NSG 530 Advanced Pathophysiology Exam 3
1. 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
Answer B) Struvite
2. A patient has uncontrolled or premature contractions of the detrusor mus-
cle. Which condition is associated with this medical problem?
A) Spinal cord injury
B) Immune system dysfunction
C) Congestive heart failure
D) Renal carcinoma
Answer A) Spinal cord injury
3. Which statement regarding renal cell carcinoma is correct?
A) It is associated with p53.
B) Symptoms include painless hematuria.
,C) Early stages produce a large abdominal mass.
D) Granular cell tumors have better prognosis.
Answer B) Symptoms include painless hematuria.
4. 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
Answer B) Pyelonephritis
5. With which bacteria is acute glomerulonephritis associated?
A) Escherichia coli
B) Staphylococcus
C) Group A Streptococcus
D) Klebsiella
Answer C) Group A Streptococcus
6. A diabetic child with 4.0 g of protein in her urine each day is experiencing
edema and vitamin D deficiency. Which is the most likely diagnosis?
,A) Nephritic syndrome
B) Nephrotic syndrome
C) Acute renal failure
D) Rapidly progressive glomerulonephritis
Answer Nephrotic syndrome
7. 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 m
Answer Epispadias m
8. A patient presents with wide-set eyes, "parrot beak" nose, low-set ears, and
m m m m m m m m m m m
m receding chin. What is the renal manifestation associated with this presenta-
m m m m m m m m m m
m tion?
A) Potter syndrome m
B) Polycystic kidney disease m m
C) Infundibular stenosis m
D) Megacalycosis
Answer Potter syndromem m
9. A 6-year-old has just recovered from streptococcal pharyngitis. Which state-
m m m m m m m m m
m ment regarding this child's acute poststreptococcal glomerulonephritis is
m m m m m m m
m true?
A) Antibody-antigen complexes of IgM, IgG, and IgA are deposited.
m m m m m m m m
B) The exact mechanism of immune complexes is unknown.
m m m m m m m
C) There is decreased vascular permeability.
m m m m
1. 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
Answer B) Struvite
2. A patient has uncontrolled or premature contractions of the detrusor mus-
cle. Which condition is associated with this medical problem?
A) Spinal cord injury
B) Immune system dysfunction
C) Congestive heart failure
D) Renal carcinoma
Answer A) Spinal cord injury
3. Which statement regarding renal cell carcinoma is correct?
A) It is associated with p53.
B) Symptoms include painless hematuria.
,C) Early stages produce a large abdominal mass.
D) Granular cell tumors have better prognosis.
Answer B) Symptoms include painless hematuria.
4. 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
Answer B) Pyelonephritis
5. With which bacteria is acute glomerulonephritis associated?
A) Escherichia coli
B) Staphylococcus
C) Group A Streptococcus
D) Klebsiella
Answer C) Group A Streptococcus
6. A diabetic child with 4.0 g of protein in her urine each day is experiencing
edema and vitamin D deficiency. Which is the most likely diagnosis?
,A) Nephritic syndrome
B) Nephrotic syndrome
C) Acute renal failure
D) Rapidly progressive glomerulonephritis
Answer Nephrotic syndrome
7. 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 m
Answer Epispadias m
8. A patient presents with wide-set eyes, "parrot beak" nose, low-set ears, and
m m m m m m m m m m m
m receding chin. What is the renal manifestation associated with this presenta-
m m m m m m m m m m
m tion?
A) Potter syndrome m
B) Polycystic kidney disease m m
C) Infundibular stenosis m
D) Megacalycosis
Answer Potter syndromem m
9. A 6-year-old has just recovered from streptococcal pharyngitis. Which state-
m m m m m m m m m
m ment regarding this child's acute poststreptococcal glomerulonephritis is
m m m m m m m
m true?
A) Antibody-antigen complexes of IgM, IgG, and IgA are deposited.
m m m m m m m m
B) The exact mechanism of immune complexes is unknown.
m m m m m m m
C) There is decreased vascular permeability.
m m m m
