exam3 electrolyte, renal and GU

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Questions and Answers

What is the main function of the carbonic acid-bicarbonate system in the body?

  • To excrete bicarbonate ions
  • To retain hydrogen ions
  • To neutralize H+ ions and maintain pH balance (correct)
  • To inhibit the respiratory system

How does the respiratory system compensate for changes in pH in the body?

  • By increasing ventilation (correct)
  • By increasing bicarbonate production
  • By decreasing ventilation
  • By decreasing pH levels

What happens in renal buffering when there is a decrease in bicarbonate levels?

  • Acidosis occurs
  • pH increases
  • Renal system shuts down
  • pH decreases (correct)

Which of the following conditions is characterized by a systemic increase in H+ concentration?

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

What is the normal range of arterial blood pH in humans?

<p>7.35-7.45 (A)</p> Signup and view all the answers

In which type of acid-base imbalance does the pH decrease and HCO3- levels rise above 26?

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

What is the compensation mechanism for metabolic acidosis?

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

Which condition is caused by high altitudes, hypermetabolic states, and early salicylate intoxication?

<p>Respiratory alkalosis (A)</p> Signup and view all the answers

What happens to potassium (K+) levels in the body when H+ ions move into the intracellular space during metabolic acidosis?

<p>K+ moves to extracellular space (C)</p> Signup and view all the answers

Which acid-base imbalance causes hypocapnia and a decrease in pCO2 levels?

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

Which ion is important in the maintenance of fluid and electrolyte balance?

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

What can cause decreased neuromuscular excitability and cardiac dysrhythmias?

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

Which condition can cause tetany, muscle spasms, and Chvostek and Trousseaus signs?

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

What can facilitate the movement of potassium into the cells?

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

Which electrolyte imbalance is commonly associated with hyperglycemia due to water shifts?

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

What is the relationship between pH and calculus formation in urine?

<p>Lower pH increases the risk of calculus formation (D)</p> Signup and view all the answers

Which condition is indicated by renal colic?

<p>Renal pelvis obstruction (C)</p> Signup and view all the answers

What symptoms are associated with lower UTIs caused by kidney stones?

<p>Nausea, vomiting, and hematuria (A)</p> Signup and view all the answers

What is the syndrome characterized by detrusor overactivity and weak bladder function?

<p>Overactive bladder syndrome (OAB) (B)</p> Signup and view all the answers

Which type of renal cell carcinoma originates from the tubular epithelium in the renal cortex?

<p>Clear cell RCC (A)</p> Signup and view all the answers

What is the compensatory mechanism of the kidneys in respiratory alkalosis?

<p>Decrease H+ excretion and bicarb absorption (B)</p> Signup and view all the answers

Which type of nephron is the most abundant?

<p>Superficial cortical nephrons (C)</p> Signup and view all the answers

What is the role of juxtamedullary nephrons in urine concentration?

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

Which cells synthesize nitric oxide and endothelin-I in the kidney?

<p>Glomerular endothelial cells (C)</p> Signup and view all the answers

How does an increase in sodium filtration affect the glomerular filtration rate (GFR)?

<p>Decreases GFR (A)</p> Signup and view all the answers

What is the primary function of angiotensin II in the body?

<p>Increasing perfusion by vasoconstriction (A)</p> Signup and view all the answers

Which hormone acts as a natural antagonist to the Renin-Angiotensin-Aldosterone System (RAAS)?

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

What stimulates the release of antidiuretic hormone (ADH) in the body?

<p>Decreased blood pressure (C)</p> Signup and view all the answers

Which term describes a situation where there is an increase in aldosterone secretion due to low blood volume?

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

What is the characteristic of hypertonic solutions in terms of osmotic pressure?

<p>Higher osmotic pressure (B)</p> Signup and view all the answers

Which manifestation is a common symptom of renal cancer?

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

What is the primary risk factor for bladder cancer?

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

Which condition is indicated by proteinuria and smoky brown-tinged urine?

<p>Acute glomerulonephritis (A)</p> Signup and view all the answers

What does oliguria indicate?

<p>Severe glomerular disease (B)</p> Signup and view all the answers

Which is the common cause of intrarenal renal failure?

<p>Acute tubular necrosis (C)</p> Signup and view all the answers

What is the primary manifestation of pyelonephritis?

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

What does nephrotic sediment contain in massive amounts?

<p>Protein and lipids (A)</p> Signup and view all the answers

What does AKI stand for in renal injury classification?

<p>Acute Kidney Injury (C)</p> Signup and view all the answers

What does the RIFLE acronym represent in diagnosing renal injury?

<p>Renal function testing parameters (D)</p> Signup and view all the answers

What blood work changes are commonly seen in AKI?

<p>Increased creatinine and BUN levels (D)</p> Signup and view all the answers

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