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PBD2 EXAM 3
KIDNEY
505
Pharmacology
Professional
03/07/2011

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Term
WHAT ARE THE 5 FUNCTIONS OF THE RENAL SYSTEM?
Definition
-REMOVAL OF METABOLIC WASTER
-REMOVAL OF FOREIGN CHEMICALS
-REGULATION OF WATER AND ELECTROLYTES
-GLUCONEOGENESIS
-PRODUCTION OF HORMONES AND ENZYMES
Term
REMOVAL OF METABOLIC WASTES GOES FROM BLOOD TO ______.
Definition
URINE
Term
WHEN DOES THE KIDNEY PARTICIPATE MOST IN GLUCONEOGENEIS?
Definition
DURING A FAST
Term
WHAT HORMONES AND PEPTIDES ARE PRODUCED BY THE KIDNEYS?
Definition
-ERYTHROPIETIN
-RENIN
-1,25-DIHYDROXYVIATIM D
Term
WHAT ARE THE OUTSIDE AND THE INSIDE OF KIDNEY CALLED?
Definition
CORTEX AND MEDULLA
Term
WHAT IS THE OTHER NAME OF THE MEDULLA?
Definition
RENAL PYRAMIDS
Term
WHAT IS THE TIP OF THE RENAL PYRAMIDS CALLED?
Definition
PAPILLA
Term
WHAT IS THE ORDER OF DRAINAGE IN THE KIDNEYS?
Definition
PYRAMIDS, MINOR CALYX, MAJOR CALYX, RENAL PELVIS, URETER
Term
HOW MANYT NEPHRONS ARE IN THE HUMAN BODY?
Definition
2 MILLION
Term
WHAT ARE THE 2 MAIN COMPONENTS OF THE NEPRON?
Definition
THE RENAL CORPUSCLE AND THE TUBULE
Term
WHAT 2 PIECES MAKE UP THE RENAL CORPUSCLE?
Definition
GLOMERULUS AND BOWMAN'S CAPSULE
Term
WHAT 3 PIECES MAKE UP THE TUBULE?
Definition
PROXIMAL CONVULUTED TUBULE, HENLE'S LOOP. AND THE DISTAL CONVULUTED TUBULE
Term
WHAT ARE SOME THINGS THAT ARE NOT FILTERED BY RENAL CORPUSCLE?
Definition
ALBUMIN, PROTIENS, RBC, WBC, "LARGE CELLS"
Term
THE ______ ARTERIOLES LEAD TO THE BOWMAN'S CAPSULE AND THE _______ LEAD AWAY.
Definition
AFFERENT; EFFERENT
Term
THE OUTER EPITHELIUM OF THE BOWMAN'S SPACE
Definition
PARIETAL EPITHELIUM
Term
ALETERNATE NAME FOR BOWMAN'S CAPSULE
Definition
URINARY SPACE
Term
WHAT ARE THE 3 CELL TYPES OF THE JUXTAGLOMERULAR APPARATUS?
Definition
MACULAR DENSA, GRANULE, AND EXTRAGLOMERULAR MESANGIAL
Term
WHAT DID DR. FRAZIER DESCRIBE AS A MINI SPONGE WITH A MESHWORK OF PROTIENS AND PROTEOGLYCANS?
Definition
GLOMERULAR BASEMENT MEMBRANE
Term
WHAT ARE PEDICLES?
Definition
EPITHELIAL FOOT PROCESSES
Term
_____ EXTEND FROM EACH ARM OF THE PODOCYTES AND ARE EMBEDDED IN THE GLOMERULAR BASEMENT MEMBRANE
Definition
PEDICLES
Term
_________ BRIDGE THE SPACE BETWEEN THE FOOT PROCESSES.
Definition
SLIT DIAPHRAGMS
Term
WHAT PIECES MAKE UP THE PROXIMAL TUBULE?
Definition
PROXIMAL CONVOLUTED TUBULE AND PROXIMAL STRAIGHT TUBULE
Term
WHAT PIECES MAKE UP THE LOOP OF HENLE?
Definition
DESCENDING THIN LIMB, ASCENDING THIN LIMB, THICK ASCENDING LIMB AND MACULA DENSA
Term
WHAT PIECES MAKE UP THE COLLECTING DUCT SYSTEM?
Definition
CONNECTING TUBULE, CORTICAL COLLECTING DUCT, OUTER MEDULLARY COLLECTING DUCT, AND INNER MEDULLARY COLLECTING DUCT
Term
WHAT ARE THE STEPS OF KIDNEY BLOOD FLOW?
Definition
RENAL ARTERY, ARCUATE ARTERY, INTERLOBULAR ARTERY, AFFERENT ARTERIOLE, BOWMANS, EFFERENT ARTERIOLE, PERITUBULAR ARTERY, INTERBUNDLE PLEXUS AND VASA RECTA
Term
_____ NEPHRONS ARE MORE COMPLEX AND CLOSER TO THE MEDULLAR.
Definition
JUXTAMEDULLARY
Term
THESE ARE DIFFERENTIATED SMOOTH MUSCLE CELLS IN THE WALLS OF THE AFFERENT ARTERIOLES. THEY SECRETE RENIN.
Definition
GRANULE CELLS
Term
CONTINOUS CELLS WITH THE BOWMANS CAPSULE
Definition
MESANGIAL CELLS
Term
SPECIALIZED THICK ASCENDING LIMB EPITHELIAL CELLS. THEY DETECT LUMENAL CONTENT OF THE NEPHRON AT THE VERY END OF THE TUBULE AND CONTRIBUTE TO THE CONTROL OF FILTRATION RATE AND RENIN SECRETION.
Definition
MACULAR DENSA
Term
_____ IS THE ONLY KIND OF INNERVATION IN THE KIDNEY.
Definition
SYMPATHETIC
Term
WHAT ARE THE 3 RENAL PROCESSES?
Definition
FILTRATION, SECRETION AND REABSORPTION
Term
PROCESS BY WHICH WATER AND SOLUTES IN THE BLOOD LEAVE THE VASCULAR SYSTEM THROUGH BARRIERS TO THE BOWMAN'S CAPSULE
Definition
FILTRATION
Term
PROCESS OF MOVING SUBSTANCES INTO THE TUBULAR LUMEN FROM THE PERITUBULAR CAPILLARIES.
Definition
SECRETION
Term
PROCESS OF MOVING SUBSTANCES FROM THE LUMEN INTO THE PERITUBULAR CAPILLARIES.
Definition
REABSORPTION
Term
WHAT ARE SOME ADDITIONAL PROCESSES SUBSTANCES MAY UNDERGO WHEN IN THE KIDNEY?
Definition
METABOLISM AND PRODUCTION OF SUBSTANCES BY KIDNEY CELLS
Term
FRACTION OF BLOOD VOLUME COMPOSED OF RED BLOOD CELLS
Definition
HEMATOCRIT
Term
TOTAL BLOOD FLOW TO THE KIDNEY/UNIT TIME
Definition
RENAL BLOOD FLOW
Term
AMOUNT OF FILTRATE THAT ENTERS THE TUBULE SYSTEM THROUGH BOWMAN'S SPACE/UNIT TIME
Definition
GLOMERULAR FILTRATION RATE
Term
WHAT IS THE APPROXIMATE TOTAL RENAL BLOOD FLOW?
Definition
ABOUT 1.1 LITERS
Term
WHAT IS TYPICAL GFR?
Definition
125ML/MIN
Term
WHAT TWO FACTORS SET RENAL BLOOD FLOW?
Definition
CHANGE IN PRESSURE ACROSS THE RENAL ARTERY AND VEIN
Term
WHAT 2 FACTORS AFFECT FLOW?
Definition
PRESSURE AND RESISTANCE
Term
WHAT IS THE MAJOR FACTOR THAT AFFECTS RESISTANCE?
Definition
RADIUS
Term
IF SOMETHING IS LESS THAN ____ DALTONS IT WILL PASS FREELY THROUGH TO THE BOWMAN'S CAPSULE
Definition
7000
Term
FILTRATION RATE INCREASES AS SIZE _______.
Definition
DECREASES
Term
FILTRATION RATE INCREASES AS CHARGE _____.
Definition
IS POSITIVE
Term
RATE OF FILTRATION IN ANY CAPILLARY IS SET BY 3 FACTORS.
Definition
HYDRAULLIC PERMEABILITY, SURFACE AREA, AND NET FILTRATION PRESSURE ACROSS THEM
Term
NET FILTRATION PRESSURE IS BASED ON....
Definition
2 HYDROSTATIC AND 2 ONCOTIC PRESSURES
Term
THE NET FILTRATION PRESSURE IS A ___ MMHG DIFFERENCE BETWEEN AFFERENT AND EFFERENT ARTERIOLES
Definition
14
Term
INCREASED GFR GENERALLY MEANS _____ SECRETION OF SALT AND WATER?
Definition
INCREASED
Term
HYDRAULIC PERMEABILITY TIMES GLOMERULAR SURFACE AREA
Definition
KF
Term
WHAT CAN CHANGE KF?
Definition
-DISEASE
-DRUGS
-MESANGIAL CELLS CONSTRICTION
Term
(T/F) REGARDLESS OF SYSTEMIC BLOOD PRESSURE THE KIDNEY CAN INDEPENDANTLY REGULATE GLOMERULAR FILTRATION RATE
Definition
TRUE
Term
IF YOU CONSTRICT THE AFFERENT ARTERIOLE GFR WILL ____.
Definition
DECREASE
Term
IF YOU CONSTRICT THE EFFERENT ARTERIOLE GFR WILL _______
Definition
INCREASE
Term
IF YOU DILATE THE AFFERENT ARTERIOLE GFR WILL ________.
Definition
INCREASE
Term
IF YOU DILATE THE EFFERENT ARTERIOLE GFR WILL _____.
Definition
DECREASE
Term
WHAT CAN INCREASE PBC AND LOWER GFR?
Definition
OBSTRUCTION IN COLLECTING DUCT
Term
IF YOU INCREASE OSMOTIC IN THE BLOMERULAR CAPILLARIES GFR WILL _____.
Definition
DECREASE
Term
AMOUNT THAT IS FILTERED PER UNIT TIME
Definition
FILTERED LOAD
Term
HOW DO YOU CALCULATE FILTERED LOAD?
Definition
GLOMERULAR FLOW RATE X PLASMA CONCENTRATION
Term
A ____ FILTERED LOAD MEANS THERE IS A SIGNIFICANT AMOUNT TO BE REABSORBED.
Definition
HIGH
Term
COLLECTION OF MECHANISMS THROUGH WHICH RENAL BLOOD FLOW AND GFR ARE KEPT RELATIVELY CONSTANT ACROSS A WIDE RANGE OF ARTERIAL PRESSURES
Definition
AUTOREGULATION
Term
WITHOUT AUTOREGULATION _____ OUTPUT WOULD VARY WILDLY.
Definition
URINARY
Term
WHAT IS THE AUTOREGULATORY RANGE IN MMHG?
Definition
85-200 MMHG
Term
AS MAP INCREASES SMOOTH MUSCLES IN THE WALLS OF THE ARTERIOLES IS STRETCHED INDUCING VASCULAR RESISTANCE.MEDIATED BY A WIDE VARIETY OF PROCESSES
Definition
MYOGENIC RESPONSE
Term
INTRARENAL PROCESS THROUGH WHICH THE DISTAL TUBULES CAN AFFECT GLOMERULAR FUNCTION
Definition
TUBULOGLOMERULAR FEEDBACK
Term
___ CONCENTRATIONS OF NA+ IN THE DISTAL TUBULE CAUSES RELEASE OF TRANSMITTER AGENTS.
Definition
HIGH
Term
TRANSMITTER AGENTS ____ GFR.
