Advanced Pathophysiology 530

ADVANCED PATHOPHYSIOLOGY 530 -
EXAM 3




A43patient43is43diagnosed43with43a43kidney43stone43that43is43composed43of43magnesium,
43ammonium,43and43phosphate.43What43type43of43urinary43calculus43is43this?
A)43Calcium
B)43Struvite
C)43Uric43acid
D)43Indinavir43-43answer--B)43Struvite

A43patient43has43uncontrolled43or43premature43contractions43of43the43detrusor43muscle.4
3Which43condition43is43associated43with43this43medical43problem?
A)43Spinal43cord43injury
B)43Immune43system43dysfunction
C)43Congestive43heart43failure
D)43Renal43carcinoma43-43answer--A)43Spinal43cord43injury

Which43statement43regarding43renal43cell43carcinoma43is43correct?
A)43It43is43associated43with43p53.
B)43Symptoms43include43painless43hematuria.
C)43Early43stages43produce43a43large43abdominal43mass.
D)43Granular43cell43tumors43have43better43prognosis.43-43answer--
B)43Symptoms43include43painless43hematuria.

A43patient43who43reports43abdominal43and43back43pain43has43been43diagnosed43with43b
acteria43in43the43urine.43What43is43the43appropriate43term43for43involvement43of43the43up
per43urinary43tract43that43is43likely43to43cause43such43symptoms?
A)43Cystitis
B)43Pyelonephritis
C)43Urinary43tract43infection
D)43Asymptomatic43bacteriuria43-43answer--B)43Pyelonephritis

With43which43bacteria43is43acute43glomerulonephritis43associated?
A)43Escherichia43coli
B)43Staphylococcus

, C)43Group43A43Streptococcus
D)43Klebsiella43-43answer--C)43Group43A43Streptococcus

A43diabetic43child43with434.043g43of43protein43in43her43urine43each43day43is43experiencing
43edema43and43vitamin43D43deficiency.43Which43is43the43most43likely43diagnosis?
A)43Nephritic43syndrome
B)43Nephrotic43syndrome
C)43Acute43renal43failure
D)43Rapidly43progressive43glomerulonephritis43-43answer--Nephrotic43syndrome

A432-month-
old43male43patient43presents43with43the43urethral43opening43on43the43dorsal43surface43of
43the43penis.43Which43term43is43the43correct43name43for43this43anomaly?
A)43Hypospadias
B)43Epispadias
C)43Exstrophy
D)43Ureteropelvic43junction43-43answer--Epispadias

A43patient43presents43with43wide-set43eyes,43"parrot43beak"43nose,43low-
set43ears,43and43receding43chin.43What43is43the43renal43manifestation43associated43with4
3this43presentation?
A)43Potter43syndrome
B)43Polycystic43kidney43disease
C)43Infundibular43stenosis
D)43Megacalycosis43-43answer--Potter43syndrome

A436-year-
old43has43just43recovered43from43streptococcal43pharyngitis.43Which43statement43regardi
ng43this43child's43acute43poststreptococcal43glomerulonephritis43is43true?
A)43Antibody-antigen43complexes43of43IgM,43IgG,43and43IgA43are43deposited.
B)43The43exact43mechanism43of43immune43complexes43is43unknown.
C)43There43is43decreased43vascular43permeability.
D)43No43signs43of43inflammation43are43present.43-43answer--
The43exact43mechanism43of43immune43complexes43is43unknown.

A43patient43presents43with43skin43lesions43as43well43as43hematuria,43proteinuria,43and43a
bdominal43pain.43Which43is43the43most43likely43cause43of43these43symptoms?
A)43Henoch-Schonlein43purpura
B)43Hemolytic43uremic43syndrome
C)43Primary43nephrotic43syndrome
D)43Minimal43change43nephropathy43-43answer--Henoch-Schonlein43purpura

What43is43the43cause43of43minimal43change43nephropathy?
A)43Fusion43of43the43glomerular43foot43processes
B)43Verotoxin43of43E.43coli
C)43IgA43deposition