Renal Function Evaluation: BUN and Creatinine

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Questions and Answers

What is the primary function of blood urea nitrogen (BUN)?

  • To support liver function
  • To aid in muscle function
  • To regulate bone growth
  • To remove waste products from the blood (correct)

Which factor can lead to an increase in blood urea nitrogen (BUN)?

  • Low levels of urea in the liver
  • Decreased glomerular filtration rate (GFR) (correct)
  • Enhanced kidney excretion rate
  • Reduced dietary protein intake

What does an elevation in serum creatinine concentration indicate?

  • Young age of the animal
  • At least 75% of the functional renal mass is impaired (correct)
  • High levels of physical activity
  • Normal kidney function

In which animals are lower serum creatinine concentrations commonly observed?

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

When is an increase in serum phosphorus concentration typically observed in chronic renal diseases?

<p>When more than 85% of nephrons are non-functional (A)</p> Signup and view all the answers

What regulates tubular reabsorption of phosphorus?

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

What is the primary function of fractional excretion of sodium?

<p>Useful in the differentiation of prerenal and primary renal azotemia (C)</p> Signup and view all the answers

What does an increase in symmetric dimethylarginine (SDMA) concentrations indicate?

<p>A reduction in glomerular filtration rate (D)</p> Signup and view all the answers

What does urinary N-acetyl-β-D-glucosaminidase (NAG) indicate when increased?

<p>Specific for renal tubular damage (D)</p> Signup and view all the answers

What is the main purpose of estimating glomerular filtration rate (GFR)?

<p>To determine kidney function (D)</p> Signup and view all the answers

What does the presence of red or reddish-brown color in urine indicate?

<p>Intact red blood cells (RBCs), hemoglobin, or myoglobin (B)</p> Signup and view all the answers

What is the significance of urine specific gravity?

<p>Indicates the concentration of the urine (A)</p> Signup and view all the answers

What does green color in urine suggest?

<p>Pseudomonas infection or oxidation of bilirubin to biliverdin (B)</p> Signup and view all the answers

When should there be sodium conservation with a very low fractional excretion of sodium?

<p>In prerenal azotemia and volume depletion (C)</p> Signup and view all the answers

What may cloudy urine indicate?

<p>Increased cells, crystals, mucus, or casts (D)</p> Signup and view all the answers

What may yellow-brown to yellow-green urine color indicate?

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

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