Urinary Findings and Diagnoses Quiz
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Questions and Answers

Which research method is the most crucial for assessing the urinary findings?

  • Cystoscopy, ultrasound of the kidneys (correct)
  • Cystography, ultrasound of the kidneys
  • Tank urine culture, kidney ultrasound
  • Kidney biopsy
  • What is the most appropriate preliminary diagnosis for a young girl experiencing frequent urination and pain when urinating?

  • Cystitis (correct)
  • Nephritic syndrome
  • Complicated urinary tract infection
  • Acute pyelonephritis
  • Based on the symptoms and lab results, which diagnosis is most likely for the 30-year-old woman with edema and dark-colored urine?

  • Nephrotic syndrome
  • Chronic kidney disease
  • Acute nephritic syndrome (correct)
  • Tubulointerstitial nephritis
  • Considering the symptoms and laboratory findings, what is the most probable diagnosis for the 18-year-old girl with fever and malaise?

    <p>Acute pyelonephritis</p> Signup and view all the answers

    For the 27-year-old woman presenting with back pain and fever, which diagnosis should be suspected?

    <p>Acute pyelonephritis</p> Signup and view all the answers

    What is a critical lab finding suggesting acute nephritic syndrome in the 30-year-old woman?

    <p>High blood pressure</p> Signup and view all the answers

    Which finding in the 20-year-old girl's urine analysis most strongly suggests a urinary tract infection?

    <p>Significant leukocytes</p> Signup and view all the answers

    What symptom combined with lab findings makes the most compelling case for an upper urinary tract infection?

    <p>Elevated temperature</p> Signup and view all the answers

    Which group of drugs is most suitable for a patient experiencing an acute asthma attack unresponsive to salbutamol?

    <p>Inhaled glucocorticosteroids</p> Signup and view all the answers

    What is the most suitable method of drug administration for a patient experiencing an asthma attack?

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

    Which class of medication is most appropriate for basic therapy in a patient newly diagnosed with bronchial asthma?

    <p>Inhaled glucocorticosteroids</p> Signup and view all the answers

    For a patient diagnosed with Chronic Obstructive Pulmonary Disease (COPD), which group of drugs is most appropriate?

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

    What is the best management strategy for a COPD patient with a FEV1 of 80% and a Tiffno index of 69%?

    <p>Avoid smoking</p> Signup and view all the answers

    Which treatment option is least appropriate for managing acute shortness of breath and wheezing in a smoker?

    <p>Antibacterial drugs</p> Signup and view all the answers

    What is the most acceptable drug class for a patient whose asthma attacks occur predominantly during spring?

    <p>Inhaled glucocorticosteroids</p> Signup and view all the answers

    Which method is the most reliable for conducting a differential diagnosis of Chronic Kidney Disease (CKD) and Acute Kidney Injury (AKI)?

    <p>Diuresis measurement</p> Signup and view all the answers

    Which option is the least effective for managing cough with mucous sputum in a COPD patient?

    <p>Intramuscular steroids</p> Signup and view all the answers

    Which diagnosis is most likely for a 20-year-old woman with painful urination and elevated leukocytes and erythrocytes in her urine analysis?

    <p>Acute cystitis</p> Signup and view all the answers

    What is the most likely diagnosis for a 19-year-old guy with significant edema after an upper respiratory infection and presenting with low blood pressure?

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

    Which study is most effective for obtaining an accurate morphological diagnosis in cases of severe kidney conditions?

    <p>Kidney biopsy</p> Signup and view all the answers

    In the context of kidney diagnosis, what does a daily proteinuria level of 3.8 g/s suggest?

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

    Which of the following is least likely to contribute to a diagnosis of Acute Kidney Injury in a clinical setting?

    <p>Kidney biopsy</p> Signup and view all the answers

    What symptom is most characteristic of acute cystitis?

    <p>Frequent painful urination</p> Signup and view all the answers

    What laboratory finding is often associated with nephrotic syndrome?

    <p>Low serum albumin levels</p> Signup and view all the answers

    What is the most appropriate treatment tactic for a patient with emphysema and FEV1 = 65%?

    <p>Ipratropium bromide</p> Signup and view all the answers

    Given the symptoms and sputum analysis of a 50-year-old man, which drug is most appropriate for treatment?

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

    What further antibacterial tactic is most appropriate for a patient with pneumonia who is not responding to amoxicillin?

