NR 507 FINAL EXAM STUDY EXAM
QUESTIONS AND ANSWERS
Cystitis2f(UTI)2f-2fANSWERS--
Uncomplicated,2fresponds2fwell2fto2fantibiotic.2fCaused2fmostly2fby2fe2fcoli.2fNo2fcasts2fpre
sent2fin2fua2fc&2fs
pyelonephritis2f-2fANSWERS--kidney2finfection
Complicated2f
Iv2fatb2fto2ftreat
Classic2ftriad:2fvomiting,2fflank2fpain,2ffever
Casts2fare2fpresent2fin2fua2fc&2fs
calcium2foxalate2f-2fANSWERS--most2fcommon2ftype2fof2fkidney2fstone
Most2fcommon2fsite2fof2frenal2fcalculus2f-2fANSWERS--Ureterovesicular2fjunction
Gold2fstandard2fdiagnosis2ffor2frenal2fcalculus2f-2fANSWERS--Ct2fscan
True2for2ffalse:2fall2ftypes2fof2frenal2fstones2fcan2fbe2fseen2fon2fct2fscan2f-2fANSWERS--
True
Kidney2fstones2fthat2fpass2fon2ftheir2fown2f-2fANSWERS--<2f0.52fcm
Kidney2fstones2fthat2fcause2fobstruction2f-2fANSWERS-->1.0cm
goals2fof2ftreatment2ffor2frenal2fstones2f-2fANSWERS--manage2facute2fpain
promote2fpassage2fof2fstone
reduce2fstone2fsize
prevent2fnew2fstone2fformation
prevention2fof2frenal2fstone2fformation2finclude2fwhich2ftwo2felements2f-2fANSWERS--
Citrate2f&
magnesium
Most2fcommon2ftype2fof2frenal2fstone2f-2fANSWERS--Calcium2fstone
Calcium2fstones2fare2ftreated2fwith2f________2fto2fpromote2fexcretion2fof2fstone2f-
2fANSWERS--Thiazide2fdiuretic
Causes2fof2fstruvite2fstones2f-2fANSWERS--UTI
bacteria2f:2fklebsiella,2fenterobacteria
which2felements2fcombine2fto2fmake2fstruvite2fstones?2f-2fANSWERS--
ammonia,2fmagesium,2fphosphate
, Type2fof2frenal2fstone2ffound2fin2fchildren,2fwith2fgenetic2fcausing2ffactor2f-2fANSWERS--
Cystine2fstone
sudden2floss2fof2frenal2ffunction,2freversible2f,2fkidneys2frespond2fwell2fto2fdiuretics2f-
2fANSWERS--acute2frenal2ffailure2f(ARF)
labs2f-
2fcreatinine2fincreased2fat2fleast2f50%2ffrom2fbase2fline,2fdecreased2fcreatinine2fclearance
2f-2fANSWERS--Acute2frenal2ffailure
ARF2fstage2fthat2fis2fidentified2fby2f1-
32fdays2fwith2felevated2fBUN2fand2fCreatinine,2fdecreased2furine2foutput2f-2fANSWERS--
Onset
ARF2fstage2fidentified2fby2foutput2f<400ml/
day,2felevated2fBUN2fand2fCreatinine,2fPhosphate2fand2fPotassium.2fMay2flast2f142fdays2f
-2fANSWERS--Oliguric
ARF2fstage2fidentified2fby2fincreased2foutput2f,2fno2fwaste2fsecretion2f-2fANSWERS--
Diuretic
ARF2fstage2fwhere2frenal2ffunction2freturns2f-2fANSWERS--Recovery
CKD2fstage2fis2fdetermined2fby......2f-2fANSWERS--GFR2fand2falbuminuria
Sudden2fand2fsevere2fdrop2fin2fblood2fpressure2f,2finjury2foccurs2fbefore2fthe2fkidney,2fdec
reased2fblood2fflow2fto2fglomerulus2fleads2fto2flow2fGFR,2fRAAS2factivation2fto2fincrease2fs
odium2fand2fwater2fre-absorbsion2f.
Aldosterone2facts2fon2fthe2fdistal2ftubule2fto2ftake2fup2fsodium2fand2fwater2fto2fincrease2fbl
ood2fpressure2f-2fANSWERS--Pre2f-renal2finjury
intra2frenal2fdamage2fis2fcaused2fby.....2f-2fANSWERS--
toxins,2finflammation,2fdrugs,2finfection
example2fof2fintra2frenal2fdamage2f-2fANSWERS--glomerulonephritis
Best2fway2fto2fdifferentiate2fbetween2fpre2fand2fintra2frenal2fdamage2f-2fANSWERS--
BUN2f&2fcreatinine2fcomparison
renal2ffailure2fwith2fsudden2fobstruction2fin2furine2fflow,2fbegins2fa2fs2fa2fpre2frenal2fissue,2fc
aused2fby2fobstruction,2foccurs2funilaterally,2f-2fANSWERS--post2frenal2ffailure
Patients2fwill2fneed2fdialysis2fwhen2fthe2ffollowing2fsymptoms2fare2fpresent:2f-
2fANSWERS---2fMetabolic2facidosis.
-2fHyperkalemia:2fHyperkalemia2fin2fthe2fpresence2fof2fEKG2fchanges2f(peaked2fT-
waves)2f
-2fDrug2ftoxicity
-2fFluid2fvolume2foverload2fthat2fis2fnot2fresponsive2fto2fdiuretics.
-2fUremic2fsymptoms2fdue2fto2fnitrogenous2fwastes2fin2fthe2fblood2fstream.
