1) Mary is hospitalized with deep vein
1) Mary is hospitalized with deep vein thrombosis (DVT) in her right leg as a complication of abdominal surgery. She is on bedrest and receiving anticoagulant therapy. On the third postoperative day, she experiences sudden onset of chest pain and severe dyspnea and is placed on supplemental oxygen. Arterial blood gas reveals hypoxemia and mild respiratory alkalosis. Which diagnostic findings would most likely help confirm Mary’s diagnosis? Select two answers. -d-dimer -measurement of natriuretic peptide -measurement of serial troponins –routine chest xray -CT arteriography or MRA 2) In addition to anticoagulation, which other treatments might be administered to treat Mary’s respiratory disorder? Group of answer choices -Cough suppressants -Fibrinolytics, e.g., streptokinase -Corticosteroids -IVC filter for severe cases -Antibiotics -Pneumatic calf compression 3) Approximately 1 month later, the young woman notices that her ankles and feet are swollen. She assumes she has not been drinking enough water. Within a week, she has difficulty buttoning her jeans and has gained 8 pounds. She immediately begins to restrict her caloric intake drastically and is dismayed when the number on the scale continues to rise. A few days later, her urine is pink tinged. Her boyfriend drives her to the emergency department. She reports her history and symptoms she has noted over the past 6 weeks. She is seen by a nephrologist and begins to undergo multiple tests, which demonstrate proteinuria and hematuria. This most likely cause of the woman’s new symptoms, including edema, weight gain, hematuria, and proteinuria is Group of answer choices A) acute postinfectious glomerulonephritis B) persistent UTI C) kidney stone D )kidney trauma 4) The pathophysiology of Connor’s condition involves all of the following except: A) loss of negative charge in the glomerular membrane B) decreased glomerular membrane permeability C)a Type III hypersensitivity reaction D) deposition of circulating antigen-antibody complexes in glomerular capillaries E) injury to the glomerular capillary 5) The term for hematuria with RBC casts in urine and mild to moderate proteinuria is A) nephritic syndrome B) nephrotic syndrome C) azotemia D) uremia 6) Given the findings of hematuria, proteinuria, and hypertension, what other findings might you expect to see in this patient? Select all that apply. -hypoalbuminemia -hyperlipidemia -polyuria -polyphagia -glycosuria 7) A 19 year old victim suffers multiple lacerations and abrasions after a motor vehicle accident. In the ER, it is determined that he has lost a significant amount of blood due to the trauma. The patient is most likely to develop which type of renal failure as a result of hemorrhaging? Group of answer choices A) prerenal due to poor renal perfusion B) postrenal due to urinary tract obstruction 8) Which of the following urinary findings could indicate that this trauma patient is developing acute renal failure? Group of answer choices A) Oliguria B) Low urine osmolality C) High urinary sodium 9) Which of the following lab findings are typically associated with acute renal failure? Select all that apply. -azotemia -elevated serum creatinine -hyperkalemia -hypophosphatemia -metabolic alkalosis
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