Definition
LOWER
Term
HOW DO TRANSMITTER AGENTS LOWER GFR?
Definition
-CONSTRICTION OF AFFERENT ARTERIOLE
- CONTRACTION OF MESANGIAL CELLS
Term
VOLUME OF PLASMA FROM WHICH THAT SUBSTANCE IS COMPLETELY REMOVED/ UNIT TIME
Definition
RENAL CLEARANCE
Term
HOW DO YOU CALCULATE CLEARANCE?
Definition
URINE CONCENTRATION X VOLUME URINE/TIME/ PLASMA CONCENTRATION
Term
WHAT 5 CRITERIA DETERMINE ACCURATE GFR?
Definition
-FREELY FILTERED
-NOT REABSORBED
-NOT SECRETED
-NOT SYNTHESIZED BY TUBULES
-NOT METABOLIZED BY TUBULES
Term
WHAT IS THE PERFECT GFR CLEARANCE MOLECULE AND WHAT CLASS IS IT?
Definition
INULIN; FRUCTOSE POLYSACCHARIDE
Term
WHAT COMPOUND IS USED TO GUESSTIMATE GFR?
Definition
CREATINE
Term
CREATINE IS SECRETED BY THE TUBULES IN THE AMOUNT OF ___-____%
Definition
10-20%
Term
CREATINE CLEARANCE SLIGHTLY ____ GFR.
Definition
OVERESTIMATES
Term
NORMAL CREATINE IN THE PLASMA
Definition
1 MG/DL
Term
RISING PLASMA CREATINE OVER TIME COULD INDICATE WHAT?
Definition
RENAL DYSFINCTION
Term
(T/F)PLASMA CREATINE CHANGES ARE IMMEDIATELY REFLECTED AFTER GFR CHANGES
Definition
FALSE
Term
IF THE CLEARANCE OF A MOLECULE IS LESS THAN 1 IT IS ______. GREATER THAN 1 IT IS ______.
Definition
REABSORBED; SECRETED
Term
TO BE ABSORBED WHAT MUST A SOLUTE CROSS?
Definition
APICAL, EPITHELIAL, BASEMENT, INTERSTITAL, ENDOTHELIUM
Term
HOW CAN A SOLUTE BE REABSORBED?
Definition
DIFFUSION, UNIPORT, SYMPORT, ANTIPORT, GCPR,, ION CHANNELS
Term
HOW DOES A SOLUTE GET TRANSFERRED?
Definition
NA/K-ATPASE PUMP ACTIVE, ANIONS MOVED TO CELLS, OSMOTIC GRADIANT FOLLOWS, SOULTES MOVE TO PERITUBULAR CAPILLARIES
Term
THE VOLTAGE IN THE EARLY PROXIMAL TUBULE IS ____ AND IN THE LATE IT IS ____.
Definition
NEGATIVE; POSTIVE
Term
WHAT 2 LIMITS CAN BE PLACED ON REABSORPTION?
Definition
TUBULAR MAXIMUM OR GRADIANT LIMITED
Term
AN UPPER LIMIT BECAUSE TTRANSPORTERS ARE SATURATED
Definition
TUBULAR MAXIMUM
Term
UPPER LIMIT BECAUSE THE LEAKY TIGHT JUNCTIONS AND THE SOLUTE IS TRANSFERED OUT.
Definition
GRADIANT LIMIETED
Term
A BIG DIFFERENCE IN TM AND GRADIANT SYSTEMS IS THAT IN _____ SYSTEMS THE TRANSPORTERS NEVER REACH 100% MAXIMUM.
Definition
GRADIANT
Term
IN __ SYSTEMS THE UPPER LIMIT IS TRANSPORTER LIMITED AND IN ___ THE UPPER LIMIT IS BASED ON PERMEABILITY OF THE TIGHT JUNCTIONS.
Definition
TM; GRADIANT
Term
WHAT 2 FORCES FAVOR UPTAKE TO THE CAPILLARY?
Definition
INTERSTITIAL HYDRAULIC AND ONCOTIC PRESSURE IN PERITUBULAR
Term
WHAT FORCES OPPOSE UPTAKE TO INTERSTITUM?
Definition
HYDRAULIC PRESSURE OR PERITUBULAR AND INSTRESTITAL ONCOTIC.
Term
SUBSTANCES FROM THE PERITUBULAR CAPILLARY TO THE LUMEN
Definition
SECRETION
Term
HOW DOES SECRETION OCCUR
Definition
DIFFUSION OR TRANSCELLULAR TRANSPORT
Term
WHAT ARE 2 THINGS HEAVILY SECRETE?
Definition
H+ AND K+
Term
WHAT ION IS SECRETION OFTEN COUPLED WITH?
Definition
NA+
Term
SECRETION CAN BE CONTROLLED BE MANY SIGNALLING THAT LIMITS PROTIEN RECEPTORS. NAME THE SIGNALLING
Definition
AUTOCRINE, PARACINE, ENDOCRINE
Term
ABNORMALITY IN THE NA+/GLUCOSE COTRANSPORT TH MEDIATES REABSOPRTION OF GLUCOSE IN THE PROXIMAL TUBULE. LEADS TO GLUCOSE IN URINE
Definition
FAMILAIAL RENAL GLUCOSURIA
Term
ABILITY TO ABSORB GLUCOSE IS USUALLY NORMAL BUT FILTERED LOAD OF GLUCOSE EXCEEDS THE THRESHOLD FOR TUBULE TO REABSORB.
Definition
DIABETES MELLITUS
Term
THE PRIMARY ROLE OF THE ____ _____ IS TO REABSOB MOST WATER AND NON-WASTE SOLUTES.
Definition
PROXIMAL TUBULE
Term
THE LOOP OF HENLE CREATES A HIGH ___ CONCENTRATION IN THE MEDULLA TO FURTHER ABSORB WATER AND TO CONCENTRATE URINE.
Definition
NA+
Term
FINE TUNING OF PLASMA LEVELS OCCURS IN THE ___ _____ AND THIS IS UNDER HOMEOSTATIC CONTROL.
Definition
DISTAL TUBULE
Term
UNDER NORMAL CONDTIONS THE BODY REGULATES ___ AND WATER SO NO NET CHANGE OCCURS.
Definition
SALT
Term
WHAT IS THE NORMAL WATER OUTPUT IN ADULTS?NACL?
Definition
2850 ML; 8,5 G
Term
WHAT IS THE VARIANCE OF URINE IN LITERES?
Definition
0.4-25 L/DAY
Term
SALT CAN BE VARIED FROM EXCRETEION OF ___ TO ___ G.
Definition
0.05- 25
Term
BOTH NA AND WATER ARE FREELY ____ AND UNDERGO CONSIDERABLE REABSORPTION BUT NOT ____.
Definition
FILTERED; SECRETION
Term
WHAT IS COUPLED WITH NA+ TO ACHIEVE NEUTRALITY IN THE KIDNEY?
Definition
CL-
Term
NA+ REABSORPTION IN THE PROXIMAL TUBULE IS DRIVEN BY WHAT PROCESS ACROSS THE BASOLATERAL MEMBRANE OF EPITHELIAL CELLS?
Definition
PRIMARY ACTIVE TRANSPORT
Term
NA+ CREATES A _____ THAT DRIVES WATER OUT OF THE TUBULES
Definition
OSMOLARITY GRADIANT
Term
NA+ ACHIEVES REABSORPTION OF MANY NUTRIENTS, PHOSPHATE AND SULFATE BY ____ ACROSS THE LUMINAL SURFACE.
Definition
COTRANSPORT
Term
NA+ ALLOWS SECRETION OF ___ IONS VIA COTRANSPORT. THIS IS A MECHANISM FOR REABSORBING ____.
Definition
H+; BICARBONATE
Term
THE PROXIMAL TUBULE PROMOTES ____ VOLUME REABSORPTION.
Definition
ISO-OSMOTIC
Term
(T/F) THE ISO-OSMOTIC PROPERTY IS CONSTANT THROUGHOUT ALL OF THE NEPHRON
Definition
FALSE
Term
THE CONTENTS OF THE TUBULAR LUMEN ARE ___ RELATIVE TO THE INTERSTITAL SPACE WHEN THEY REACH THE COLLECTING DUCTS.
Definition
HYPO-OSMOTIC
Term
HYPO-OSMOTICITY IS IMPORTANT FOR PHYSIOLOGICAL CONTROL OF WATER REABSORPTION THAT AFFECTS ____ CONCENTRATION.
Definition
URINE
Term
WATER PERMEABILITY OF THE CORTICAL COLLECTING DUCTS IS SENSITIVE TO ____.
Definition
VASOPRESSIN
Term
WHERE IS VASOPRESSIN SECRETED?
Definition
POSTERIOR PITUITARY
Term
WHAT IS ANOTHER NAME FOR VASOPRESSIN?
Definition
ADH
Term
WHAT DOES ADH STIMULATE?
Definition
AQUAPORIN INSERTION INTO THE LUMINAL MEMBRANE
Term
WHEN AQUAPORINS ARE PRESENT WATER REABSOPRTION IS _____ AND URINE CONCENTRATION IS _______.
Definition
HIGH; INCREASED
Term
URINE IS RELATIVELY ______ TO PLASMA.
Definition
HYPER-OSMOTIC
Term
IN THE ENTIRE ASCENDING LIMB ____ IS ABSORBED AND _____ IS NOT.
Definition
SALT; WATER
Term
IN THE DESCENDING LIMB ____ IS ABSORBED AND ____ IS NOT.
Definition
WATER; SALT
Term
IN THE KIDNEY THE NET ABSORPTION EFFECT IS TO REABSORB MORE ___ THAN ___.
Definition
SALT; WATER
Term
WHAT ARE THE DILUTING SEGMENTS?
Definition
ASCENDING LIMB, DISTAL TUBULE
Term
THE DISTAL TUBULE TRANSPORTS _____ OUT OF THE LUMEN AND IS IMPERMEABLE TO _____.
Definition
SALT; WATER
Term
IN HEALTHY INDIVIDUALS NA+ OUTPUT IS ____ THAN NA+ INPUT.
Definition
THE SAME AS
Term
BALANCE OF NA+ EXCRETION CAN BE CONTROLLED BY WHAT 2 FACTORS.
Definition
GFR; REABSORPTION
Term
IF PLASMA VOLUME DROPS THAN VENOUS PRESSURE DROPS SO GFR DROPS SO THUS THERE IS A _____ IN THE SECRETION OF NA+ AND WATER.
Definition
DECREASE
Term
THE _____ MECHANISM OF LOWERING SECRETION OF SALT AND WATER IS BASED ON PRESSURE CHANGES TO THE GLOMERULUS.
Definition
DIRECT
Term
THE ____ MECHANISM LOWERS THE SECRETION OF SALT AND WATER BASED ON INCREASED ACTIVITY OF THE SYMPATHETIC NERVOUS SYSTEM.
