Summary test 6
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Summary test 6. Urinary tract disorders in children.
Електронна адреса *
gskumawat09@gmail.com
The polycystic kidney disease was diagnosed at the boy of 3 years old.
Mother complaints that the boy has growth retardation, poor appetite,
vomiting. Skin is pale, turgor of soft tissues is reduced, heart rate - 120 per
minute, harsh breathing at auscultation, abdomen is enlarged, soft.
Biochemical tests – urea – 14 mmol/l, creatinine – 0,130 mmol/l, protein – 58
g/l. Which condition has been developed?
Chronic renal failure
Acute renal failure
Encephalopathy
Interstitial nephritis
Pyelonephritis
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Yesterday a 12 year old girl was overcooled. Now she is complaining on pain *1/1
in suprapubic area, frequent painful urination by small portions, body
temperature is 37,80C. Pasternatsky symptom is negative. Urine analysis:
protein - 0,033 g/L, WBC- 20-25 in f/vis, RBC- 1-2 in f/vis. What diagnosis is
the most probable?
Acute cystitis
Dysmetabolic nephropathy
Acute glomerulonephritis
Acute pyelonephritis
Urolithiasis
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The most common and visible complication of chronic kidney diseases in
children:
Alopecia
Headache
Fever
Abdominal pain
Growth impairment
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An 18 year old girl has a 7 year history of chronic glomerulonephritis with
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latent course. Over the past six months she has developed with general
weakness, loss of appetite, low work performance, nausea. The patient
complains of headache, pain in the joints. On examination: anemia, blood
urea - 34,5 millimole/l, blood creatinine - 0,766 millimole/l, hyperkalemia.
What complication has she developed?
Chronic renal insufficiency
Acute renal insufficiency
Nephrotic syndrome
Renal amyloidosis
Pyelonephritis
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What is the most frequent way of contamination in pyelonephritis? *
Ascending
Hematogenous
Lymphogenous
Droplet
Oral
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For urinary tract infection the most typical change in urinalysis is *
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Hematuria
Leukocyturia
Azotemia
Severe proteinuria
Oligouria
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For diagnosis of pyelonephritis all the following methods are recommended *1/1
for using, EXCEPT:
General urine analysis
Intravenous pyelography
Renal biopsy
Urine culture
Voiding cystography
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For urinary syndrome due to hereditary nephritis is not typical: *
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Bacteriuria
Microhematuria
Poteinuria
Macrohematuria
Cylindruria
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Urinary tract infections in children after 1 year old are the most common for: * 1/1
Boys
Girls
No difference
It depends on nationality
It depends on quality of life
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The frequency of chronic kidney disease increases with age and is much
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more common:
In infants
In children more than 6 year old
In children less than 6 year old
In adults
The frequency is equal (adults and children)
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In infants with urinary tract infection, the most common manifestation is *
Fever
Dysuria
Frequent urination
Costovertebral angle tenderness
Incontinence
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A 14 year old child has headache, hypertension, edema, and a change in
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urine output and color.
Glomerulonephritis
Pyelonephritis
Heart failure
Arteriovenous malformation
Coarctation of the aorta
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A patient with nephrotic syndrome has massive edema of his face and limbs. *1/1
What is the leading pathogenetic mechanism of edema development?
Drop of oncotic blood pressure
Increase of vascular permeability
Rise of hydrodynamic blood pressure
Lymphostasis
Increase of lymph outflow
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Two weeks after lacunar tonsillitis a 18 year old boy started complaining on
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general weakness, lower eyelid edema. After examination the patient was
diagnosed with acute glomerulonephritis. What are the most likely
pathological changes in the urine?
Proteinuria
Cylindruria
Presence of fresh erythrocytes
Pyuria
Nocturia
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The main etiologic factors of chronic kidney diseases in children are
represented by:
Congenital anomalies of the kidney and urinary tract
Steroid-resistant nephrotic syndrome
Chronic glomerulonephritis (e.g. lupus nephritis, Alport syndrome)
Renal ciliopathies
All the answers above are right
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A 2 year old patient has microscopic and occasionally gross hematuria. His
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father has hearing loss and end-stage renal disease. The most likely cause of
this child’s hematuria:
Alport syndrome
Berger’s nephropathy (IgA nephropathy)
Idiopathic hypercalciuria
Membranous glomerulopathy
Goodpasture syndrome
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A 15 year old girl has suffered from chronic obstructive pyelonephritis, right *1/1
hydronephrosis since 7 years old when she was operated. Renal function is
best determined by:
Nechiporenko's test
Proneinogram
Zimnitsky's test
Daily proteinuria
CBC
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Student's name and No of an academic group *
Kumawat Gaurishankar 408
What bacterial pathogen is the most frequent cause of pyelonephritis: *
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Proteus
Klebsiella
Escherichia coli
Enterococus
Pseudomonas aeruginosa
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A 12 year old child with acute glomerulonephritis presented with
hypertensive syndrome during first days of the disease. What is the role of
angiotesin II in the pathogenesis?
Increases renine level
Increases heart output
Infibits deppresive action of prostaglandins
Increases erythropoetin production
Intensifies production and secretion of aldosterone
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The best investigation for diagnosis of kidneys’ congenital abnormalities: *
Ultrasound of kidneys
Excretory urography
Retrograde cystography
Zimnitsky test
Cystoscopy
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Цю форму створено в домені Каразінський університет.
Форми
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