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問題一覧
1
What are the 3 renal function test
GLOMERULAR FILTRATION TEST, TUBULAR REABSORPTION TEST, TUBULAR SECRETION TEST
2
How to preserve 24 hour urine
REFRIGERATE
3
Result in Free Water Clearance if less water is being excreted
-
4
A tubular secretion and renal blood flow test which Evaluates unilateral kidney disease
INDIGO CARMINE TEST
5
Normal Urine Osmolarity:
50-1400 mOsm
6
Creatinine Clearance Test Disadvantages 1. Some creatinine is secreted by the tubules, and secretion _____ as blood level rise 2. _______present in human plasma react in the chemical analysis 3. Medications, including , inhibit tubular secretion of creatinine 4. Bacteria will break down urinary creatinine if specimens are kept at _______for extended periods. 5. An increased intake of ____ can raise the urine and plasma levels of creatinine during the 24-hour collection period. 6. Measurement of creatinine clearance is not a reliable indicator in patients suffering from ______or persons involved in heavy exercise or athletes supplementing with creatine. 7. Accurate results depend on the accurate completeness of a _______. 8. It must be corrected for ________, unless normal is assumed, and must always be corrected for children.
INCREASES, CHROMOGEN, GENTAMICIN,CEPHALOSPORIN,CIMETIDINE, ROOM TEMPERATURE, MEAT, MUSCLE WASTING DISEASE, 24 HOUR COLLECTION, BODY SURFACE AREA
7
Evaluates the ability of the kidney to respond to the body’s state of hydration
FREE WATER CLEARANCE
8
Formulas developed to provide estimates of the GFR based on the serum creatinine without the urine creatinine
CALCULATED GLOMERULAR FILTRATION ESTIMATE
9
What are the 2 tests performed in Glomerular filtration tests
ENDOGENOUS CLEARANCE, EXOGENOUS CLEARANCE
10
What is the molecular weight of cystatin c
13 359 KILO DALTON
11
Concentration Test used for volume and specific gravity comparison of day and night urine sample
MOSENTHAL
12
A tubular secretion and renal blood flow test which was historically used to evaluate tubular secretion and renal blood flow but it is no longer perform as it was obselete and hard to interpret
PHENOLSULFONPHTHALEIN TEST
13
What is the greatest source of error in CCT
IMPROPERLY TIMED SPECIMEN
14
Readily-filtered nitrogen waste product of protein present in urine substance but partially reabsorbed by the renal tubules
UREA
15
Process that involves the filtration of blood which leads to the formation of the ultrafiltrate per unit/time
GLOMERULAR FILTRATION RATE
16
Influenced by the number and density of particles in a solution.
SPECIFIC GRAVITY
17
How many mg of Indigo Carmine is administered in the test
100
18
A polymer of fructose which is extremely stable exogenous substance, neither reabsorbed nor secreted by the tubules but it is administered IV
INULIN
19
Normal value of CCT in males
107-139 ML/MIN
20
Normal Serum Osmolarity:
275-300 mOsm
21
GFR = 170 x serum creatinine - 0.999 x age - 0.176 x 0.822 (if patient is female) x 1.1880(if patient is black) x BUN-0.170 x serum albumin + 0.318
MODIFICATION OF DIET IN RENAL DISEASE SYSTEM
22
CCT is greatly affected by what factors
SEX, PHYSICAL ACTIVITY, AGE
23
What is the injected radionucleotidein Exogenous Clearance test
125 LIOTHALAMATE
24
A concentration test which Patient is deprived of fluid for 24 hours
FISHBERG
25
formula used for children in Calculated Glomerular Filtration Tests
SCHWARTZ AND MODIFIED COUNAHAN BARRET
26
A test under GFT Endogenous tests which not reliable on patients with a history of immunologic disorders or malignancy
B2 MICROGLOBULIN CLEARANCE
27
Influenced by the number of particles in a solution that is Based on the measurement of colligative properties
OSMOLALITY
28
What is the product of muscle metabolism
CREATININE
29
This procedure can be valuable to measure the viability of a transplanted kidney.