Definition
REFLEXIVE
Term
_____ IS A STEROID HORMONE PRODUCED BY THE RENAL CORTEX.
Definition
ALDOSTERONE
Term
_____ STIMULATES NA+ REABSORPTION BY THE DISTAL CONVOLUTED TUBULE AND THE CORTICAL COLLECTING DUCTS.
Definition
ALDOSTERONE
Term
IF NA+ INTAKE OR BLOOD VOLUME IS LOW ____ SECRETION IS HIGH.
Definition
ALDOSTERONE
Term
WHAT THE CORE REGULATORY SYSTEM FOR ALDOSTERONE SECRETION?
Definition
RAAS
Term
WHERE IS RENIN RELEASED?
Definition
GRANULAR CELLS FO THE JUXTAGLOMERULAR APPARATUS
Term
RELEASE OF RENIN FROM THE GRANULAR CELLS DEPENDS ON WHAT 3 FACTORS.
Definition
- ARTERIAL BLOOD PRESSURE
- SYMPATHETIC INNERVATION
- NA+ CONTENT IN THE DISTAL TUBULE SENSED BY THE MACULA DENSA
Term
WHAT REGULATES VASOPRESSIN?
Definition
ACTIVITY OF THE HYPOTHALAMIC NEURONS
Term
THE MOST IMPORTANT INPUTS TO THE HYPOTHALAMIC NEURONS OF VASOPRESSIN ARE....
Definition
OSMORECEPTORS AND BARORECEPTORS
Term
OSMORECEPTORS OF VASOPRESSIN HELP TO _____ WATER EXCRETION IN TIMES OF EXCESS INTAKE.
Definition
EXCRETIONS
Term
WHEN CARDIO PRESSURE DROPS BARORECEPTORS______ THEIR FIRING RATE.
Definition
DECREASE
Term
REDUCTION OF BARORECEPTOR FIRINGS ____ VASOPRESSIN SECRETION.
Definition
INCREASE
Term
WHAT IS NORMAL PLASMA PH?
Definition
7.4
Term
INTERACTION BETWEEN THE HYDROGEN IONS AND BUFFER IS GOVERNED BY WHAT LAW?
Definition
LAW OF MASS ACTION
Term
INTERACTION BETWEEN THE HYDROGEN IONS AND BUFFER IS GOVERNED BY WHAT LAW?
Definition
LAW OF MASS ACTION
Term
THE MAJOR BUFFER SYTEM IN THE BODY
Definition
BICARBONATE
Term
IN THE LUNGS THE BODY FAVORS ___ AND WATER AND THEN IN THE BODY FAVORS ___ IONS.
Definition
CO2; H+
Term
IF PH IS ABOVE 7.4 IT IS CALLED ____.
Definition
ALKALOSIS
Term
IF PH IS ABOVE 7.4 IT IS CALLED ____.
Definition
ALKALOSIS
Term
IF PH IS BELOW 7.4 IT IS CALLED _____.
Definition
ACIDOSIS
Term
BICARBONATE IS FREELY FILTERED AND NORMALLY COMPLETELY _______.
Definition
REABSORBED
Term
IF PLASMA BECOMES TOO ACIDIC THERE WILL BE MORE HYDROGEN SECRETED INTO THE _____ TO ABSORB BICARB.
Definition
TUBULE
Term
_____ IS RELEASED FROM THE LIVER AS AN ADDITIONAL BYPRODUCT OF PROTIEN CATABOLISM.
Definition
GLUTAMINE
Term
WHERE DOES THE FILTERED GLUTAMINE ENETER?
Definition
TUBULE MEMBRANE AND BASOLATERAL MEMBRANE
Term
WHAT IS GLUTAMINE BROKEN DOWN INTO?
Definition
AMMONIUM AND BICARBONATE
Term
THE AMMONIUM IS SECRETED THROUGH A SODIUM/AMMONIUM ______.
Definition
ANTIPORTER
Term
AS ALKALOSIS BEGINS TO OCCUR HYDROGEN ION SECRETION FROM _____ CELLS WILL BECOME INSUFFICENT TO REABSORB FILTERED BICARB.
Definition
TUBULAR EPITHELIAL
Term
AS A RESULT OF AN INCREASE IN BICARBONATES IT WILL SECRETED WHERE?
Definition
THE URINE
Term
ONLY ABOUT 2% OF THE TOTAL BODY _____ IS IN THE EXTRACELLULAR FLUID BUT ITS REGULATION IS VERY IMPORTANT IN ACTIVITY OF EXCITABLE CELLS.
Definition
K+
Term
INCREASED POTASSIUM
Definition
HYPERKALEMIA
Term
DECREASED POTASSIUM
Definition
HYPOKALEMIA
Term
HOW CAN K+ BE SECRETED. (2 MECHANISMS)
Definition
INCREASED N+/K+ ATPASE; DEPOLARIZATION OF ADRENAL TO RELEASE ALDOSTERONE
Term
WHAT 3 THINGS MUST OCCUR FOR THE KIDNEY TO FUNCTION NORMALLY?
Definition
BLOOD FLOW, GLOMERULUS, TUBULES
Term
FOR NORMAL KIDNEY FUNCTION THERE MUST BE ADEQUATE ____ ______ THROUGH THE GLOMERULAR CAPILLARIES.
Definition
BLOOD FLOW
Term
FOR NORMAL RENAL FUNCTION THE _____ MUST BE INTACT AND FILTER ONLY FLUIDS AND SMALL SOLUTE.
Definition
GLOMERULUS
Term
___ OF THE KIDNEY MUST BE ABLE TO REABSORB ESSENTIAL SUBSTANCES FROM THE FILTRATE WHILE EXCRETING OTHER SUBSTANCES INTO THE FILTRATE TO BE ELIMINATED IN THE URINE.
Definition
TUBULES
Term
REGARDLESS OF ITS CAUSE, RENAL DISEASE CAN TERMINATE IN RENAL ________.
Definition
FAILURE
Term
A CONDITION IN WHICH THE KIDNEYS FAIL TO REMOVE THE METABOLIC END PRODUCTS FROM THE BLOOD AND TO REGULATE FLUID, ELECTROLYTE, AND PH BALANCE OF THE EXTRACELLULAR FLUIDS.
Definition
RENAL FAILURE
Term
WHAT ARE THE UNDERLYING CAUSES OF RENAL DISEASE.
Definition
RENAL DISEASE AND SYSTEMIC
Term
WHAT ARE THE 2 CATEGORIES OF RENAL DISEASE.
Definition
CHRONIC AND ACUTE
Term
PROGRESSIVE SLOW DEVELOPMENT OF RENAL FAILURE OVER THE COURSE OF YEAR.
Definition
CHRONIC RENAL DISEASE
Term
CHRONIC RENAL DISEASES PRIMARILY INVOLVE THE ______.
Definition
GLOMERULUS
Term
INFLAMMATION OF THE GLOMERULUS
Definition
GLOMERULONEPHRITIS
Term
WHAT ARE 2 LESS COMMON CAUSES OF CHRONIC RENAL DISEASE?
Definition
RENAL TUBULE DEFECTS OR BLOOD DIFFUSION TO THE PARAENCHYMA
Term
WHAT ARE SOME CHRONIC RENAL TUBULE DEFECTS?
Definition
PYELONEPHRITIS AND POLCYSTIC KIDNEY DISEASE
Term
WHAT ARE SOME IMPEDIMENTS TO BLOOD FLOW THAT CAN RESULT IN CHRONIC RENAL DISEASE?
Definition
NEPHROSCLEROSIS
Term
(T/F) CHRONIC RENAL DISORDERS CAN BE REVERSED
Definition
FALSE
Term
WHY IS IT HARD TO DEFINE THE CAUSE OF CHRNIC RENAL FAILURE?
Definition
ALL OF THE KIDNEY MAY BECOME DESTROYED OR SCARRED.
Term
A RAPID DECLINE IN KIDNEY FUNCTION RESULTING IN AN INABILITY TO MAINTAIN FLUID AND ELECTROLYTE HOMEOSTASIS AND FAILURE TO EXCRETE NITROGENOUS WASTES. USUALLY A SUDDEN DROP IN URINE OUTPUT AND FALL IN GFR
Definition
ACUTE RENAL FAILURE
Term
SUDDEN DROP IN URINE OUTPUT
Definition
OLIGURIA
Term
(T/F) ACUTE RENAL FAILURE IS REVERSIBLE UNTIL PROVEN OTHERWISE
Definition
TRUE
Term
ACUTE RENAL FAILURE THAT IS CAUSED BY PRE-RENAL DYSFUNCTION IS USUALLY RELATED TO ______ ____.
Definition
BLOOD FLOW
Term
ACUTE RENAL DISEASE THAT IS DUE TO POST-RENAL DYSFUNCTION CAN BE DUE TO AN ________.
Definition
OBSTRUCTION
Term
A RENAL CAUSE OF ACUTE RENAL DISEASE IS WHAT?
Definition
ACUTE TUBULAR NECROSIS
Term
THIS TYPE OF RENAL FAILURE IS ASSOCIATED WITH AN INCREASED MORBIDITY AND MORTALITY AND IS MORE COMMON IN THE ELDERLY AND SERIOUSLY ILL.
Definition
ACUTE RENAL FAILURE
Term
ACUTE RENAL FAILURE IS MORE SUSCEPTIBILE IN THE ELDERLY BECAUSE ____ DECREASES WITH AGE.
Definition
GFR
Term
ACUTE RENAL FAILURE IS MORE COMMON IN SERIOUSLY ILL PATIENTS BECAUSE IT IS COMBINED WITH WHAT?
Definition
OTHER LIFE-THREATENING CONDITIONS
Term
WHAT IS A MAJOR INDICATOR OF ACUTE RENAL FAILURE?
Definition
AZOTEMIA
Term
RETENTION OF NITROGENOUS WASTES, EITHER THROUGH INABILITY OF THE KIDNEY TO EXCRETE THEM OR THROUGH THEIR FAILURE TO BE DELIVERED TO THE KIDNEY.
Definition
AZOTEMIA
Term
WHAT LAB VALUE SIGNALS AZOTEMIA?
Definition
AN INCREASE IN BUN
Term
100'S OF TOXIC BUILD-UP NOT JUST NITROGENOUS WASTE
Definition
UREMIA
Term
COMPLEX SYNDROME CHARACTERIZED BY VARIABLE AND BIOCHEMICAL AND CLINICAL CHANGES THAT OCCURS WHEN AZOTEMIA BECOMES SYMPTOMATIC WHEN ALL ORGANS ARE AFFECTED.
Definition
UREMIA
Term
WHAT ARE PIECES OF UREMIA?
Definition
VOLUME DERANGEMENTS, ACID/BASE PROBLEMS, ELECTROLYTE, ENDOCRINE CHANGES, OTHER BUILD UP OF NITROGENOUS WASTES
Term
WHAT ARE SOME ELECTROLYTE IMBALANCES THAT OCCUR WITH UREMIA ARE WHAT?
Definition
HYPERKALEMIA AND HYPOCALCEMIA
Term
WHAT IS THE LEADING CAUSES OF CHRONIC KIDNEY DISEASE?
Definition
DIABETES MELLITUS AND HYPERTENSION
Term
THE KIDNEY HAS AMAZING _______ CAPACITY.
Definition
FUNCTIONAL
Term
___% OF THE NEPHRONS MAY NEED TO BE DESTROYED BEFORE SIGNIFICANT FUNCTION IMPAIRMENT IS SEEN
Definition
90
Term
YOU ARE GENERALLY ASYMPTOMATIC UNTIL GREATER THAN ___% OF RENAL FUNCTION IS LOST.
