MULTIDIMENSIONAL CARE II FINAL 2026 TEST
PAPER SOLVED QUESTIONS AND SOLUTIONS
◉ diagnosis for chronic pyelonephritis. Answer: radiologic imaging
and biopsy
◉ treatment for chronic pyelonephritis. Answer: treat infection and
underlying cause, prevent progression to end state renal disease
◉ nephrolithiasis. Answer: kidney stone disease; more frequent in
jewish men
◉ what is the most common urinary stone. Answer: calcium stones
◉ clinical manifestations of renal colic. Answer: sudden severe pain-
flank area, back, lower abd
ureter stretches, dilates and spasms
N&V, dysuria, fever, chills, moist cool skin, kidney stone dance
◉ ureteropelvic junction. Answer: dull costovertebral flank pain or
renal colic
,◉ ureterovesical junction. Answer: lower abd pain; testicular of
labia pain
◉ diagnostic study for renal calculi. Answer: noncontract helical
(spiral) ct scan
◉ treatment/teaching for renal calculi. Answer: adequate hydration,
sodium restriction, diet changes, drugs
◉ struvite stone treatment. Answer: antibiotics and
acetohydroxamic acid; surgery
◉ can kidney stones pass regularly?. Answer: yes, stones of 4mm or
less may spontaneously pass, can take weeks
◉ lithotripsy. Answer: procedure to eliminate stones from urinary
tract
◉ electrohydraulic lithotripsy. Answer: ureteral stent placed to
facilitate passage of sand, removed in two weeks
postprocedural- prophylactical antibiotics and hematuria
◉ what are complications of electrohydraulic lithotripsy. Answer:
hemorrhage, infection, obstruction
, ◉ risk factor for bladder cancer. Answer: cigarette smoking**
◉ manifestations of bladder cancer. Answer: microscopic or gross,
painless hematuria
Other: dysuria, frequency, and urgency
◉ pt teaching for after bladder cancer surgery. Answer: Monitor
color and consistency of urine
Pink for several days; not bright red or with clots
May have dark red or rust-colored flecks for 7 to 10
days
◉ incontinent urinary diversion. Answer: diversion to skin, must
wear appliance; ureters anastomosed to conduit; bowel brough to
abd wall to form stoma; urine drips into external collection device
◉ most common incontinent urinary diversion. Answer: ileal
conduit. colon conduit also used
◉ continent urinary diversion. Answer: intraabdominal urinary
reservoir that can be catheterized; has internal pouch
PAPER SOLVED QUESTIONS AND SOLUTIONS
◉ diagnosis for chronic pyelonephritis. Answer: radiologic imaging
and biopsy
◉ treatment for chronic pyelonephritis. Answer: treat infection and
underlying cause, prevent progression to end state renal disease
◉ nephrolithiasis. Answer: kidney stone disease; more frequent in
jewish men
◉ what is the most common urinary stone. Answer: calcium stones
◉ clinical manifestations of renal colic. Answer: sudden severe pain-
flank area, back, lower abd
ureter stretches, dilates and spasms
N&V, dysuria, fever, chills, moist cool skin, kidney stone dance
◉ ureteropelvic junction. Answer: dull costovertebral flank pain or
renal colic
,◉ ureterovesical junction. Answer: lower abd pain; testicular of
labia pain
◉ diagnostic study for renal calculi. Answer: noncontract helical
(spiral) ct scan
◉ treatment/teaching for renal calculi. Answer: adequate hydration,
sodium restriction, diet changes, drugs
◉ struvite stone treatment. Answer: antibiotics and
acetohydroxamic acid; surgery
◉ can kidney stones pass regularly?. Answer: yes, stones of 4mm or
less may spontaneously pass, can take weeks
◉ lithotripsy. Answer: procedure to eliminate stones from urinary
tract
◉ electrohydraulic lithotripsy. Answer: ureteral stent placed to
facilitate passage of sand, removed in two weeks
postprocedural- prophylactical antibiotics and hematuria
◉ what are complications of electrohydraulic lithotripsy. Answer:
hemorrhage, infection, obstruction
, ◉ risk factor for bladder cancer. Answer: cigarette smoking**
◉ manifestations of bladder cancer. Answer: microscopic or gross,
painless hematuria
Other: dysuria, frequency, and urgency
◉ pt teaching for after bladder cancer surgery. Answer: Monitor
color and consistency of urine
Pink for several days; not bright red or with clots
May have dark red or rust-colored flecks for 7 to 10
days
◉ incontinent urinary diversion. Answer: diversion to skin, must
wear appliance; ureters anastomosed to conduit; bowel brough to
abd wall to form stoma; urine drips into external collection device
◉ most common incontinent urinary diversion. Answer: ileal
conduit. colon conduit also used
◉ continent urinary diversion. Answer: intraabdominal urinary
reservoir that can be catheterized; has internal pouch
