Kidney Function and Disorders

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Questions and Answers

Which of the following processes is NOT directly a function of the kidney?

  • Erythropoiesis
  • Regulation of blood pressure
  • Blood filtration and waste excretion
  • Regulation of blood glucose levels (correct)

The functional unit of the kidney, responsible for urine formation, is called the:

  • Ureter
  • Renal pelvis
  • Nephron (correct)
  • Bladder

In the context of kidney function, which process describes the elimination of ammonia as urea?

  • Uricotelism
  • Glucogenesis
  • Ureotelism (correct)
  • Ammoniotelism

What is the primary reason the body converts ammonia to urea?

<p>To reduce the toxicity of ammonia (C)</p> Signup and view all the answers

Which of the following best describes the location of glomeruli and convoluted tubules within the kidney?

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

What is the likely result of significantly reduced kidney function on blood ammonia levels?

<p>Increased ammonia levels due to impaired urea production (D)</p> Signup and view all the answers

What is a key early step in assessing a patient for kidney or urinary tract disorders?

<p>Conducting a thorough anamnesis (patient history) (D)</p> Signup and view all the answers

Which of the following congenital conditions can lead to significant enlargement of the kidneys?

<p>Polycystic kidney disease (B)</p> Signup and view all the answers

What does the term 'ectopia' refer to in the context of kidney anatomy?

<p>An abnormal location of the kidney (B)</p> Signup and view all the answers

A patient presents with episodes of high fever, what type of kidney-related issue should be suspected?

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

When evaluating a patient for kidney disease, which condition is often the primary cause leading to a diagnosis of renal insufficiency?

<p>Hypertension (B)</p> Signup and view all the answers

What is the term for the complete absence of urine production?

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

In the 'three-glass test' for hematuria, what is suggested if blood is present only in the initial urine samples?

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

A patient presents with hematuria, but reports no pain or fever. Which condition should be considered?

<p>Glomerulonephritis or tumors (D)</p> Signup and view all the answers

Which of the following conditions is characterized by the emission of gas during urination?

<p>Pneumaturia (B)</p> Signup and view all the answers

A patient experiences frequent urination with only small amounts passed each time. This is most closely related to:

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

Which physical exam finding is most indicative of urinary retention?

<p>A distended bladder palpable above the pubic symphysis (D)</p> Signup and view all the answers

In the case of severe urinary retention and a palpable bladder, what immediate action is typically required?

<p>Catheterization to drain the bladder (A)</p> Signup and view all the answers

During a physical exam for suspected kidney pathology, what is the primary purpose of performing the 'Giordano maneuver'?

<p>Identify kidney tenderness (A)</p> Signup and view all the answers

Following a renal colic episode, what diagnostic imaging is typically performed first to confirm the presence and location of a kidney stone?

<p>X-ray (A)</p> Signup and view all the answers

Flashcards

Kidney Function

Represents the secreting part of the urinary system.

Urinary Tract Function

Represents the excretory part of the urinary system.

Nephron

Functional unit of the kidney; consists of a renal corpuscle and a tubule.

Renal Corpuscle

Composed of the glomerulus and Bowman's capsule.

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Glomerulus

Network of capillaries within Bowman's capsule, where filtration occurs.

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Bowman's Capsule

Structure surrounding the glomerulus, collecting filtrate.

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Kidney Filtration Function

Removal of waste products from blood into urine.

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Kidney Homeostatic Function

Maintaining fluid balance, electrolyte levels, acid-base balance, and blood pressure.

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Hormonal Function of Kidney

Secretion of erythropoietin, vitamin D activation, and renin.

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Ureotelism

Eliminating ammonia as urea.

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Amino Acid Fate

Excess amino acids broken down into acetil-CoA or glucose precursors.

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Ammonia Toxicity

Ammonia is highly toxic, especially to the brain.

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Baroreceptor Reflex

Short-term regulation of blood pressure.

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Anamnesis

A crucial first step in diagnosing kidney and urinary tract issues.

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Anamnesis Focus

Investigating family history and congenital abnormalities.

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Three Key Areas of Renal Anamnesis

Infections, metabolic disorders, and hypertension.

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Anuria

Complete absence of urine production.

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Oliguria

Reduced urine output.

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Poliuria

An excess of urine output.

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Hematuria

Presence of blood in the urine.

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