Definition
60
Term
THE BODY CAN MAINTAIN BASIC KIDNEY FUNCTIONS AT THE EXPENSE OF ....
Definition
OTHER ORGANS
Term
IF YOU DESTROY NEPHRONS THE OTHERS WILL _____ TO MAINTAIN GFR
Definition
HYPERTROPHY
Term
GREATER THAN NORMAL PROTIEN IN THE URINE
Definition
PROTEINURIA
Term
WHAT ARE SOME WAYS TO ASSES RENAL DYSFUNCTION?
Definition
PROTIENURIA, HEMATURIA, H+ ION CONCENTRATION, SPECIFIC GRAVITY, GFR, TUBULAR FUNCTION TESTS, MICROSCOPIC, IVP, RETROGRADE PYELOGRAM, RENAL ANGIOGRAPHY,
Term
WHAT ARE SOME WAYS TO ASSES RENAL DYSFUNCTION?
Definition
PROTIENURIA, HEMATURIA, H+ ION CONCENTRATION, SPECIFIC GRAVITY, GFR, TUBULAR FUNCTION TESTS, MICROSCOPIC, IVP, RETROGRADE PYELOGRAM, RENAL ANGIOGRAPHY,
Term
WHAT ARE THE 2 MAIN WAYS TO ASSESS RENAL DYSFUNCTION?
Definition
BIOCHEMICAL AND MORPHOLOGICAL
Term
IF PROTIEN IN URINE IS GREATER THAN ____ MG/DAY THERE MAY BE A KIDNEY PROBLEM
Definition
150
Term
WHAT DOES PROTIENURIA SIGNAL?
Definition
GLOMERULAR PROBLEM
Term
BLOOD IN URINE
Definition
HEMATAURIA
Term
WHAT DOES HEMATAURIA SUGGEST?
Definition
LOWER URINARY TRACT DISEASE OR RENAL DISEASE
Term
WHAT IS NORMAL H+ ION CONCENTRATION?
Definition
4.5-8
Term
PH ___ AFTER A MEAL, ____ WITH SLEEP AND ____ WITH FEVER
Definition
INCREASES; DECREASES; DECREASES
Term
WHAT DOES ACIDIC URINE INDICATE? ALKALINE?
Definition
URIC ACID IN GOUT; PHOSPHATE STONES OR UTI
Term
USE OF URIMOMETER FOR MEASUREMENT OF OSMOLARITY
Definition
SPECIFIC GRAVITY
Term
WHAT IS NORMAL RANGE FOR SPECIFIC GRAVITY?
Definition
1.01-1.025
Term
IF YOU ARE DEHYDRATED YOUR SPECIFIC GRAVITY CAN CONCENTRATE TO ____.
Definition
1.04
Term
PEEING A LOT AT NIGHT
Definition
NOCTURIA
Term
IN CHRONIC RENAL DISEASE THE KIDNEY LOSES THE ABILITY TO ____ ____
Definition
CONCENTRATE URINE
Term
IF YOU CANNOT CONCENTRATE URINE THE FIRST SIGN IS USUALLY THIS SYMPTOM.
Definition
NOCTURIA
Term
MEASURES THE AMOUNT OF FUNCTIONAL RENAL TISSUE
Definition
GFR
Term
WHAT IS NORMAL GFR?
Definition
115-125 ML/MIN
Term
WHAT IS THE BEST WAY TO MEASURE GFR? WHAT DO WE USE INSTEAD?
Definition
INULIN CLEARANCE; BUN OR ENDOGENOUS CREATINE CLEARANCE
Term
IN ORDER TO DETERMINE THIS YOU MAY NEED TO CHALLENGE THE KIDNEY.
Definition
TUBULAR FUNCTION TEST
Term
IN THIS TEST FILTERED AND EXCRETION SHOULD BE 92% CLEARED ON FIRST PASS. THIS IS A GOOD ESTIMATE OF RENAL PLASMA FLOW.
Definition
PAH EXCRETION
Term
IN THIS TEST YOU RESTRICT THE NA+ IN DIET AND CHECK URINE. IF URINE LOSS IS MORE THAN INGESTED THERE MAY BE A PROBLEM.
Definition
NA+ CONCENTRATION TEST
Term
A 5-DAY TEST WITH A CHALLENDE OF NH4CL TO CHECK PH
Definition
URINE ACIDIFICATION TEST
Term
WHAT ARE THE MOST COMMON ABNORMAL FINDINGS IN THE MORPHOLOGICAL MICROSCOPIC EXAM?
Definition
-RBC > 1/2 PER FIELD
-WBC 3/4 PER FIELD
-BACTERIA
-CAST
Term
MOLDINGS OF THE TUBULES
Definition
CAST
Term
HOW ARE CAST CLASSIFIED?
Definition
ACCORDING TO SHAPE AND CONSTITUENTS OF MUCOPROTIEN MATRICES WITH CELLS AND DEBRIS
Term
WHAT ARE THE CAST TYPES
Definition
HYALINE, RBC LEAKING, WBC, FATTY, OR BROAD AND GRANULAR
Term
A CAST THAT I DEVOID OF CELLS AND CLEAR OR PROTIEN
Definition
HYALINE
Term
CAST THAT IS A LEAKING GLOMERULI
Definition
RBC
Term
CAST OF INFECTION THAT IS OFTEN SEEN IN PYLENONEPHROTIC
Definition
WBC
Term
CAST ASSOCIATED WITH NEPHROTIC SYNDROME
Definition
FATTY
Term
CAST THAT CONTAINS DEAD CELLS. IT IS FORMED IN THE COLLECTING DUCTS AND IS TYPICAL OF ESRF. IT IS CALLED A RENAL FAILURE CAST.
Definition
BROAD, GRANULAR
Term
IN THIS YOU HAVE A CONTRAST MEDIA GIVEN VIA IV AND TAKE X-RAYS TO VISUALIZE THE CORTEX OF THE KIDNEY.
Definition
IVP
Term
IN AN IVP WHAT IS IT INDICITIVE OF IF THE CORTEX IS THIN?
Definition
GLOMERULONEPHRITIS
Term
WHAT IS SUSPECTED IF IN AN IVP THE KIDNEY CORTEX APPEARS MOTH EATN?
Definition
PYLEONEPHRITIS AND ISCHEMIA
Term
IN THIS TEST A CATHETER IS ADVANCED UP THE URETER AND CONTRAST MEDIA IS INJECTED INTO THE RENAL PELVIS.
Definition
RETROGRADE PYELOGRAM
Term
IN THIS RADIOLOGIC TECHNIQUE YOU ADVANCE A CATHETER VIA THE FEMORAL ARTERY TO THE LEVEL OF THE RENAL ARTERY.
Definition
RENAL ANGIOGRAPHY
Term
WHEN IS A RENAL ANGIOGRAPHY USEFUL?
Definition
ARTERIOL STENOSIS, NEOPLASMS, ARTERY AND VEIN ARRANGEMENT
Term
THIS IS WHEN A RENAL TISSUE SAMPLE IS TAKEN FOR MICROSCOPIC EXAMINATION
Definition
RENAL BIOPSY
Term
RENAL BIOPSY IS USEFUL FOR WHAT?
Definition
INTRARENAL BLEEDING
Term
A GENERAL TERM WHICH CAN BE USED TO DESCRIBE ANY EVENT IN WHICH RENAL FUNCTION IS SUDDENLY IMPAIRED; A SUDDEN DROP IN THE OUTPUT OF URINE
Definition
ACUTE RENAL FAILURE
Term
RELATIVE ABRUPT REDUCTION OF RENAL FUNCTION IS CHARACTERIZED BY INCREASEING ______ OVER A PERIOD OF TIME
Definition
AZOTEMIA
Term
THE 3 CATEGORIES OF ACUTE RENAL FAILURE.
Definition
PRE-RENAL, RENAL, POST-RENAL
Term
WHAT 2 ABNORMALITIES DOES PRE-RENAL USUALLY INDICATE?
Definition
RENAL BLOOD FLOW
MYOCARDIAL DYSFUNCTION
Term
WHAT IS THE COMMON ACUTE RENAL FAILURE INTTINISIC CAUSE?
Definition
PARENCHYAL INJURY
Term
THE MOST COMMON CAUSE OF POST-RENAL ARF IS DUE TO A ____ ______ THAT INTERFERES WITH ELIMINATION OF THE THE URINE FROM THE KIDNEY.
Definition
TUBULAR OBSTRUCTION
Term
IN ARF ____% OF THE CASES ARE PRE-RENAL OR RENAL IN NATURE.
Definition
80-95
Term
ARF IS USUALLY MANIFESTED BY URINE OUTPUT OF LESS THAN ____ ML/DAY, A SUDDEN DECREASE IN ____, OFTEN LESS THAN 1-2% OF NORMAL.
Definition
400; GFR
Term
BROAD CATEGORIES OF ARF ARE _____ AND _____ INJURY.
Definition
ISCHEMIC AND NEPHROT0XIC
Term
IN ORDER FOR THE KIDNEY TO EXCRETE THE DAILY LOAD OF WASTE 3 CONDITIONS MUST PREVAIL.
Definition
-ADEQUATELY PERFUSED KIDNEY
-NORMAL KIDNEY FUNCTION
-URINE MUST BE ABLE TO LEAVE THE BODY
Term
NORMALLY THE KIDNEY RECIEVES ___% OF CARDIAC OUTPUT
Definition
20-25
Term
AUTOREGULATION CNA BE OVERCOME IN CONDITIONS OF SEVERE _____ _____.
Definition
VOLUME DEPLETION
Term
WHAT IS THE PRESSURE NEEDED FOR AUTOREGULATION TO BE OVERCOME?
Definition
LESS THAN 65 MMHG
Term
WHAT ARE 5 SITUATIONS THAT BLOOD PRESSURE TO THE KIDNEY COULD BE SEVERLY LOW?
Definition
HEMORRHAGE, LOSS OF ELECTROLYTES, DIURETICS, BURNS, DEHYDRATION
Term
WHEN YOU LOSE VOLUME THE KIDNEY VESSELS _____ AND RENAL BLOOD FLOW AND GFR ____ AND THIS RESULTS IN WHAT IS KNOWN AS A ____ _____ STATE.
Definition
VASOCONSTRICT; FALL, PRE-RENAL
Term
PRE RENA;L AZOTEMIA IS COMMONLY CAUSE BY LOSS OF WHAT?
Definition
EXTRACELLULAR FLUIDS
Term
WITH VASODILATING DRUGS THE VOLUME OF FLUID IS CONSTANT HOWEVER THE DISTRIBUTION IS EXPANDED SO WHAT HAPPENS?
Definition
LESS IS AVAILABLE TO THE KIDNEY
Term
IN THIS STATE YOU GET VENODILATION WITH INCREASE IN CAPACITANCE BED OF THE CIRCULATION.
Definition
GRAM NEGATIVE SEPTIC SHOCK
Term
WHAT ARE SOME OTHER DISEASE STATES THAT CAN CAUSE A PRE-RENAL STATE FOR ARF?
Definition
CHF OR CIRRHOSIS AND NEPHROTIC SYNDROME
Term
IN A PRE-RENAL STATE THERE IS A FALL IN WHAT 2 THINGS?
Definition
URINE OUTPUT, GFR, RENAL PERUFSION
Term
WHAT IS THE NORMAL BUN/SCR RATIO?