QUESTIONS AND ANSWERS
Cystitis2f(UTI)2f-2fANSWERS--
Uncomplicated,2fresponds2fwell2fto2fantibiotic.2fCaused2fmostly2fby2fe2fcoli.2fNo2fcasts2fpre
sent2fin2fua2fc&2fs
pyelonephritis2f-2fANSWERS--kidney2finfection
Complicated2f
Iv2fatb2fto2ftreat
Classic2ftriad:2fvomiting,2fflank2fpain,2ffever
Casts2fare2fpresent2fin2fua2fc&2fs
calcium2foxalate2f-2fANSWERS--most2fcommon2ftype2fof2fkidney2fstone
Most2fcommon2fsite2fof2frenal2fcalculus2f-2fANSWERS--Ureterovesicular2fjunction
Gold2fstandard2fdiagnosis2ffor2frenal2fcalculus2f-2fANSWERS--Ct2fscan
True2for2ffalse:2fall2ftypes2fof2frenal2fstones2fcan2fbe2fseen2fon2fct2fscan2f-2fANSWERS--
True
Kidney2fstones2fthat2fpass2fon2ftheir2fown2f-2fANSWERS--<2f0.52fcm
Kidney2fstones2fthat2fcause2fobstruction2f-2fANSWERS-->1.0cm
goals2fof2ftreatment2ffor2frenal2fstones2f-2fANSWERS--manage2facute2fpain
promote2fpassage2fof2fstone
reduce2fstone2fsize
prevent2fnew2fstone2fformation
prevention2fof2frenal2fstone2fformation2finclude2fwhich2ftwo2felements2f-2fANSWERS--
Citrate2f&
magnesium
Most2fcommon2ftype2fof2frenal2fstone2f-2fANSWERS--Calcium2fstone
Calcium2fstones2fare2ftreated2fwith2f________2fto2fpromote2fexcretion2fof2fstone2f-
2fANSWERS--Thiazide2fdiuretic
Causes2fof2fstruvite2fstones2f-2fANSWERS--UTI
bacteria2f:2fklebsiella,2fenterobacteria
which2felements2fcombine2fto2fmake2fstruvite2fstones?2f-2fANSWERS--
ammonia,2fmagesium,2fphosphate
, Type2fof2frenal2fstone2ffound2fin2fchildren,2fwith2fgenetic2fcausing2ffactor2f-2fANSWERS--
Cystine2fstone
sudden2floss2fof2frenal2ffunction,2freversible2f,2fkidneys2frespond2fwell2fto2fdiuretics2f-
2fANSWERS--acute2frenal2ffailure2f(ARF)
labs2f-
2fcreatinine2fincreased2fat2fleast2f50%2ffrom2fbase2fline,2fdecreased2fcreatinine2fclearance
2f-2fANSWERS--Acute2frenal2ffailure
ARF2fstage2fthat2fis2fidentified2fby2f1-
32fdays2fwith2felevated2fBUN2fand2fCreatinine,2fdecreased2furine2foutput2f-2fANSWERS--
Onset
ARF2fstage2fidentified2fby2foutput2f<400ml/
day,2felevated2fBUN2fand2fCreatinine,2fPhosphate2fand2fPotassium.2fMay2flast2f142fdays2f
-2fANSWERS--Oliguric
ARF2fstage2fidentified2fby2fincreased2foutput2f,2fno2fwaste2fsecretion2f-2fANSWERS--
Diuretic
ARF2fstage2fwhere2frenal2ffunction2freturns2f-2fANSWERS--Recovery
CKD2fstage2fis2fdetermined2fby......2f-2fANSWERS--GFR2fand2falbuminuria
Sudden2fand2fsevere2fdrop2fin2fblood2fpressure2f,2finjury2foccurs2fbefore2fthe2fkidney,2fdec
reased2fblood2fflow2fto2fglomerulus2fleads2fto2flow2fGFR,2fRAAS2factivation2fto2fincrease2fs
odium2fand2fwater2fre-absorbsion2f.
Aldosterone2facts2fon2fthe2fdistal2ftubule2fto2ftake2fup2fsodium2fand2fwater2fto2fincrease2fbl
ood2fpressure2f-2fANSWERS--Pre2f-renal2finjury
intra2frenal2fdamage2fis2fcaused2fby.....2f-2fANSWERS--
toxins,2finflammation,2fdrugs,2finfection
example2fof2fintra2frenal2fdamage2f-2fANSWERS--glomerulonephritis
Best2fway2fto2fdifferentiate2fbetween2fpre2fand2fintra2frenal2fdamage2f-2fANSWERS--
BUN2f&2fcreatinine2fcomparison
renal2ffailure2fwith2fsudden2fobstruction2fin2furine2fflow,2fbegins2fa2fs2fa2fpre2frenal2fissue,2fc
aused2fby2fobstruction,2foccurs2funilaterally,2f-2fANSWERS--post2frenal2ffailure
Patients2fwill2fneed2fdialysis2fwhen2fthe2ffollowing2fsymptoms2fare2fpresent:2f-
2fANSWERS---2fMetabolic2facidosis.
-2fHyperkalemia:2fHyperkalemia2fin2fthe2fpresence2fof2fEKG2fchanges2f(peaked2fT-
waves)2f
-2fDrug2ftoxicity
-2fFluid2fvolume2foverload2fthat2fis2fnot2fresponsive2fto2fdiuretics.
-2fUremic2fsymptoms2fdue2fto2fnitrogenous2fwastes2fin2fthe2fblood2fstream.