APEX Kidney RE Questions

Arginine vasopressin increases GFR by causing

A. dilation of afferent arteriole

B. dilation of the efferent arteriole

C. constriction of afferent arteriole

D. Constriction of efferent arteriole

D. Constriction of efferent arteriole

Etiologies of intrarenal azotemia include 3

A. nephrolithiasis

B. interstitial nephritis

C. ureteral clot

D. ATN
E. bladder carcinoma

F. Vasculitis

B. interstitial nephritis

D. ATN

F. Vasculitis

calculate GFR for this female patient

Age 40

Weight= 80 kg

Serum crt= 0.9

105

0.85 x [(140-age) x weight kg)/ crt x 72)

0.85 x [140-40) x 80/ 0.9 × 72= 105

Match each substance with primary site of production

Angiotensinogen; aldosterone; AG II; AG I

Liver; systemic circulation; lung; zona glomerulosa

Angiotensinogen= liver

aldosterone= zona glomerulosa

AG II= lung

AG I= systemic circulation

Match each substanace with the way its handled in the kdiney

Crt, morphine, Na, glucose

Identify the theoretical concerns that accompany the admin of sevo to the patient with renal dysfunction 2

A. Fluoride

B. compound A

C. Carbon monoxide

D. Trifluoroacetic acid

A. Fluoride

B. compound A

What is teh best method of renal protection following major muscle trauam

A. acidity urine

B. Norepi

C. NAC
D. mannitol

D. mannitol

Identify the lab tests to reflect the concentrating ability of the kidney 2

A. BUN
B. Crt Clearance

C. Urine sp gravity

D. fraction excretion of sodium

C. Urine sp gravity

D. fraction excretion of sodium

Identify most potent stimulators of adh secretion

A. hyperNa

B. Hypona

c. hypervolemia

D. Hypovolemia

A. hyperNa

D. Hypovolemia

choose best drug to treat mild pain in the patient with GFR of 25ml/min

A. ketorolac

B. codeine

C. celecoxib

D. tylenol

D. tylenol

What substance are produced by kidney

A. renin

B. AGII

C. erythropoietin

D. ADH

A. renin

C. erythropoietin

When antagonizing roc in ESRD PT, dose of neostigmine should be

A. increased by 25%

B. increased by 50%

C. decreased by 50%

D. same

D. same

Which of the following are causes of prerenal azotemia 3

A. aminoglycoside toxicity

B. bladder carcinoma

C. aortic artery clamping

D. abdominal compartment syndrome

E. glomerulonephritis

F. CHF

C. aortic artery clamping

D. abdominal compartment syndrome

F. CHF

Which factors increase rate of compound A production with sevo admin 2

A. low FGF

B. DECREASED CO2 production

C. cold soda lime

D. high inspired sevo concentration

A. low FGF

D. high inspired sevo concentration

A crt clearance of 70ml/min suggest

A. normal

B. mild renal dysfunction

C. moderate renal dysfunction

D. severe renal dysfunction

B. mild renal dysfunction

Nor mal GFR IS

A. 125ML/MIN

B. 275ML/MIN

C. 450ML/MIN

D. 650ML/MIN

A. 125ML/MIN

Which of the following are increased in the serum of the patient with reanl osteodystrophy 2

A. Calcium

B. PTH

C. Calcitriol

D. phosphate

B. PTH

D. phosphate

What is the best way to prevent contrast induced nephrotoxicity?

A. mannitol

B. NAC
C. NS bolus

D. Fenoldopam

C. NS bolus

A BUN/ crt ratio of 30;1 most likely suggests 2

A. Dehydration

B. ATN

C. Upper GI bleeding

D. interstitial nephritis

A. Dehydration

C. Upper GI bleeding

Using AKI network model for kidney injury, match each stage of ATI with clinical finding

Stage 1, 2 and 3

UOP <0.5ml/kg/hr x 12 hours; crt 50% over baseline; crt>4mg/dl

Stage 1= crt 50% over baseline

Stage 2= UOP <0.5ml/kg/hr x 12 hours

Stage 3= crt>4mg/dl

A pt with ESRD is scheduled for fem-fem bypass. which of the following lab values is most llikely to be anbormal 2

A. bleeding time

B. HGB

C. plt count

D. PT/PTT

A. bleeding time

B. HGB

calculate GFR for this male pt

age=60

weight=70kg

crt 2

39

140-60 × 70/ (2× 72)==39

which change increases GFR

A. Increased resistance at afferent arteriole

B. decreased RBF

C. constriction of efferent arteriole

D. increased plasma osmotic pressure

C. constriction of efferent arteriole