RADIOISOTOPE
30
Clinical osmometers use solutions of _______concentration as their reference standards because a solution of partially ionized substances is more representative of urine and plasma composition.
KNOWN NACL
31
What is value being multiplied in females in Cockcroft and Gault
0.85
32
Result in Free Water Clearance if excess water is being excreted
+
33
What are the substances that is detected in Exogenous test
INULIN, RADIOISOTOPE
34
provides a method for determining glomerular filtration through the plasma disappearance of the radioactive material and enables visualization of the filtration in one or both kidneys.
RADIOISOTOPE
35
Procedures performed to determine the ability of the kidneys to carry out its metabolic functions
RENAL FUNCTION TEST
36
The earliest glomerular filtration rate test which substance is first detected. Measures renal functions but not specific for glomerular filtration which no longer performed since it is affected by food intake and changes from day and night
UREA CLEARANCE
37
A test under GFT Endogenous recommended for pediatric, diabetic, geriatric and critically-ill patients which is directly proportional to GFR
CYSTATIN C CLEARANCE
38
Most frequently used formula used to evaluate patient placement on kidney transplant lists
COCKCROFT AND GAULT
39
Test that performed under GFT which requires infused substances that is administered in the body
EXOGENOUS CLEARANCE
40
Normal Urine to Serum Osmolarity Ratio
1:1-3:1 mOsm
41
Routinely performed for screening glomerular filtration
CREATININE CLEARANCE TEST
42
Osmometer which utilizes depression of dew point temperature by solute parallels the decrease in vapor pressure, thereby providing a measure of this colligative property.
VAPOR PRESSURE
43
What are the substances that is detected in Endogenous test
UREA, CREATININE, B2 MICROGLOBULIN, CYSTATIN C
44
A small protein produced at a constant rate by all nucleated cells which is readily filtered by the glomerulus and reabsorbed and broken down by the renal tubular cells
CYSTATIN C
45
A c'mon method of osmometer which determine the freezing point of a solution by supercooling a measured amount of sample to approximately 27O C.
FREEZING POINT
46
First principle incorporated in osmometers which 1 mol solute will lower the freezing point by 1.86oC
FREEZING POINT
47
Result in Free Water Clearance if no renal concentration or dilution
0
48
Vapor pressure osmometer uses microsamples of less than_____; therefore, care must be taken to prevent any evaporation of the sample prior to testing
0.01 ML
49
Test that performed under GFT which detects substances that already present inside the body.
ENDOGENOUS CLEARANCE
50
It is the gold standard or reference method for Renal Function Test
INULIN CLEARANCE TEST
51
What is normal value for Urine SG in fishberg
>1.026
52
What is being administered in Titrable Acidity and Urinary Ammonia
ACID LOAD OF ORAL AMMONIUM CHLORIDE
53
Used primarily to analyze serum and sweat microsamples for disorders not related to renal function, such as cystic fibrosis.
VAPOR PRESSURE OSMOMETER
54
Standard test used to determine the filtering capacity of the glomeruli
CLEARANCE TEST
55
Specimen required for CCT
24 HOUR URINE
56
Sample required in Titrable Acidity and Urinary Ammonia is _____collected at 2-hour intervals
FRESH OR TOLUENE PRESERVED URINE
57
1000mOsm/kg of H2O will lower the freezing point of H2O by how many degree celsius
1.86
58
A tubular secretion and renal blood flow test which substance administered is a Non-toxic loosely bound to plasma proteins which then should be completely removed as the blood passes through the peritubular capillaries
P AMINOHIPPURIC ACID TEST
59
A tubular secretion and renal blood flow test which evaluates the ability of the kidneys to produce an acid urine by determining the Amount of free H+ and total acidity.
TITRABLE ACIDITY AND URINARY AMMONIA
60
Normal value of CCT in females
87-107 ML/MIN
61
Also known as Tubular Reabsorption Test used to evaluate tubular reabsorption
CONCENTRATION TEST
62
What is the molecular weight of B2 Microglobulin
11 800 KILO DALTON
63
A substance that dissociates from HLA at a constant rate and is rapidly removed from the plasma by glomerular filtration
B2 MICROGLOBULIN