3, NSG 530 Exam 3
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1. A patient is diagnosed with a B) Struvite
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
2. A patient has uncontrolled or A) Spinal cord injury
premature contractions of the
detrusor muscle. Which condi-
tion is associated with this med-
ical problem?
A) Spinal cord injury
B) Immune system dysfunction
C) Congestive heart failure
D) Renal carcinoma
3. Which statement regarding re- B) Symptoms include painless hematuria.
nal 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 bet-
ter prognosis.
4. B) Pyelonephritis
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A patient who reports abdomi-
nal and back pain has been diag-
nosed with bacteria in the urine.
What is the appropriate term for
involvement of the upper uri-
nary tract that is likely to cause
such symptoms?
A) Cystitis
B) Pyelonephritis
C) Urinary tract infection
D) Asymptomatic bacteriuria
5. With which bacteria is acute C) Group A Streptococcus
glomerulonephritis associated?
A) Escherichia coli
B) Staphylococcus
C) Group A Streptococcus
D) Klebsiella
6. A diabetic child with 4.0 g of pro- Nephrotic syndrome
tein in her urine each day is ex-
periencing edema and vitamin
D deficiency. Which is the most
likely diagnosis?
A) Nephritic syndrome
B) Nephrotic syndrome
C) Acute renal failure
D) Rapidly progressive glomeru-
lonephritis
7. Epispadias
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A 2-month-old male patient pre-
sents with the urethral opening
on the dorsal surface of the pe-
nis. Which term is the correct
name for this anomaly?
A) Hypospadias
B) Epispadias
C) Exstrophy
D) Ureteropelvic junction
8. A patient presents with wide-set Potter syndrome
eyes, "parrot beak" nose, low-set
ears, and receding chin. What is
the renal manifestation associat-
ed with this presentation?
A) Potter syndrome
B) Polycystic kidney disease
C) Infundibular stenosis
D) Megacalycosis
9. A 6-year-old has just recovered The exact mechanism of immune complexes is unknown.
from streptococcal pharyngitis.
Which statement regarding this
child's acute poststreptococcal
glomerulonephritis is true?
A) Antibody-antigen complexes
of IgM, IgG, and IgA are deposit-
ed.
B) The exact mechanism of im-
mune complexes is unknown.
C) There is decreased vascular
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permeability.
D) No signs of inflammation are
present.
10. A patient presents with skin le- Henoch-Schonlein purpura
sions as well as hematuria, pro-
teinuria, and abdominal pain.
Which is the most likely cause of
these symptoms?
A) Henoch-Schonlein purpura
B) Hemolytic uremic syndrome
C) Primary nephrotic syndrome
D) Minimal change nephropathy
11. What is the cause of minimal Fusion of the glomerular foot processes
change nephropathy?
A) Fusion of the glomerular foot
processes
B) Verotoxin of E. coli
C) IgA deposition
D) Inflammation of the glomeruli
12. A child whose kidneys are en- acute pyelonephritis
larged presents with chills, fever,
and abdominal pain. The most
likely diagnosis is:
A) acute pyelonephritis.
B) vesicoureteral reflux.
C) urinary tract infection.
D) enuresis.
13. Urethral valves and polyps