Definition
10:1
Term
IN ARF THE BUN/SCR IS WHAT?
Definition
20:1
Term
WHY IS THERE A CONSERVATION OF SODIUM EXCRETION IN A PRE-RENAL STATE.
Definition
IT IS AN ATTEMPT FOR THE BODY TO MAINTAIN BLOOD PRESSURE
Term
SINCE THE KIDNEYS ARE INTRINSICALLY NORMAL IN THE PRE-RENAL STATE YOU WOULD NOT EXPECT TO FIND ____ IN THE URINE.
Definition
PROTIEN
Term
WHAT ARE THE 4 SIGNS YOU LOOK FOR IN PRE-RENAL ARF.
Definition
RAPID PULSE, LOW BP, POOR SKIN TURGOR, DRY MUCOUSAL MEMBRANES
Term
IN PRE-RENAL STATES WHAT MAIN DRUG CLASS DO YOU AVOID AND WHY?
Definition
NSAIDS/ IT INHIBITS PG SYNTHESIS SO YOU VASODILATE THAT WORSENS ISCHEMIA
Term
THE BEST TREATMENT IN PRE-RENAL ARF YOU WOULD SO WHAT.
Definition
RESTORE ADEQUATE VOLUME
Term
PRE-RENAL AZOTEMIA IN THE EDEMATOUS STATE MUST CORRECT THE UNDERLYING CAUSE. WHAT IS AN EXAMPLE OF THIS?
Definition
CHF OR CIRROHISIS
Term
IN ORDER TO DISTINGUISH PRE-RENAL ARF FROM TUBULAR NECROSIS WHAT DO YOU LOOK AT?
Definition
URINE OSMOLARITY AND FRACITONAL EXCRETION OF NA+
Term
IN SUMMARY OF POTENTIAL CAUSES OF PRE-RENAL CONDITIONS LEADING TO ARF ARE WHAT 4 THINGS.
Definition
HYPOVOLEMIA, DECREASED VASCULAR FILLING, HEART FAILURE, DECREASED RENAL PERFUSION
Term
NO URINE OUTPUT AT ALL
Definition
ANURIA
Term
___ ____ RESULTS IF BOTH KIDNEYS ARE COMPLETELY OBSTRUCTED.
Definition
OBSTRUCTIVE UROPATHY
Term
PEEING A LOT
Definition
POLYURIA
Term
IF THERE IS A ___ ____ YOU WILL GET POLYURIA.
Definition
PARTIAL OBSTRUCTION
Term
____ IS RARELY SEEN IN PRE-RENAL OR RENAL PARENCHYMAL DISEASES.
Definition
ANURIA
Term
(T/F) WHEN TALKING ABOUR POST-RENAL ARF OBSTRUCTIONS ALWAYS OCCUR AT THE URETER AND BELOW
Definition
FALSE; BLADDER, OUTLET, ETC
Term
THE MOST COMMON POST-RENAL ARF IN MEN.
Definition
PROSTATIC HYPERPLASIA
Term
OBSTRUCTION OF THE _____ RARELY CAUSES ARF UNLESS ONR IS THE KIDNEYS IS ALREADY DESTROYED.
Definition
BLADDER
Term
(T/F) YOU CANNOT DIAGNOSE POST-RENAL CONDIIONS WITH URINALYSIS
Definition
TRUE; IT IS USUALLY NORMAL
Term
HOW DO YOU TREAT POST-RENAL ARF.
Definition
REMOVE OBSTRUCTION
Term
WHAT OCCURS TO THE URINE AFTER REMOVAL OF A POST-RENAL OBSTRUCTION
Definition
POLYURIA
Term
IN POLYURIA FOLLOWING A POST0RENAL ARF URINE IS ____ COMPARED WITH PLASMA.
Definition
ISOMOLAR
Term
WHAT NEEDS TO BE GIVEN IN POLYURIA OF POST-RENAL ARF
Definition
FLUID REPLACEMENT
Term
RENAL PARENCHYMAL DISEASE IS CAUSED BY A VARIETY OF MECHANISMS THAT DAMAGE WHAT?
Definition
STRUCTURES IN THE KIDNEY
Term
NAME 5 CAUSES OF RENAL PARENCHYMAL DISEASE.
Definition
IMMUNOLOGICAL, ALLERGIC, OBSTRUCTION LEADING TO NECROSIS, ISCHEMIC, TOXINS
Term
OBSTRUCTION AND SUBSEQUANT NECROSIS CAN RESULT FROM _____.
Definition
HYPERURICEMIA PRECIPITATES
Term
IF BLOOD FLOW TO THE KIDNEY IS BLOCKED FOR MORE THAN ___ MINUTES THERE CAN BE ACUTE TUBULAR DAMAGE.
Definition
40
Term
___% OF RENAL ARF FALL INTO THE CATEGORY OF ACUTE TUBULAR NECROSIS..
Definition
80
Term
WHAT KIDNEY CELLS ARE SPECIFICALLY SENSITIVE TO ANOXIA.
Definition
EPITHELIA
Term
TUBULAR DAMAGE TRIGGERS WHAT OF THE PREGLOMERULAR ARTERIOLES TO REDUCE ARF
Definition
VASOCONSTRICTION
Term
WHAT HAPPENS TO URINE IN TUBULAR DAMAGE AND WHY.
Definition
OLIGURIA; TUBULAR DEBRIS MAY BLOCK URINE OUTPUT
Term
WHAT CANNOT BE DAMAGED IF KIDNEY FUNCTION IS TO BE RESTORED IN ATN?
Definition
BASEMENT MEMBRANE
Term
WHAT CANNOT BE DAMAGED IF KIDNEY FUNCTION IS TO BE RESTORED IN ATN?
Definition
BASEMENT MEMBRANE
Term
(T/F)RENAL ARF IS MUCH WORSE THAN PRE-POST RENAL ARF
Definition
TRUE
Term
WHAT HAPPENS TO THE KIDNEY MORPHOLGICALLY IN RENAL ARF.
Definition
KIDNEY WILL SWELL
Term
AFTER A FEW DAYS OF INJURY WHAT WILL DEVELOP?
Definition
UREMIC SYNDROME
Term
WHERE IS TREATMENT DIRECTED FOR RENAL ARF?
Definition
THE UNDERLYING DISEASE
Term
WHY IS ATN A MISNOMER?
Definition
NOT ALL ATN INVOLVE THE TUBULES
Term
ACUTE, POTENTIALLY REVERSIBLE DECREASE IN RENAL FUNCTION FOLLOWING TOXIC KIDNEY INJURY OR ISCHEMIC KIDNEY INJURY
Definition
ACUTE TUBULAR NECROSIS
Term
ATN HAS DESTRUCTIONS OF THE ____ CELLS WITH ACUTE SUPRESION OF RENAL FUNCTION.
Definition
EPITHELIAL
Term
WHAT IS THE CHARACTERISTIC URINE PATTERN FOR ATN?
Definition
OLIGURIA FOLLOWED BY POLYURIA
Term
WHICH OF THE FOLLOWING INCREASE IN ATN? DECREASE? GFR, BUN, PLASMA CREATINE, REABSORBTION
Definition
DECREASE- GFR, REABSORBTION
INCREASE- BUN, SCR
Term
IN ATN URINE CONCENTRATION IS (SAME, INCREASED OR DECREASED) THAT OF THE PLASMA
Definition
SAME
Term
IN URINE CONCENTRATION IN ATN NA IS ___, AND k IS ______.
Definition
DECREASED, INCREASED
Term
WHAT KIND OF CASTS ARE PRESENT IN ATN?
Definition
EPITHELIAL
Term
WILL THE GFR OF ATN RETURN TO NORMAL AFTER RENAL BLOOD FLOW IS RETURNED TO NORMAL?
Definition
NO
Term
WHAT IS THE MAJOR CAUSE OF ATN?
Definition
NEPHROTIC DRUGS OR , PRE RENAL DISEASES, SYSTEMIC INJURIES, OBSTRUCTIONS, VERY RARELY DE NOVO
Term
WHAT CAN INCREASE YOUR RISK OF ATN?
Definition
DRUGS, ANESTHETICS, ORGANIC SOLVENTS, HEAVY METALS, DYES
Term
WHAT ARE TEH DRUG CLASSES THAT CAN INCREASE YOUR RISK OF ATN?
Definition
SULFONAMIDES, AMINOGLYCOSIDE, CANCER CHEMOTHERAPEUTICS
Term
WHAT ANESTHETIC INCREASES YOUR RISK OF ATN?
Definition
METHOXYFURANE
Term
WHAT ORGANIC SOLVENT CAN INCREASE YOUR RISK OF ATN?
Definition
ETHYLENE GLYCOL
Term
WHAT HEAVY METAL PUTS YOU AT RISK FOR ATN?
Definition
LEAD MERCURY
Term
WHAT IS A SALYCYLATE THAT CAN HARM YOUR KIDNEY IN ATN?
Definition
ASPIRIN
Term
WHAT COMBINES WITH OTHER RISK FACTORS OF ATN TO CAUSE A NECROSIS AND ISCHEMIA.
Definition
DEHYDRATION
Term
WHAT ARE SOME SYSTEMIC INJURIES THAT PUT YOU AT RTISK FOR ATN?
Definition
SEVERE TRAUMA, HEAT STROKE, OVERDOSE, MYOGLOBURNURIA, RHABDOMYLOSIS, FLUID LOSS, PREGNANCY, ISCHEMIA
Term
WHAT DRUG OD CAN CAUSE ATN?
Definition
METHADONE OR HEROIN
Term
DISINTEGRATION OF MUSCLE ASSOCIATED WITH AN INCREASE IN MYOGLOBIN IN THE URINE IF EXTENSIVE AND INTENSE PHYSICAL EXERTION AND IN PEOPLE THAT EXERCISE THAT HAVE OCCULSICE ARTERIAL DISEASE?
Definition
RHABDOMYILYSIS
Term
WHAT THREE ISSUES CAN CONTRIBUTE TO THE LOSS OF FLUIDS THAT CAN CAUSE ATN?
Definition
SEPTIC SHOCK, BURNS AND LOSS OF FLUID TO GUT
Term
WHAT PARTS OF A COMPLICATED PREGNANCY CAN LEAD TO ATN?
Definition
HYPOTENSION, HEMORRHAGE
Term
WHAT OBSTRUCTIONS CAN CAUSE ATN?
Definition
MYELOMA LIGHT CHAINS, EXCESS URIC ACID, MYOGLOBIN, HEMOGLOBIN
Term
WHAT ARE THE 4 EFFECTS OF ATN?
Definition
DECREASE GFR, TUBULAR DYSFUNCTION, LOW URINE OUTPUT, INCREASED PERATUBULAR PRESSURE
Term
WHAT ARE THE 4 THEORIES OF PATHOPHYSICOLOGY OF ATN?
Definition
REDUCTION OF RBF, OBSTRUCTION, BACK LEAKAGE, REDUCTION OF GFR
Term
WHAT DOES PROFOUND DROP OF RENAL BLOOD FLOW LEAD TO?
Definition
ISCHEMIA AND TUBULAR ANOXIA
Term
WHERE DOES BACKLEAKAGE OF TUBULAR FLUID GO?
Definition
RENAL INTERSTITIAL SPACES
Term
WHAT COULD CAUSE A REDUCTION OF GFR THAT IS A THEORY OF ATN?