    <p>Replace amoxicillin with azithromycin</p> Signup and view all the answers

    Based on the symptoms presented, what is the most reasonable diagnosis for the patient exhibiting signs of acrocyanosis and right ventricular hypertrophy?

    <p>Idiopathic pulmonary fibrosis</p> Signup and view all the answers

    For an 18-year-old man with excessive thirst and frequent urination but a normal glucose level, what is the most appropriate treatment?

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

    In a patient experiencing weight gain and menstrual irregularities, which treatment strategy may be considered?

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

    For a patient diagnosed with pneumonia while currently on amoxicillin, what is the likely next step in treatment?

    <p>Replace amoxicillin with cephalexin</p> Signup and view all the answers

    Which of the following options is least likely to be appropriate for treating a patient with emphysema?

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

    What changes are most likely characterized by primary chronic insufficiency of the adrenal cortex?

    <p>diffuse hyperpigmentation of the skin and mucous membranes</p> Signup and view all the answers

    What is the main pathological condition in type 1 diabetes?

    <p>absolute deficiency of insulin secretion by beta cells</p> Signup and view all the answers

    Which hormones are most likely to be produced in excess in pheochromocytoma?

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

    What group of medications would be MOST appropriate for preoperative preparation in a patient with adrenal hyperplasia and hypokalemia?

    <p>aldosterone antagonists</p> Signup and view all the answers

    Which part of the endocrine system is most likely affected by Conn's syndrome?

    <p>glomular zone of the adrenal glands</p> Signup and view all the answers

    At what level of glucose in the venous blood on an empty stomach is the most likely diagnosis of diabetes mellitus?

    <p>≥6.5 mmol/l</p> Signup and view all the answers

    What is the MOST appropriate treatment strategy for a patient showing symptoms of adrenal insufficiency, including low cortisol levels?

    <p>Glucocorticoids, mineralocorticoids</p> Signup and view all the answers

    For a patient experiencing episodes of elevated blood pressure, flushing, and palpitations due to high metanephrines, which medication group would be MOST appropriate for preoperative preparation?

    <p>alpha-adrenoblockers</p> Signup and view all the answers

    What symptom is commonly associated with Cushing's syndrome as indicated by the patient's presentation of moon-shaped face and red stretch marks?

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

    In the context of primary adrenal insufficiency, what would be an expected finding on a complete blood count?

    <p>Decreased hemoglobin levels</p> Signup and view all the answers

    Which physical sign is commonly observed in patients with primary hyperaldosteronism?

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

    Which of these laboratory findings aligns with a diagnosis of pheochromocytoma?

    <p>Elevated metanephrines in urine</p> Signup and view all the answers

    What is a significant complication associated with untreated Cushing's syndrome?

    <p>Increased risk of cardiovascular disease</p> Signup and view all the answers

    Study Notes

    Internal Medicine-2 Step-1

    • Urinary Tract Infections (UTIs): Recommended research methods in nephrology include the Nechiporenko test, Addis-Kakovsky sample, and urine sediment microscopy.

    • Community-Acquired UTI Pathogen: The most common cause is E. coli.

    • Hemorrhagic Cystitis Pathogen: Klebsiella is the most common causative agent.

    • Nephrotic Syndrome Cause: Loss of proteins in the urine is the most characteristic feature.

    • Renal Patient Clinical Examination: Cystography and Zimnitsky test are mandatory during long-term clinical examinations.

    • Chronic Kidney Disease Mechanism: Decreased functioning nephrons lead to hyperfiltration.

    • Acute Pyelonephritis: Symptoms include leukocyturia, elevated erythrocyte sedimentation rate (ESR), and bacteriuria.

    • Kidney Edema: Increased sodium retention in the body is a likely cause.

    • Nephrotic syndrome symptoms: Edema, hematuria, cylindruria, hypocholesterolemia, increased sedimentation rate.

    • Nitrogen excretion marker: Creatinine is an accurate indicator.

    • Chronic Kidney Disease Causes: Glomerulonephritis and arterial hypertension are the most frequent.

    • Nephroprotective Therapy in CKD: Angiotensin-converting enzyme (ACE) inhibitors are the gold standard.

    • Acute Kidney Injury Complications: The most likely complication is electrolyte imbalance.

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    Description

    Test your knowledge on the crucial research methods and preliminary diagnoses related to urinary findings. This quiz covers various patient scenarios, lab results, and symptoms to assist in identifying accurate diagnoses. Challenge your understanding of renal and urinary tract conditions.

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