Medicine Lecture 18: Presenting Problems in Renal System
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Questions and Answers

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

  • Blood clot
  • Retroperitoneal fibrosis
  • Sloughed renal papilla (correct)
  • Tumour
  • Excessive micturition polyuria (> 3 litres/day) may result from:

  • Dehydration
  • Pure water diuresis (correct)
  • Hypothyroidism
  • Hypertension
  • Which condition is typically associated with waking up at night to void urine?

  • Heart disease
  • Diabetes
  • Prostate cancer
  • Chronic kidney disease (correct)
  • What is a common cause of acute loin pain radiating to the groin according to the text?

    <p>Sloughed renal papilla</p> Signup and view all the answers

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

    <p>Osmotic diuresis</p> Signup and view all the answers

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

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

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

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

    What is the primary marker for myeloma?

    <p>Bence Jones protein</p> Signup and view all the answers

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

    <p>Sulphosalicylic acid precipitation test</p> Signup and view all the answers

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

    <p>Nephrotic syndrome</p> Signup and view all the answers

    Which cell type secretes free immunoglobulin light chains?

    <p>B lymphocytes</p> Signup and view all the answers

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

    <p>Up to 12500 rbc/ml</p> Signup and view all the answers

    What can cause a dipstick test to be positive?

    <p>Red blood cells, free haemoglobin, or myoglobin</p> Signup and view all the answers

    What is a possible cause of persistent hematuria?

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

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

    <p>Less than 150 mg</p> Signup and view all the answers

    What may cause proteinuria to occur only during the day?

    <p>Vigorous exercise</p> Signup and view all the answers

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

    <p>Tests should be repeated once the stimulus is no longer present</p> Signup and view all the answers

    What is the primary symptom of UTIs?

    <p>Decreased urine volumes</p> Signup and view all the answers

    What is nocturia?

    <p>Frequent urination at night due to sleep disturbance</p> Signup and view all the answers

    How is anuria defined?

    <p>Urine production of less than 50 ml/day</p> Signup and view all the answers

    Which of the following can worsen urinary incontinence?

    <p>All of the above</p> Signup and view all the answers

    What is haematuria?

    <p>Blood in the urine that is visible or invisible</p> Signup and view all the answers

    What is the main cause of polyuria?

    <p>Diuretic therapy</p> Signup and view all the answers

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