Diuretics and Kidney Diseases Quiz
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Questions and Answers

What are the hormones produced by the kidney that explain pathophysiology related to CKD?

  • Erythropoietin and Renin (correct)
  • Cortisol and Aldosterone
  • Insulin and Glucagon
  • Thyroid hormone and Parathyroid hormone

What are the three categories of causes of Acute Kidney Injury (AKI)?

  • Preventable, genetic, and environmental
  • Prerenal, intrarenal, and postrenal (correct)
  • Hormonal, metabolic, and structural
  • Inflammatory, infectious, and degenerative

Which of the following is a diuretic's main action?

  • Increasing glucose reabsorption
  • Decreasing urine volume by increasing Na+ reabsorption
  • Increasing urine volume by reducing Na+ reabsorption (correct)
  • Reducing potassium excretion

What is the general mechanism of action of 'Osmotic diuretics'?

<p>They increase urine volume by exerting osmotic pressure in the nephron (C)</p> Signup and view all the answers

What is a characteristic of Chronic Kidney Disease (CKD)?

<p>It is often associated with irreversible loss of functional nephrons (C)</p> Signup and view all the answers

Which of the following is a definition related to kidney diseases?

<p>Oliguria (A)</p> Signup and view all the answers

What is the main action of most diuretics used clinically?

<p>Reduce Na+ reabsorption (D)</p> Signup and view all the answers

What is an example of an 'Osmotic diuretic'?

<p>Mannitol (D)</p> Signup and view all the answers

What is a characteristic of Chronic Kidney Disease (CKD)?

<p>Irreversible loss of functional nephrons (D)</p> Signup and view all the answers

What are the three categories of causes of Acute Kidney Injury (AKI)?

<p>Prerenal, intrarenal, and postrenal (C)</p> Signup and view all the answers

What is the term for the loss of the kidney's ability to concentrate urine?

<p>Nephrogenic diabetes insipidus (B)</p> Signup and view all the answers

What are five indications for dialysis?

<p>Hyperkalemia, severe acidosis, fluid overload, uremia, pericarditis (A)</p> Signup and view all the answers

Why are patients with End-Stage Renal Disease (ESRD) at increased risk of developing pulmonary edema, ischemia, and acidosis?

<p>Due to impaired kidney function (A)</p> Signup and view all the answers

What are anesthesia considerations for CKD/ESRD patients?

<p>Fluid therapy, ventilation, and succinylcholine (A)</p> Signup and view all the answers

What hormones produced by the kidney explain pathophysiology related to CKD?

<p>Erythropoietin and Renin (A)</p> Signup and view all the answers

What is the term for the substances that increase urine volume, while reducing Na+ reabsorption as their main action?

<p>Diuretics (C)</p> Signup and view all the answers

What is the term for the reduced production of urine, often defined as less than 400 milliliters per day?

<p>Oliguria (C)</p> Signup and view all the answers

Which of the following is a potential use of acetazolamide?

<p>Prophylaxis for altitude sickness (D)</p> Signup and view all the answers

What is a common side effect associated with loop diuretics?

<p>Potassium loss (hypokalemia) (C)</p> Signup and view all the answers

Which condition is characterized by urine output less than 0.5 ml/kg/hr?

<p>Oliguria (A)</p> Signup and view all the answers

What is the most common cause of perioperative Acute Kidney Injury (AKI)?

<p>Renal ischemia (A)</p> Signup and view all the answers

What is the main effect of mineralocorticoid receptor antagonists and Na+ channel blockers?

<p>Treatment of resistant hypertension (D)</p> Signup and view all the answers

What is the primary function of thiazide diuretics?

<p>Treatment of hypertension (A)</p> Signup and view all the answers

What is the characteristic response to hypoxia induced by altitude?

<p>Hyperventilation and respiratory alkalosis (C)</p> Signup and view all the answers

What is the effect of acetazolamide on HCO3- reabsorption?

<p>Dramatically reduces HCO3- reabsorption in the proximal tubule (A)</p> Signup and view all the answers

What is the main action of carbonic anhydrase inhibitors?

<p>Blocking HCO3- reabsorption (A)</p> Signup and view all the answers

What is a defining characteristic of chronic kidney disease (CKD)?

<p>Progressive and irreversible loss of functioning nephrons (D)</p> Signup and view all the answers

What is the most likely cause of oliguria in the perioperative setting?

<p>Inadequate circulating fluid volume (D)</p> Signup and view all the answers

What is a potential consequence of administering large volumes of 0.9% NaCl intraoperatively?

<p>Hyperchloremic metabolic acidosis (D)</p> Signup and view all the answers

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