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Portage pathophysiology module 8 exam 2026/2027 version A+ Graded
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Each of the following statements are true regarding control over the GFR except: - correct answer>>>The RAA responds when blood pressure rises above normal limits. (false b/c the RAA responds when blood pressure drops below normal limits.) Which of the following statements is false regarding ADH? - correct answer>>>Elevated levels of ADH will lead to dilute urine. (false b/c DECREASED levels of ADH will lead to dilute urine) Cortical nephrons are characterized by the following except: - correct answer>>>they originate deep in the cortex (false b/c they originate superficially in the cortex) Excess accumulation of fluid within the interstitial compartment is characteristic of which of the following fluid imbalances? - correct answer>>>edema Reabsorption in the loop of Henle is characterized by the following except: - correct answer>>>Na+ and water are reabsorbed in equal proportions (The loop of Henle reabsorbed more Na+ and Cl- than water) Which of the following is/are true regarding acid-base disorders? (mark all that apply) - correct answer>>>Metabolic disorders are a result of a change in plasma HCO3- levels Respiratory disorders are a result of a change in plasma CO2 levels Normal blood pH = 7.35-7. Acute postinfectious glomerulonephritis is characterized by the following except: - correct answer>>>Associated with a poor prognosis as it often leads to CKD (the prognosis is good when underlying cause is treated) Which of the following is characteristic of chronic transplant rejection? - correct answer>>>it involves humoral immunity Which of the following is true of 25-hydroxycholecalciferol? - correct answer>>>It is the active form of vitamin D, converted in the liver A patient is said to be in stage 3a kidney disease. What would you expect their GFR to be? - correct answer>>>70 mL/min/1.73m Which of the following is true regarding tubular secretion? - correct answer>>>H+ is secreted in the intercalated cells A decrease in Na+ reabsorption is achieved through the action of which of the following? - correct answer>>>diuretics In the nephron, the mass of capillaries surrounded by an epithelial capsule that opens into a tubule is collectively referred to as the _______. - correct answer>>>renal corpuscle (glomerulus also accepted as correct) The formation of erythropoietin is preceded by low levels of _______. - correct answer>>>oxygen The __________ has the largest impact on pH control. - correct answer>>>renal control mechanism
A person who has a blood Mg2+ concentration of 1.2 mg/dL. Is considered to have _______. - correct answer>>>hypomagnesemia _______ failure is caused by conditions that damage the structures within the kidney. - correct answer>>>intrarenal T/F, if False make the statement True When blood pressure rises, the enzyme renin is released by the juxtaglomerular (JG) cells of the nephron. - correct answer>>>False. When blood pressure drops, the enzyme renin is released by the juxtaglomerular cells of the nephron. T/F, if False make the statement True Hyperkalemia can be caused by movement of K+ from the ECF to the ICF compartment. - correct answer>>>False, hyperkalemia can be cause by the movement of K+ from the ICF to the ECF compartment. Explain why renal flow is decreased with sympathetic activity. - correct answer>>>Sympathetic activity diverts blood to the heart, brain, and skeletal muscles. During these times the renal autoregulatory system may be superseded by nervous system control. In this event, a narrowing of the afferent arteriole is caused by sympathetic nerve fibers followed by a release of epinephrine from the adrenal medulla which leads to a subsequent decrease in renal flow and the GFR. A patient has a diagnosis of acute pancreatitis and a subsequent electrolyte imbalance. Which electrolyte imbalance may they experience given this condition? Explain why pancreatitis would lead to this imbalance. - correct answer>>>Hypocalcemia. Acute pancreatitis causes the release of proteolytic and lipolytic enzymes. Free fatty acids are released during lipolysis in the pancreas. Ca2+ binds to these fatty acids removing them from the blood. Explain why the glomerulus is situated between 2 arterioles. - correct answer>>>Arterioles are high resistance vessels resulting in an extremely high-pressure system which can easily force fluid and solutes out of the blood into the glomerular capillary along its entire length. A patient with chronic kidney disease must undergo dialysis treatments as they wait for transplantation. Give 1 reason peritoneal dialysis would be preferable to the patient over hemodialysis and 1 concern in choosing peritoneal dialysis over hemodialysis. - correct answer>>>Peritoneal dialysis can be done in the patient's home as opposed to going to a dialysis clinic multiple times per week. A major concern of the utilization of peritoneal dialysis is the risk for infection at the catheter site. A patient presents to the emergency department with complaints of sharp pain that comes in waves in the upper lateral quadrant of the abdomen. Their skin is clammy, and they have been experiencing nausea and vomiting all day long. They have a history of UTIs. Urinalysis reveals that the pH of their urine is 7.8. A CT scan is ordered, and it reveals a stone 4 mm in diameter. What type of renal calculi do you suspect? What treatment is needed? Explain your reasoning for both answers. - correct answer>>>The patient has a magnesium ammonium phosphate stone given the elevated pH of their urine. These types of stones are the result of a UTI caused by bacteria that contains urease. Urease breaks urea down to form ammonia which raises the pH of the urine. This patient has a history of UTIs so this should be taken into consideration. This patient does not require a procedure to remove the stone. Since it is less than 5 mm in diameter, the stone should pass on its own. The patient should be placed on antibiotics to treat the UTI as well as medication for pain management. A patient presents in the emergency department with severe dehydration secondary to vomiting. The following are the results of their blood work: pH = 8.2, PCO2 = 39 mm, and HCO3- = 33 mEq/L. Based upon these results, what type of acid-base disorder are they experiencing? Is compensation occurring? Describe a treatment intervention for this disorder. Normal values are as follows: pH = 7.35-7.45, PCO2 =