Definition
GLOMERULI STRUCTURE ALTERATIONS
Term
WHAT ARE THE 3 PHASES OF CLINICAL ATN?
Definition
INITIATION, MAINTENANCE, AND RECOVERY
Term
TIME OF THE PRECIPTIATING EVENT UNTIL TUBULAR INJURY OCCURS.
Definition
INITITATION PHASE OF ATN
Term
HOW LONG DOES IT TAKE FOR OLIGURIA AND AZOTEMIA TO PRESENT IN ATN?
Definition
24-48 HOURS
Term
WHAT DISTINGUISHES ATN FROM PRE-RENAL OLIGURIA?
Definition
BUN IS LESS THAN 10:1 IN ATN AND URINE IS 1:1, K IS NOT SECRETED
Term
_____ IS IMPORTANT IN PREVENTING PRE-RENAL OLIGURIA FROM GETTING TO THE ATN STATE.
Definition
VOLUME
Term
_____ IS IMPORTANT IN PREVENTING PRE-RENAL OLIGURIA FROM GETTING TO THE ATN STATE.
Definition
VOLUME
Term
WHAT IS THE URINE OSM OF PRE-RENAL OLIGURIA? ATN?
Definition
GREATER THAN 350; LESS THAN 350
Term
WHAT IS THE URINE NA OF PRE-RENAL OLIGURIA? ATN?
Definition
LESS THAN 20; GREATER THAN 40
Term
WHAT IS THE URINE PROTIEN OF PRE-RENAL OLIGURIA? ATN?
Definition
NONE/TRACE; +1
Term
WHAT IS THE URINE SEDIMENT OF PRE-RENAL OLIGURIA? ATN?
Definition
NORMAL; DIRTY
Term
DURING THIS PHASE OF ATN THERE IS A DECREASE IN GFR, FLUID RETENTION, HYPERTENSION, UREMIA AND POSSIBLY NEUROLOGICAL MANIFESTATIONS.
Definition
MAINTENANCE PHASE
Term
THIS PHASE OF ATN HAS TUBULAR PHASE OF UP TO 1 YEAR WHILE THE CONCENTRATING ABILITY GRADUALLY IMPROVES.
Definition
RECOVERY PHASE
Term
DURING RECOVERY PHASE ___ INCREASES AND ____ DECREASES.
Definition
URINE; SERUM CREATINE
Term
DURINE THE RECOVERY PHASE OF ATN 25% OF PATIENTS DIE BECAUSE ___ MAY OCCUR BEFORE RENAL FUNCTION IS CORRECTED.
Definition
DIURESIS
Term
(T/F) ALTHOUGH ATN CAN BE REVERSED THAT MORTALITY RATE IS VERY HIGH
Definition
TRUE
Term
____ LOADING CAN HELP PREVENT ATN BEFORE SURGERY.
Definition
VOLUME
Term
WHAT CONDITIONS CAN RESULT IN CHRONIC KIDNEY DISEASE.
Definition
HYPERTENSION, DIABTES, GLOMERULUONEPHROTIS, OTHER KIDNEY DISEASES
Term
THERES ARE __ STAGES OF KIDNEY DISEASE THAT DEPEND ON GFR.
Definition
5
Term
WHAT IS GFR AT PHASE 1? 2? 3? 4? 5?
Definition
GREATER THAN 90, 60, 30, 15, LESS THAN 15
Term
WHAT MUST ACCOMPANY A GFR OF GREATER THAN 90 FOR CKD TO BE STAGE 1.
Definition
KIDNEY DAMAGE SUCH AS PROTEINURIA, URINE SEDIMENT, ABNORMAL BLOOD
Term
(T/F) STAGES 1 AND 2 OF CKD HAVE SOME SYMPTOMS FROM THEIR DECREASED GFR
Definition
FALSE
Term
WHAT ORGAN SYSTEMS IN PARTICULAR ARE AFFECTED BY CKD?
Definition
ANEMIA, IONIC AND WATER ABNORMALITIES
Term
WIN STAGE 5 OF CKD TOXIN ACCUMULATE AND ____ ___ IS EVIDENT
Definition
UREMIC SYNDROME
Term
CKD IS DEFINED AS EITHER KIDNEY DAMAGE OR A GFR OF LESS THAN ___ FOR MORE THAN ___ MONTHS.
Definition
60; 3
Term
GFR OF LESS THAN 15 AND SIGNS AND SYMPTOMS OF UREMIA THAT REQUIRES THE NEED FOR TRANSPLANT.
Definition
KIDNEY FAILURE
Term
A TERM THAT INDICATED THE PERSON IS BEING TREATED WITH DIALYSIS AND TRANSPLANTS
Definition
END STAGE RENAL DISEASE
Term
THE REASON THE DAMAGE TO THE KIDNEY IS NOT EVIDENT UNTIL LATE OF CKD IS BECAUSE THE KIDNEY _____ AND NEPHRONS ______ IN AN ATTEMPT TO MAINTAIN RENAL FUNCTION.
Definition
ADAPTS, HYPERTROPHY
Term
AS MANY AS 90% OF THE NEPHRONS MAY BE DESTROYED BEFORE SIGNIFICANT FUNCTIONAL IMPAIRMENT IS SEEN.
Definition
FUNCTIONAL RESERVE
Term
WHY DOES THE ADAPTIVE COMPATIABILITY OF HYPERTRIPHY AND HYPERFILTRATION BECOME MALADAPTIVE.
Definition
INCREASED PRESSURE AND FLOW MAY CAUSE SCLEROSIS OF THE OTHER NEPHRONS
Term
WHAT ARE THE 2 BROAD MECHANISMS OF DAMAGE IN CKD?
Definition
INITIATING AND PROGRESSIVE
Term
INITIATING MECHANISMS OF CKD ARE SPECIFIC TO WHAT?
Definition
THE UNDERLYING ETIOLOGY
Term
IN THE PROGRESSIVE MECHANISM OF CKD THERE IS ____ AND ____ OF THE REMAINING NEPHRONS AND REDUCTION OF RENAL MASS.
Definition
HYPERTRIPHY AND HYPERFILTRATION
Term
WHAT AGE IS PEAK GFR?
Definition
30
Term
HOW MUCH DOES GFR DECREASE PER YEAR AFTER 30?
Definition
1 ML/MIN/1.73 M2
Term
WHAT IS THE AVERAGE GFR AT 70?
Definition
70
Term
WHO HAS LOWER GFR: MEN OR WOMEN?
Definition
WOMEN
Term
THE MEASUREMENT OF ____ IS HELPFUL FOR MONITROING NEPHRON INJURY AND THE RESPONSE TO THERAPY IN FORMS OF CKD.
Definition
ALBUMINURIA
Term
WHAT ARE THE 2 MAJOR CATEGORIES OF CKD?
Definition
GLOMERULAR DISORDERS AND TUBULOINTERSTITUAL DISORDERS
Term
THIS FORM OF CKD IS ACUTE OR CHRONIC, WHERE THE CHRONIC PRODUCES FIBROSIS, ATROPHY MONONUCLEAR INFILTRATES AND FLUID OR ELECTROLYTE IMBALANCES RESULTING IN INABILITY TO CONCETRATE URINE, POLYURIA, NOCTURIA, METABOLIC ACIDOSIS AND LOWER NA REABSORPTION
Definition
TUBULOINTERSITITAL DISORDER
Term
INFECTION OF THE KIDNEY PAENCHYMA AND RENAL PELVIS
Definition
PYELONEPHRITIS
Term
THIS DISORDER REPRESENTS AN INFECTION OF UPPER URINARY TRACT, USUALLY WITH GRAM NEGATIVE BACTERIA. HIGHER IS DIABETICS, CATHERTIRZATION AND VESICOURETERAL
Definition
ACTURE PYELONEPHRITIS
Term
WHAT ARE THE CLINICAL FEATURES OF ACUTE PYLEONEPHRITIS.
Definition
FEVER, PAIN IN ABS, DYSURIA, URGENCY, FREQUENCY, FATIGUE, NAUSEA
Term
HOW LONG DOES IT TAKE FOR ACUTE PYLEONEPHRITIS TO CLEAR UP ON ITS OWN
Definition
2 WEEKS
Term
THIS DISEASE REPRESENTS A PROGRESSIVE PROCESS OF SCARRING AND DEFORMATION OF RENAL STRUCTURES OFTEN FROM RECURRENT INFLAMMATION AND REFLUX
Definition
CHRONIC PYLEONEPHRITIS
Term
WHAT ARE THE CLINICAL FEATUERS OF CHRONIC PYLEONEPHRITIS
Definition
RECURRENT UTI, ISIDIOUS ONSET, LOSS OF TUBULAR FUNCTION RESULTING IN POLYURIA AND NOCTURIA, HYPERTENSION
Term
CHRONIC PYLEONEPHRITIS RESULTS IN __% OF ESRD.
Definition
10-20
Term
FUNCTIONAL OR STRUCTURAL CHANGES IN THE KIDNEY IN RESPONSE TO EXPOSURE TO DRUG.
Definition
DRUG RELATED NEUROPATHY
Term
NAME SOME FACTORS THAN CAN EFFECT HOW YOU TOLERATE DRUGS AND THEIR METABOLITES.
Definition
AGE, HYDRATION, RENAL FUNCTION, BP, PH
Term
DRUG DAMAGE TO THE KIDNEY CAN OCCUR IN 4 WAYS.
Definition
DECREASED RBF, URINE OBSTRUCTION, DAMAGE TO THE TUBULOINTERSTITIAL, HYPERSENSITIVITY
Term
____ CAN INHIBIT PG TO CAUSE INTERSTITIAL NEPHRITIS WITH PAPILLARY NECROSIS
Definition
NSAIDS
Term
ABOUT 2 WEEKS AFTER DRUG EXPOSURE THAT CAN CAUSE TUBULOINTERSTITIAL NEPHRITIS TO DAMAGE THE TUBULE AND INTERSTITIUM
Definition
DRUG HYPERSENSITIVITY
Term
WHAT IS THE INTIAL SIGNS OF DRUG HYPERSENSITIVITY.
Definition
FEVER, EOSINIPHILIA, HEMATURIA, MILD PROTEINURIA, RASH
Term
WHAT CELLS ARE PROLIFERATIVE IN GLOMERULAR DISEASES?
Definition
ENDOTHELIAL, MESANGIAL, LEUKOCYTES, AND CRESCENT FORMATIONS
Term
WHAT HAPPENS TO THE BASEMENT MEMBRANE IN GLOMERULAR DISEASE?
Definition
THICKENING
Term
IN GLOMERULAR DISEASE THERE ARE DIFFUSE GLOMERULAR CHANGES INCLUDING FOCAL, SEGMENTAL _____ AND ______
Definition
SCLEROSIS AND FIBROSIS
Term
A MAJOR CAUSE OF GLOMERULONEPHRITIS IS A DISEASE THAT PROVOKES A _____ RESPONSE OF THE ENDOTHELIAL, MESANGIAL OR EPITHELIAL CELLS OF THE GLOMERULUS.
Definition
INFLAMMATORY
Term
INFLAMMATORY PROCESS DAMAGES THE ___ WALL, PERMITS ___ AND ___ TO ESCAPE TO THE URINE AND PRODUCES HEMODYNAMIC CHANGES THAT DECREASE ____.
