4 A 29-year-old man is being evaluated for renal disease. His weight is normal. Plasma creatinine concentration is 2 mg/dl, urine creatinine concentration is 100 mg/dl, and urine volume is 1 mL/min. Which of the following best represents the creatinine clearance (in ml/min) in this patient? OA) 25 OB) 50 C) 75 D) 100 E) 125
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- 17. A 55-year-old man comes to the physician for a routine health maintenance examination. Blood pressure is 170/98 mm Hg. Diagnostic studies show stenosis in the lett renal artery The right renal artery is normal. Which of the following findings is most likely on further evaluation? OA) Decreased extracellular fluid volume B) Decreased plasma aldosterone concentration C) Increased plasma renin activity D) Increased serum potassium concentration OE) Increased 24-hour urinary sodium excretion8. A 45-year-old man comes to the physician for a routine health maintenance examination. His blood pressure is 150/90 mm Hg. Physical examination shows no other abnormalities The physician advises the patient to decrease sodium intake. Two weeks after beginning a low-sodium diet, which of the following is most likely to be decreased in this patient? OA) Plasma renin activity B) Serum aldosterone concentration C) Serum angiotensin II concentration D) Serum potassium concentration OE) Serum sodium concentration3. In a normal frequency distribution of serum sodium concentrations, the mean is 141 mEq/L and the standard deviation is 3.2 mEq/L. Which of the following most closely represents the percentage of values in the interval between 137.8 mEq/L and 144.2 mEq/L? A) 25% B) 50% C) 65% D) 95% E) 99%
- What is the patient's creatinine clearance given the following data? Serum creatinine 0.6 mg/dL Urine creatinine 102 mg/dL 24 hr urine volume 1650 mL Patient's BSA 1.93 m2 1) 195 mL/min 2) 130 mg/dL 3) 93 mL/min 4) 175 mL/min no references, just homeworkWhen monitoring laboratory test results for patients receiving loop and thiazide diuretics, the nurse knows to look for a) decreased serum levels of potassium. b )increased serum levels of calcium. c )decreased seum levels of glucose. d )increased serum levels of sodiumA creatinine clearance is done on a patient with the following results: serum creatinine, 0.6 mg/dL; urine creatinine, 102 mg/dL; urine volume, 1650 mL/24 hours; body surface area, 1.93 m2. Based on the information from calculations above, which of the following is the best interpretation of this patient's creatinine clearance results? 1) Within the normal range 2) Above normal, probably because the 24-hr urine collection was not completed correctly 3) Above normal 4) Below normal no references, just homework
- 40. Which of the following lettered curves in the graph shown best illustrates the renal handling of inulin? O A) 150- 15 100- 50- B A Filtered load remaining in tubular lumen (%) 200- 0+ OB) Proximal Loop of tubule Henle O C) Distal tubule HL Urine OD) O E)50. A healthy 54-year-old man who is participating in a study on renal function has been following a high-sodium diet for the past 2 weeks. Which of the following findings in serum are most likely in this man on day 14 compared with prediet values? Na+ Atrial Natriuretic Peptide Angiotensin II OA) OB) C) OD) OE) OF) G) H) T T - - ‡ ‡ ‡ ‡ - ↑ T ↑ ↑ ↓ ↑ ↓ ↑ ↓ ↑ ↓ ↓ ↑The set of results that most accurately reflects severe renal disease is: 1) Serum creatinine, 1.0mg/dL;creatinine clearance, 110 ml/min; BUN, 17mg/dL 2) Serum creatinine, 1.0mg/dL; creatinine clearance, 95 ml/min; BUN, 43 mg/dL 3) Serum creatinine, 2.0mg/dL; creatinine clearance, 120 ml/min; BUN, 14 mg/dL 4) Serum creatinine, 3.7 mg/dL; creatinine clearance, 44 ml/min; BUN, 88 mg/dL
- 1: Hem 101 of 145 ell 101. A 25-year-old man has drunk 2000 mL of water over the past 4 hours. For the past hour, he has fet the need to urinate but has a de the following? Exam S A) Inhibition of parasympathetic spinal cord neurons OB) Inhibition of somatic motoneurons of the external urethral sphincter OC) Inhibition of sympathetic neurons of the internal urethral sphincter OD) Stimulation of descending sympathetic pathways to the internal urethral sphincter OE) Stimulation of parasympathetic spinal cord neurons(CASE 3) Please refer to the patient's urinalysis result below: A patient is admitted following a vehicular accident causing massive crush injuries. Which of the following microscopic and chemical examinations show a clear discrepancy? Choose all that apply. a) RBC b) WBC c) Epithelial cell d) Bacteria e) Leukocytes (Urine strip) f) Protein (Urine strip) g) Blood (Urine strip) i) Nitrite (Urine strip)40. During an experiment, a drug that specifically dilates the efferent arterioles of the kidney is infused into an experimental animal. Which of the following sets of renal changes is most likely to occur in response to the drug? 4 A) B) E) F) G) Absolute Proximal Tubule Reabsorption ↑ ↑ ↑ Renal O₂ Consumption ↑ ↓ ↑ Filtration Fraction ↑ ↑
