asymptomatic bacteriuria ANS >> B) Pyelonephritis
With which bacteria is acute glomerulonephritis associated?
A) Escherichia coli
B) Staphylococcus
C) Group A Streptococcus
D) Klebsiella ANS >> C) Group A Streptococcus
A diabetic child with 4.0 g of protein in her urine each day is experiencing enema and vitamin D
deficiency. Which is the most likely diagnosis?
A) Nephritic syndrome
B) Nephrotic syndrome
C) Acute renal failure
D) Rapidly progressive glomerulonephritis ANS >> Nephrotic syndrome
A 2-month-old male patient presents with the urethral opening on the dorsal surface of the penis. Which
term is the correct name for this anomaly?
A) Hypospadias
B) Epispadias
C) Exstrophy
D) Ureteropelvic junction ANS >> Epispadias
A patient presents with wide-set eyes, "parrot beak" nose, low-set ears, and receding chin. What is the
renal manifestation associated with this presentation?
A) Potter syndrome
,ADVANCED PATHOPHYSIOLOGY NSG 530 EXAM 3
B) Polycystic kidney disease
C) Infundibular stenosis
D) Metanalysis ANS >> Potter syndrome
A 6-year-old has just recovered from streptococcal pharyngitis. Which statement regarding this child's
acute poststreptococcal glomerulonephritis is true?
A) Antibody-antigen complexes of IgM, IgG, and IgA are deposited.
B) The exact mechanism of immune complexes is unknown.
C) There is decreased vascular permeability.
D) No signs of inflammation are present. ANS >> The exact mechanism of immune complexes is
unknown.
A patient presents with skin lesions as well as haematuria, proteinuria, and abdominal pain. Which is the
most likely cause of these symptoms?
A) Henoch-Schoenlein purpura
B) Haemolytic uremic syndrome
C) Primary nephrotic syndrome
D) Minimal change nephropathy ANS >> Henoch-Schoenlein purpura
What is the cause of minimal change nephropathy?
A) Fusion of the glomerular foot processes
B) Verodoxin of E. coli
C) IgA deposition
D) Inflammation of the glomeruli ANS >> Fusion of the glomerular foot processes
A child whose kidneys are enlarged presents with chills, fever, and abdominal pain. The most likely
diagnosis is:
A) acute pyelonephritis.
B) vesicoureteral reflux.
C) urinary tract infection.
, ADVANCED PATHOPHYSIOLOGY NSG 530 EXAM 3
D) enuresis. ANS >> acute pyelonephritis
What are the major causes of bladder outlet obstruction?
A) Urethral valves and polyps
B) Kidney stones and Wilms' tumour
C) Kidney stones and warts
D) Urethral valves and warts ANS >> Urethral valves and polyps
Which conditions are complications of a horseshoe kidney? (select all that apply)
A) Hydronephrosis
B) Hypospadias
C) Infection
D) Stone formation
E) Enuresis ANS >> Hydronephrosis
Infection
Stone formation
The development of which characteristic is the first sign of puberty in females?
A) Menarche
B) Pubic hair
C) Thelarche
D) Dysmenorrhea ANS >> Thelarche
Which term describes painful menstruation associated with the release of prostaglandins in ovulatory
cycles?
A) Primary dysmenorrhea
B) Primary amenorrhea
C) Secondary dysmenorrhea
D) Secondary amenorrhea ANS >> Primary dysmenorrhea