Kidney Diseases: Nephritis, Nephrotic Syndrome, and Renal Failure
46 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What percentage of cases of terminal renal failure are attributed to Glomerulonephritis?

  • 2/3
  • 1/2
  • 1/3 (correct)
  • 3/4
  • Which of the following is an example of an exogenous antigen that can cause Glomerulonephritis?

  • Systemic Lupus Erythematosus (SLE)
  • Goodpasture's syndrome
  • Group A β-haemolytic Strep (correct)
  • Focal segmental glomerulosclerosis
  • What is the primary mechanism of glomerular damage in Glomerulonephritis?

  • Cell-mediated glomerular damage
  • Deposition of anti-GBM
  • Deposition of circulating Immune complex
  • In situ formation of immune complex (correct)
  • What is the term used to describe the kidney as the predominant organ involved in Glomerulonephritis?

    <p>Primary</p> Signup and view all the answers

    What is the term used to describe the inflammatory response in Glomerulonephritis, characterized by hypercellularity, basement membrane thickening, and hyalinisation and sclerosis?

    <p>Secondary mechanisms</p> Signup and view all the answers

    Which of the following is NOT a principal function of the kidney?

    <p>Maintaining blood pressure</p> Signup and view all the answers

    What is the primary cause of glomerular capillary damage in kidney diseases?

    <p>Immune complexes deposition</p> Signup and view all the answers

    Which of the following symptoms is NOT typically associated with renal tract disease?

    <p>Fever</p> Signup and view all the answers

    What is the result of severe damage to all four structures of the kidney?

    <p>Chronic renal diseases</p> Signup and view all the answers

    Which part of the kidney is most sensitive to immune reactions?

    <p>Glomerular capillary</p> Signup and view all the answers

    What is the definition of nephritis?

    <p>Inflammation of any part of the kidney</p> Signup and view all the answers

    What is the primary characteristic of nephrotic syndrome?

    <p>Severe proteinuria</p> Signup and view all the answers

    What is the result of increased catabolism of protein in the kidney in nephrotic syndrome?

    <p>Hypoalbuminaemia</p> Signup and view all the answers

    What is the primary goal of management in acute nephritic syndrome?

    <p>Supportive measures until spontaneous recovery</p> Signup and view all the answers

    What is the effect of hypoalbuminaemia on plasma oncotic pressure?

    <p>Decreases plasma oncotic pressure</p> Signup and view all the answers

    What is the result of increased synthesis of lipid protein in the liver in nephrotic syndrome?

    <p>Hyperlipidaemia</p> Signup and view all the answers

    What is the primary reason for oedema in nephrotic syndrome?

    <p>Decreased plasma oncotic pressure</p> Signup and view all the answers

    What is the primary indication for dialysis in chronic renal failure?

    <p>Hyperkalaemia (&gt; 6.5 mmol/L)</p> Signup and view all the answers

    Which of the following is a characteristic of anaemia in chronic renal failure?

    <p>Normochromic, normocytic</p> Signup and view all the answers

    What is the common underlying mechanism of electrolyte and acid-base disorders in chronic renal failure?

    <p>Impaired renal function</p> Signup and view all the answers

    Which of the following is a common complication of chronic renal failure?

    <p>Renal osteodystrophy</p> Signup and view all the answers

    What is the most common cause of chronic renal failure?

    <p>Hypertension</p> Signup and view all the answers

    Which of the following kidney structures is most prone to immunological damage?

    <p>Glomeruli</p> Signup and view all the answers

    The kidneys' principal function is only to eliminate waste materials.

    <p>False</p> Signup and view all the answers

    Nephritis is a disease that only affects the renal tubule system.

    <p>False</p> Signup and view all the answers

    Severe damage to only one of the kidney's structures can lead to chronic renal disease.

    <p>False</p> Signup and view all the answers

    Dysuria is not a symptom of renal tract disease.

    <p>False</p> Signup and view all the answers

    The interstitium is resistant to toxic and infectious agents.

    <p>False</p> Signup and view all the answers

    Renal failure is a disease that only affects the glomeruli.

    <p>False</p> Signup and view all the answers

    Glomerulonephritis is a term that refers to a bilateral, asymmetrical injury to the glomerulus

    <p>False</p> Signup and view all the answers

    Primary Glomerulonephritis involves systemic diseases with glomerular involvement

    <p>False</p> Signup and view all the answers

    In situ formation of immune complexes is a mechanism of glomerular damage in Glomerulonephritis

    <p>True</p> Signup and view all the answers

    Acute nephritic syndrome is a characteristic of chronic renal failure

    <p>False</p> Signup and view all the answers

    Group A β-haemolytic Strep is an example of an endogenous antigen that can cause Glomerulonephritis

    <p>False</p> Signup and view all the answers

    Acute nephritic syndrome is characterized by severe proteinuria and generally leads to chronic kidney dysfunction.