Definition
CAPILLAR; RBC; PROTEINS; GFR
Term
THE NUMBER FOR PRIMARY RENAL DISEASE AFFECTING THE GLOMERULUS AND THE GLOMERULAR LESIONS THAT MAY NOT BE THE RESULT OF PRIMARY DISEASE
Definition
GLOMERULONEPHRITIS
Term
WHAT DISEASES CAN MANIFEST TO GLOMERULONEPHRISITS?
Definition
DIABETES, HYPERTENSION, SLE
Term
____ FORM AGAINST THE GLOMERULAR BASEMENT MEMBRANE AND FORM A LINEAR PATTERN.
Definition
GLOMERULAR ANTIBODIES
Term
WHAT IS AN EXAMPLE IN WHICH ANTIBODIES FORM AGAINST THE BASEMENT MEMBRANT
Definition
GOODPASTURES SYNDROME
Term
IN ____ ______ THE ANTIBODY COMPLEXES DAMAGE THE BASEMENT MEMBRANE TO GIVE A GRANULAR PATTERN OF IMMUNE COMPLEXES.
Definition
CIRCULATING ANTIGEN
Term
WHAT IS SOME TYPE 3 INJURIES THAT RESULT IN GLOMERULAR DISEASE.
Definition
LUPUS, GN
Term
WHAT ARE URINARY CHANGES TO GLOMERULONEPHRITIS?
Definition
PROTEINNURIA, HEMATURIA, PYURIA, EDEMA, LOW GFR, AZOTEMIA, OLIGURIA, HYPERTENSION
Term
PUS IN THE URINE
Definition
PYURIA
Term
MOST GLOMERULAR DISEASES PRODUCE NEPHRITIC AND NEPHROTIC SYNDROMES FO DIAGNOSIS MAY REQUIRE ____ _____.
Definition
RENAL BIOPSY
Term
A DISEASE OF THE GLOMERULAR BASEMENT MEMBREANT THAT HAS NUMEROUR CAUSES AND RESULTS IN INCREASED PERMEABILITY TO PLASMA PROTEINS, GENERALIZED EDEMA, AND DECREASED PLASMA ONCOTIC PRESSURE.
Definition
NEPHROTIC SYNDROME
Term
WHAT ARE TEH 3 MAJOR CHARACTERISTICS OF NEPHROTIC SYNDROME.
Definition
HYPOALBUMINURIA, PROTEINURIA AND HYPERLIPIDEMIA
Term
THE CAUSE OF HYPERLIPIDEMIA IN NEPHROTIC SYNDROME IS UNKNOWN HOWEVER THE CHLOSETERAL CAN EXCEED ____ MG/ DL AND INCREASES RISK OF ATHEROSCLEROSIS.
Definition
300
Term
WHAT ARE THE TYPES OF NEPHROTIC SYNDROME?
Definition
MINIMAL CHANGE GOMERULONEHPRITIS, MEMBRANEOUS GLOMERULONEPHRITIS, FOCAL SEGMENTAL GLMERULOSCLEROSIS
Term
WHAT IS ANOTHER NAME FOR MINIMAL CHANGE GLOMERULONEPHRITIS.
Definition
LIPOID NEPHROSIS
Term
WHAT TYPE OF NEPHROTIC SYNDROME HAS NORMAL APPEARING GLOMERULI IN A LIGHT MICROSCOPE, SELECTIVE ELECTRONEGATIVE PROTEIN LOSS, A GOOD RESPONSE TO STEROID TREATMENT AND IS MORE COMMON IN CHILDREN?
Definition
LIPOID NEPHROSIS
Term
WHAT TYPE OF NEPHROTIC SYNDROME IS MOST COMMON IN ADULTS, HAS DIFFUSED THICHKING OF THE GLOMERULAR BASEMENT MEMBRANE DUE TO IMMUNE COMPLEX DEPOSITION, THICKENED GLOMERULI IN LIGHT MICROSCOPES, UNSELECTIVE PROTIEN LOSS AND IS USUALLY UNRESPONSIVE TO STEROID TREATMENT.
Definition
MEMBRANSOUS GLOMERULONEPHRITIS
Term
IN WHAT TYPE OF NEPHROTIC SYNDROME IS THE GLIMERULI SCLEROTIC, MORE COMMON IN HISPANICS AND AFRICAN AMERICANS, HAS HYPERTENSION AND DECRESED RENAL FUNCTION AND MAY BE TREATED WITH STEROIDS
Definition
FOCAL SEGMENTAL GLOMERULOSCLEROSIS
Term
CLINCIAL CORRELATE OF ACUTE GLOMERULAR INFLAMMATION USUALLY CHARACTERIZED BY SUDDEN HEMATURIA, OLIGURIA AND SOME PROTIENURIS.
Definition
NEPHRITIC SYNDROME
Term
IN NEPHRITIC SYNDROM THE INFLAMMATORY PROCESS CAN OCCULDE THE GLOMERULAR CAPILLARY LUMEN AND DAMAGE?
Definition
CAPILLARY WALL
Term
NEPHRITIC SYNDROME HAS DECREASED ___ AND ENHANCED ___ AND ___ RETENTION RESULTING IN EDEMA AND HYPERTENSION
Definition
GFR; SALT; WATER
Term
WHAT IS THE URINE SPECIFIC GRAVITY IN CKD?
Definition
1.008-1.012
Term
IN CKD THE ABILITY TO REGULATE SODIUM EXCRETION IS _____.
Definition
REDUCED
Term
THIS IS COMMON IN ADVANCED KIDNEY FAILURE AS TUBULAR REABSORPTION IS IMPARIED.
Definition
SALT WASTING
Term
FOR SALT WASTING IF YOU EAT ____ GFR MAY IMPROVE.
Definition
NA
Term
IN CKD POTASSIUM EXCRETION IS ____ AS KIDNEY ADAPTS TO THE GFR.
Definition
INCREASED
Term
___ RESULTS IN CONSTRIPATION, ACIDOSIS, TRAUMA OR INFECTION.
Definition
HYPERKALEMIA
Term
THE KIDNEY REGULATES PH BY SECRETING ___ AND REABSORBING ____ AND PRODUCING AMMONIA TO BUFFER ACID.
Definition
H+ AND BICARBONATE
Term
AS KIDNEY FUNCTIONS DECLINES ___ ___ MAY OCCUR ESPECIALLY IN DIARRHEA.
Definition
METABOLIC ACIDOSIS
Term
__ OF PEOPLE WITH STAGE 3 CKD HAVE ANEMIA.
Definition
HALF
Term
WHAT CONTRIBUTES TO ANEMIA IN CKD
Definition
BLOOD LOSS, HEMOLYSIS, BONE MARROW SUPPRESION, DECREASED RBC PRODUCTION
Term
WHY IS THERE A DECREASED RBC PRODUCTION IN CKD?
Definition
IRON DEFICENCY AQND IMPAIRED ERYTHROPOIETIN PRODUCTION
Term
____ CONTRIBUTES TO WEAKNESS, FATIGUE, DPRESSION, INSOMNIA, AND LOW COGNITIVE FUNCTION WITH CKD.
Definition
ANEMIA
Term
ANEMIA RESULTS IN ___ BLOOD VISCOSITY AND ____ IN HR.
Definition
DECREASED; INCREASES
Term
ANEMIA LIMITS MYOCARDIAL OXYGEN SUPPLU PREDISPOSING PATIENTS TO ____ EVENTS.
Definition
ISCHEMIC
Term
____ IS A MAJOR CAUSE OF DEATH IN PATIENTS WITH CKD.
Definition
CARDOVASCULAR DISEASE
Term
WHAT IN THE CARDIO SYSTEM CHANGES WITH CKD.
Definition
LIPID ABNORMALITIES, HYPERTENISON, LV HYPERTROPHY, HEART DISEASE, CHF, PERICARDITIS
Term
IN CKD WHAT LIPID ABNORMALITIES ARE PRESENT?
Definition
LOW HDL, INCREASED TRIGLYCERIDES AND LIPOPROTIENS
Term
PERICARDITIS OCCURS IN ABOUT ___% OF PATIENTS IN DIALYSIS.
Definition
20
Term
DISORDERS OF ___ AND ___ OCCUR EARLY IN THE COURSE OF CKD DUE TO IMPARIED PHOSPHATE ELIMINATION AND VITAMIN D ACTIVATION.
Definition
CALCIUM AND PHOSPHORUS
Term
WHAT HORMONE IS RELEASE WHEN SERUM PHOSPHATE LEVELS RISE IN ORDER TO INCREASE CALCIUM.
Definition
PTH
Term
CALCIUM CAN CONVERT INACTIVE VITAMIN D TO _____ THE ACTIVE FORM OF VITAMIN D.
Definition
CALCITROL
Term
____ SUPPRESSES PTH.
Definition
CALCITROL
Term
PEOPLE WITH CKD CAN DEVELOP SECONDARY _______.
Definition
HYPERPARATHYROIDISM
Term
____ DISEASE IN CKD CAN LEAD TO BONE PAIN AND WEAKNESS.
Definition
BONE
Term
WHAT IS NORMAL BUN?
Definition
8-20
Term
IN CKD THE HIGHEST BUN CAN GET IS ____.
Definition
800
Term
NEUROPATHY THAT IS SYMMETRICAL AND INCLUDES BOTH MOTOR AND SENSORY NERVES.
Definition
PERIPHERAL
Term
SOME GI MAIFESTATIONS OF CKD INCLUDE ANOREXIA, NAUSEA, VOMITTING, AND ____ TASTE IN THE MOUTH.
Definition
METALLIC
Term
THERE CAN ALSO BE ULCERATIONS AND BLEEDING OF THIS ORGAN IN CKD.
Definition
GI MUCOSA
Term
WITH ACCUMULATION OF NITROGEN WASTE THERE MAY BE INCREASED INFECTION RESULTING IN DEFECTIVE _____, IMPAIRED HUMORAL AND CMI.
Definition
PHAGOCYTES
Term
IMPOTENCE IS INN ___% OF MALE PATIENTS ON DIALYSIS.
Definition
56
Term
DECREASED TESTOSTERON AND ANEMIC MAY DECREASE ____ IN MEN.
Definition
LIBIDO
Term
IN WOMEN ON DIALYSIS THIS SEXUAL ABNORMAILITY IS COMMON.
Definition
AMENORRHEA
Term
WHAT HAPPENS TO THE SKIN IN CKD?
Definition
DRYNESS, PRUITUS, BRUISING
Term
WHAT HAPPEN TO THE FINGERNAILS IN CKD?
Definition
THIN AND BRITTLE
Term
IN UREMIA DRUG METABOLISM VIA HYDROLYSIS IS ____.
Definition
SLOWED
Term
IN DIABTETICS WHAT DRUG WOULD HAVE TO BE REDUCED AS KIDNEY DETERIORATES.
Definition
INSULIN
Term
WHAT ANTACIDS SHOULD YOU NOT USE IN KIDNEY DISEASE.
Definition
PHOSPPHATE-BINDING
Term
A DECREASE IN ALBUMIN MAY RESULT IN A ___ AMOUNT OF FREE DRUG CIRCULATING.
Definition
FREE
Term
SOME DRUGS THAT CONTAIN NITROGEN AND SHOULD NOT BE USED IN CKD ARE?
Definition
PENICILLIN, ANACIDS
Term
FLUID OR SEMISOILD FILLED SACS OR SEGMENTS OF A DILATED NEPHRON
Definition
CYSTIC DISEASE
Term
WHAT CAN CAUSE CYSTIC KIDNEY DISEASE?
