emre

40問 • 1年前

問題一覧

Select the mechanism of development of hypertension during acute glomerulonephritis:

activation of renin-angiotensin- aldosteron-vasopressin mechanism

Select the indices of disturbances of tubular reabsorption. 1) Hypostenuria 2) Azotemia 3) Renal glycosuria 4) Decreasing clearance of creathinine 5) Aminoaciduria

1,3,5

In pathogenesis of edema during glomerulonephritis does not participate:

increasing of glomerular filtration

Select the reasons of development of renal edema: 1) Decreasing of glomerular filtration 2) Hypovolemy 3) Hypervolemy 4) Increasing of Na+ in the blood 5) Microhematuria

1,3,4

Select the cause of secondary hyperparathyroidism during renal insufficiency:

hypocalciemia

Calculate the clearance for hyposulphyite, if: the concentration of hyposulphyite in blood is 70 mg %, in urine – 2100 mg % and minute diuresis is 0. 5 ml.

15 ml/min

Patient in severe stage of chronic nephritis complains on thirsty, vomiting, itching of skin, involuntary contraction of muscles and ammonia smelling during expiration. Blood analyses: residual nitrogen – 285. 6 mmol/L, nitrogen in urea – 4.9 mmol/L, erythrocytes – 2,5x1012/L. Specific gravity if urine – 1010, daily urination decreases. Select the developed syndrome.

uremic syndrome

During examination of patient was found: swelling of face, pale skin . During last two weeks the body weight increases in 3 kg. , arterial pressure increases, daily volume of urination is normal. Hematuria, slight proteinuria, hypoproteinemia, hypernatremia are observed. Select the kind of developed edema.

nephritic

In patient generalized edema is observed. Examination of urine: daily diuresis – 700 ml, protein – 3. 7%, a lot of granular and waxy cylinders. AP – 120/65 mm Hg. Examination of blood: residual nitrogen – 40 mg %, protein – 4. 8 g%, albumins – 1. 5 g% (norm – 4 g%) , globulins – 2 g% (norm – 3 g%) , cholesterol – 800 mg% (norm – 200 mg%) . Select the developed syndrome.

nephrotic

Patient suffers from chronic glomerulonephritis about 10 years. Physical examination: pale and itched skin, edema of face. The size of heart enlarged to the left, pulse is strained, AP – elevated. Blood examination: anemia, neutrophylia , increased ESR, hyperasotemia, hypoalbuminemia. Examination of urine: hematuria, iso-hypostenuria, proteinuria. Select the type of developed edema.

nephritic

14 days later after scarlatina the patient complains with headache, pain on waist,taxycardia, increased body mass about 5 kg (during last 1 weak) . Physical 220i-2A examination: swelling of eyelid, AP – 180/100mm Hg, diuresis sharply decreased, in urine the erythrocytes and protein was found. The titer of anti- streptococcal antibodies increased. Select the developed pathology.

acute diffuse glomerulonephritis

If the level of hyposulphytis in blood is 140 mg%, in urine – 4200 mg%, diuresis per minute – 1 ml, calculate the clearence for hyposulphytis.

30 ml/min

During examination of patient’s urine: daily urination – 700 ml, protein – 0. 9g/l, specific gravity – 1010, in urune sedimentation – a little amount of epithelial cells and changed erythrocytes, hyaline cylinders are observed. Select the developed pathology.

chronic renal insufficiency

Early sign of chronic renal insufficiency is:

polyuria

Creatinine clearance indicates

rate of glomerular filtration

Clearance of inulin indicates:

rate of glomerular filtration

The main mechanism of lipiduriya in nephrotic syndrome is:

decreasing of albumins in the blood

What does the enuresis mean?

urinary incontinence at night

For reproduction of experimental model of nephrotic syndrome is used:

nephrotoxic serum

Dark colour of urine during oligouria explained by?

increasing of urobilin

For nephrotic syndrome is characteristic: 1) Generalized edemas 2) Hypeproteinemia 3) Severe proteinuria 4) Lipiduria, cylinreduria 5) Decreasing of glomerular filtration

1,3,4

Select the pathogenetic factors of renal edemas. 1) Hypoproteinemia 2) Activation of rennin-angiotensine-aldosteron system 3) Decreasing of vascular permeability 4) Increasing of hydrostatic pressure of blood 5) Acceleration of lymph flow

1, 2, 4

Development of osteoporosis during chronic renal insufficiency is connected with: 1) Hypocalcemia 2) Hypoparathyroidism 3) Disturbances of vitamin D metabolism 4) Hyperparathyroidism 5) Hyperkaliemia

1, 3, 4

For terminal stage of chronic renal insufficiency is characteristic: 1) Progressive hyperazotemia 2) Metabolic alkalosis 3) Hypocalcemia 4) Hyperhydration 5) Hypomagnemia

1, 3, 4

For uremia is characteristic: 1) Edemas 220i-2A 2) Hyperazotemia 3) Osteoporosis 4) Alkalosis 5) Arterial hypotension

1, 2, 3

Choose that is not the reason of oliguria:

hyperglycemia

The cause of anemia during chronic renal failure is:

loss of transferrin with urine

These substances are excreted by secretion through the renal tubules:

urea, iodine organic substance

Developmental base of glomerulonephritis is:

immune reactions with participation of antirenal antibodies

Injection of nephrotoxic serum to rabbit in experiment results in:

acute diffuse glomerulonephritis

The metabolism of hormones is disturbed during:

hepatic diseases

How is the panhypopituitarizm produced in experiment?

by the hypophysectomy

Choose the hormone of anterior hypophysis, excess amount which causes gigantism:

somatotropic hormone (STH)

Exophthalmoses is characteristic sign of:

hyperthyroidism

Choose the sign of insufficiency of parathormone:

tetany

Choose the clinical form of panhypopitiutrism

Hypophyseal cachexia

Choose the correct order of positive feedback: 1) Hypothalamus 2) Trope hormones 3) Adeno-hypophysis 4) Releasing factors 5) Peripheral glands 6) Effector hormones

1, 4, 3, 2, 5, 6

Choose the result of insufficiency of somatotropic hormone (STH):

pituitary dwarfism

Choose the pathology connected with partial hyperfunction of adenohypohysis:

Cushing disease

Choose the reason of total insufficiency of adenohypophysis:

spasm of blood vessels of pituitary gland after child-birth

Histo100-200

Arda Emre HAN · 76問 · 2年前

Histo100-200