    <p>False</p> Signup and view all the answers

    In nephrotic syndrome, there is a decreased synthesis of lipid protein in the liver.

    <p>False</p> Signup and view all the answers

    The primary goal of management in acute nephritic syndrome is to reduce proteinuria.

    <p>False</p> Signup and view all the answers

    In acute nephritic syndrome, the glomeruli are hypocellular.

    <p>False</p> Signup and view all the answers

    Hyperkalaemia is typically treated with nephrotoxic drugs.

    <p>False</p> Signup and view all the answers

    Oedema in nephrotic syndrome is primarily due to hypervolemia.

    <p>False</p> Signup and view all the answers

    Chronic renal failure is commonly caused by kidney stones.

    <p>False</p> Signup and view all the answers

    Acute renal failure is a common complication of acute nephritic syndrome.

    <p>True</p> Signup and view all the answers

    Renal osteodystrophy is a complication of chronic renal failure that is caused by EPO deficiency.

    <p>False</p> Signup and view all the answers

    The interstitium is the most prone to immunological damage in the kidney.

    <p>True</p> Signup and view all the answers

    Severe metabolic acidosis is defined as a pH of 4.0 mmol/L.

    <p>False</p> Signup and view all the answers

    Dialysis is indicated for patients with a pH of 40 mmol/L.

    <p>False</p> Signup and view all the answers

    Study Notes

    • Kidney diseases can be associated with abnormalities of the glomerular capillary or the renal tubule system.
    • The kidney's principal function includes eliminating waste materials, regulating fluid and electrolyte balance, and endocrine function.
    • Symptoms suggesting renal tract disease include dysuria, haematuria, urinary retention, alteration of urine volume, and pain situated along the renal tract.
    • Diseases of the kidney can be classified into four categories: glomeruli (immunologically mediated), tubules (toxic/infectious agents), interstitium (toxic/infectious agents), and blood vessels (damage to blood supply).
    • Severe damage to all four structures can lead to chronic renal diseases and renal failure.
    • Nephritis is the inflammation of any part of the kidney, including glomerulonephritis, interstitial nephritis, and pyelonephritis.
    • Glomerulonephritis is a general term for a group of disorders characterized by bilateral, symmetrical immunologically mediated injury to the glomerulus, accounting for 1/3 cases of terminal renal failure.
    • Glomerulonephritis can be primary (kidney is the predominant organ involved) or secondary (systemic diseases with glomerular involvement).
    • The pathology of acute nephritic syndrome includes diffuse proliferative glomerulonephritis, characterized by hypercellular glomeruli.
    • Management of acute nephritic syndrome includes supportive measures until spontaneous recovery, hypertension management, fluid balance monitoring, and management of life-threatening complications.
    • Clinical features of acute nephritic syndrome include haematuria, proteinuria, hypertension, oedema, oliguria, and uraemia.
    • Nephrotic syndrome is characterized by severe proteinuria, leading to chronic kidney dysfunction, and is often caused by GBM damage, loss of electrostatic and physical barriers.
    • Diagnostic investigations for nephrotic syndrome include proteinuria (>3.5g/24 h in adults), hyperlipidaemia, hypoalbuminaemia, and oliguria.
    • Acute renal failure treatment involves correcting reversible underlying factors, treating hyperkalaemia, and dialysis, with indications including hyperkalaemia, severe metabolic acidosis, and uraemic syndrome.
    • Chronic renal failure is often associated with haematological and metabolic complications, including anaemia, renal osteodystrophy, electrolyte/acid-base disorders, and hyperkalaemia.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    Kidney diseases 2024.pptx

    Description

    Test your knowledge of kidney diseases, including their symptoms, pathogenesis, and clinical characteristics. This quiz covers nephritis, nephrotic syndrome, and renal failure, and is ideal for students of medicine or healthcare professionals. Learn about the kidney's principal functions and how they are affected by these diseases. Evaluate your understanding of the common signs and symptoms of renal tract diseases.

    More Like This

    Glomerulopathy and Related Kidney Diseases
    10 questions
    Nephropathology all
    23 questions

    Nephropathology all

    RespectfulTurtle avatar
    RespectfulTurtle
    Use Quizgecko on...
    Browser
    Browser