Definition
TUBULAR OBSTRUCTION, CHANGES IN THE BASEMENT MEMBRANE
Term
WHAT ARE THE 3 TYPES OF CYSTIC DISEASE?
Definition
RENAL CYSTS, MEDULLARY CYSTIC DISEASE, POLYCYSTIC DISEASES
Term
HOW MANY GENES CONTRIBUTE TO POLYCYSTIC DISEASE?
Definition
1
Term
IN THE ____ _____ FORM OF INHERITED CYSTIC DISEASE THOUSANDS OF LARGE CYSTS ARE DERIVED FROM EVERY SEGMENT OF THE NEPHRON.
Definition
AUTOSOMAL DOMINANT
Term
IN THE ____ _____ VERSION OF PCKD THE CYSTS ARE DERIVED FROM THE COLLECTING TUBULES WHICH REMAIN CONNECTED TO THE NEPHRON IN ORIGIN.
Definition
AUTOSOMAL RECESSIVE
Term
WHICH PCKD IS MORE COMMON IN ADULTS? MORE RARE?
Definition
AUTOSOMAL DOMINANT; AUTOSOMAL RECESSIVE
Term
ADPKD REQUIRES __% OF TRANSPLANTS AND DIALYSIS EACH YEAR. __% WILL DEVELOP KIDNEY FAILURE BY AGE 60.
Definition
10; 50
Term
CYSTS BEGIN TO FORM AT WHAT AGE IN ADPKD?
Definition
20S
Term
ADPKD IS A ____ DISORDER AFFECTING OTHER ORGANS LIKE THE LIVER.
Definition
SYTEMIC
Term
PKD1 MAKES UP __% OF THE CASES ALTHOUGH PKD2 DEVELOPS LATER LIKE IN THE 70S.
Definition
85
Term
THE MUTATED GENE OF ADPKD IS A MUTATED GENE IN THE CILIA THAT LINE THE TUBULAR EPITHELIUM CALLED ______.
Definition
POLYCYTIN
Term
_____ ACT AS SENSORS FOR URINARY FLOW AND ARE SIGNAL TRANSDUCERS FOR TUBULAR CELL PROLIFERATION, DIFFERENTIATION AND APOPTOSIS.
Definition
CILIA
Term
A DEFECTIVE ____ ____ UNDER THE EPOTHELIAL LAYER ALLOWS FOR DILATION AND CYST FORMATION IN ADPKD.
Definition
BASEMENT MEMBRANE
Term
WHAT ARE THE CLINICAL FEATURES OD ADCKD?
Definition
HYPERTENSION, PROTEINURIA, LARGE KIDNEY VOLUMES
Term
IN ADPKD HAS _____ FROM THE LARGE CYSTS, ____ FROM BLEEDING OF THE CYSTS, _____ FROM THE CYSTS.
Definition
PAIN; HEMATURIA, INFECTIONS
Term
____% OF ADPKD HAVE KIDNEY STONES.
Definition
15-20
Term
KIDNEY STONES
Definition
NEPHROLITHIASIS
Term
MEDULLARY CYSTIC DISEASE COMPLEX
Definition
NEPHRON PHTHISIS
Term
THIS HAS AN AUTOSOMAL DISORDER THAT IS ONSET IN CHILDHOOD WITH SMALL AND SHRUNKEN KIDNEYS WITH VARIABLE BUMBERS OF CYSTS.
Definition
NEPHRON PHTHISIS
Term
THE INTIAL INSULT OT THE NEPHRON PHTHSIS IS IN THE ____ _____.
Definition
DISTAL TUBULE
Term
NEPHRON PHTHISIS IS ____% OF RENAL FAILURE IN CHILDREN.
Definition
10-25
Term
WHAT ARE SOME SYMPTOMS OF NEPHRON PHTHISIS.
Definition
POLYURIA, POLYDIPSIA, BEDWETTING, SALT WASTING, STUNTED GROWTH, ANEMIA
Term
THIS IS A COMMON ACQUIRES DISORDER OF THE KIDNEY WHERE CYSTS ARE CONFINED TO THE CORTICAL REGION AND ARE USUALLY ASYMPTOMATIC AND COMMON IN PEOPLE OVER 50.
Definition
SIMPLE AND ACQUIRED RENAL CYSTS
Term
WHAT ARE THE SYMPTOMS OF SIMPLE AND ACQUIRED RENAL CYSTS.
Definition
FLANK PAIN, HEMATURIA, INFECTION, HYPERTENSION
Term
RENAL OBSTRUCTIVE DISORDERS CAN OCCUR AT ANY AGE AND ANY LEVEL, MAY BE SUDDEN OR INSIDOUS, PARTIAL OR COMPLERE AND ARE USUALLY _____.
Definition
REVERSIBLE
Term
WHAT ARE SOME CAUSES OF A URINARY TRACT OBSTRUCTION?
Definition
DEVELOP DEFECTS, STONES, PREGENANCY, PROSTATIC HYPERPLASIA, SCAR TISSUE, TUMORS, NEUROLOGICAL DISORDERS
Term
WHAT ARE SOME DAMAGING EFFECTS OF A URINE OBSTRUCTION?
Definition
STASIS OF URINE AND BACK PRESSURE
Term
URINE FILLED DILATION OF RENAL PELVIS ASSOCIATED WITH ATROPHY OF THE KIDNEY DUE TO OBSTRUCTION
Definition
HYDRONEPHROSIS
Term
WHAT CAUSES MORE PAIN AN ACUTE OR INSIDIOUS OBSTRUCTION?
Definition
ACUTE
Term
ACUTE BILATERAL OBSTRUCTION CAN MIMIC WHAT DISEASE?
Definition
PRE-RENAL FAILURE
Term
WHAT ARE SOME SIGNS OF A RENAL OBSTRUCTION?
Definition
POLYURIA AND NOCTURIA, HYPERTENSION
Term
WHAT IS THE MOST COMMON CUASE OF UPPER URINARY TRACT OBSTRUCTION?
Definition
RENAL CALCULI
Term
WHAT IS THE MOST COMMON CUASE OF UPPER URINARY TRACT OBSTRUCTION?
Definition
RENAL CALCULI
Term
POLYCYSTALLINE AGGREGATES COMPOSED OF MATERIAL THAT THE KIDNEY NORMALLY EXCRETES IN URINE
Definition
URINARY CALICULI
Term
WHAT DOES STONE FORMATION DEPEND ON?
Definition
CONCENTRATION OF URINE, PRESENCE OF A NUCLEUS FOR FORMATION, AND DEFICENCY OF AN INHIBITOR
Term
WHAT IS AN INHIBITORY FOR STONE FORMATION AND WHEN MIGHT IT BE LOW?
Definition
CITRATE; ACIDOSIS, FASTING, HYPERKALEMIA
Term
WHAT ARE THE 4 TYPES OF KIDNEY STONES?
Definition
CALCIUM, MAGNESIUM, URIC, CYSTINE
Term
THESE KIDNEY STONES ARE THE MOST COMMON AND MAY BE INCREASED IN BONE DISEASE, AND RENAL TUBULAR ACIDOSIS
Definition
CALCIUM
Term
THESE KIDNEY STONES FORM IN ALKALINE URINE AND IN THE PRESENCE OF A BACTERIA THAT SPLITS UREA INTO AMMONIA AND CO2
Definition
MAGNEISUM AMMONIUM PHOSPHATE
Term
THESE KIDNEY STONES DEVELOP IN GOUT AND AT A URINE OF PH 5-6
Definition
URIC ACID STONES
Term
THESE STONES ACCOUNT FOR LESS THAN 1% OF THE KIDNEY STONES AND IS SEEN IN CYSTINURIA IN WHICH CYSTINE TRANSPORT IS DYSFUNCTIONAL
Definition
SYTINE SSTONES
Term
WHAT IS THE DIAGNOSIS OF KIDNEY STONES?
Definition
URINALYSIS, RADIOGRAPHY, IVP, ULTRASONOGRPAHY
Term
HOW DO YOU TREAT KIDNEY STONES?
Definition
DIET RESTRICTION, CALCIUM SUPPLEMTN, THIAZIDE DIURETICS, CELLULOSE PHOSPHATE, PAIN MANAGEMENT, ANTIBITOICS, AND REMOVE STONE
Term
3 WAYS TO REMOVE STONE
Definition
URETEROSCOPIC, PERCUTANEOUS AND EXTRACORPOREAL LITHOTRIPSY
Term
WHAT IS THE 2ND MOST COMMON BACTERIAL INFECTION?
Definition
UTI
Term
WHAT INCREASES UTI CHANCES?
Definition
DECREASE URINE FLOW, DECREASE IMMUNE, CHANGES IN URINARY TRACT LINING
Term
WHAT ARE 5 PROTECTIVE MECHANISMS OF THE KIDNEY?
Definition
WASHOUT, MUCIN LAYER, IMMUNE RESPONSES, NORMAL FLORA AND PROSTATE SECRETIONS
Term
WHAT ARE 5 PROTECTIVE MECHANISMS OF THE KIDNEY?
Definition
WASHOUT, MUCIN LAYER, IMMUNE RESPONSES, NORMAL FLORA AND PROSTATE SECRETIONS
Term
WHAT IS A NORMAL FLORA THAT PREVENTS UTI?
Definition
LACTOBACILLUS
Term
WHAT ARE 4 TYPES OF UTI?
Definition
ASYMPTOMMATIC, SYMPTOMATIC, UPPER AND LOWER
Term
WHAT IS THE MAJOR CAUSE OF UTI?
Definition
E COLI
Term
WHERE DO BACTERIA OF THE UTI COME FROM?
Definition
URETHRA
Term
WHAT ARE THE CAUSES OF UTI WITH STASIS URINE FLOW?
Definition
ANATOMICAL OBSTRUCTION, FUNCTIONAL OBSTRUCTION, REFLUX
Term
WHAT ARE SOME ANATOMICAL CAUSES OF UTI?
Definition
URINE STONES, PROSTATE ENLARGEMENT, PREGNANCY, MALFORMATIONS
Term
WHAT ARE SOME FUNCTIONAL OBSTRUCTIONS OF UTI?
Definition
NEUROGENIC BLADDER, INFREQUENT VOIDING, DETUSOR INSTABILITY, CONSTIPATIONS
Term
THIS REFLUX OCCURS WHEN URINE FROM THE URETHRA MOVES INTO THE BLADDER SUCH AS IN INTERRUPTED VOIDING, COUGHING OR SQUATTING
Definition
URETHROVESICAL
Term
THIS THIS REFLUX OCCURS AT LEVEL OF BLADDER AND URETER
Definition
VASICOURETERAL
Term
WHAT ARE SOME CLINICAL SIGNS OF UTI?
Definition
LOWER AB/BACK DISCOMFORT, FREQUENT URINATION, BURNING AND PAIN, CLOUDY, FOUL URINE
Term
WHO IS AT AN INCREASED RISK FOR UTI?
Definition
URINARY OBSTRUCTION, NEUROGENIC DISODERS, SEXUALLY ACTIVE WOMEN, PREGNANT WOMEN, POST-MENOPAUSE WOMEN, DIABETIC, HOSPITAL URINARY CATHETERS, STD,ELDERLY, WOMEN 16-35
Term
HOW DO YOU TREAT UTI?
Definition
PATHOGEN BASED
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