Medicine Lecture 18: Presenting Problems in Renal System

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23 Questions

What is a common cause of dull ache in the loin according to the text?

Sloughed renal papilla

Excessive micturition polyuria (> 3 litres/day) may result from:

Pure water diuresis

Which condition is typically associated with waking up at night to void urine?

Chronic kidney disease

What is a common cause of acute loin pain radiating to the groin according to the text?

Sloughed renal papilla

What can lead to an increase in urine volume according to the text?

Osmotic diuresis

Renal colic, the acute loin pain radiating to the groin, is typically due to:

Calculi

What is typically considered a benign condition in the absence of other signs of renal disease?

Orthostatic proteinuria

What is the primary marker for myeloma?

Bence Jones protein

Which of the following tests is not sufficient to detect Bence Jones protein?

Sulphosalicylic acid precipitation test

What is characterized by the loss of more than 3 gm/day of protein in the urine?

Nephrotic syndrome

Which cell type secretes free immunoglobulin light chains?

B lymphocytes

What is the normal range of red blood cells in the urine of healthy individuals?

Up to 12500 rbc/ml

What can cause a dipstick test to be positive?

Red blood cells, free haemoglobin, or myoglobin

What is a possible cause of persistent hematuria?

Malignancy

What is the typical daily amount of protein that appears in urine?

Less than 150 mg

What may cause proteinuria to occur only during the day?

Vigorous exercise

What should be done with proteinuria results that occur due to transient causes?

Tests should be repeated once the stimulus is no longer present

What is the primary symptom of UTIs?

Decreased urine volumes

What is nocturia?

Frequent urination at night due to sleep disturbance

How is anuria defined?

Urine production of less than 50 ml/day

Which of the following can worsen urinary incontinence?

All of the above

What is haematuria?

Blood in the urine that is visible or invisible

What is the main cause of polyuria?

Diuretic therapy

This quiz covers presenting problems in the renal system including loin pain and its various causes such as renal stones, renal tumors, acute pyelonephritis, and renal pelvis obstruction. It also discusses upper urinary tract obstructions and their common causes.

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