Pathophysiology of the renal system > Pathophysiology
Exam Review
Hematuria
Total Questions : 30
Showing 30 questions, Sign in for moreExplanation
A) Incorrect. Hematuria specifically involves the presence of blood in the urine.
B) Correct. Hematuria refers to the presence of blood in the urine and can indicate various medical conditions.
C) Incorrect. Hematuria is not solely a type of kidney infection, and it is not primarily characterized by frequent urination.
D) Incorrect. While certain medications or supplements can affect urine color, hematuria is defined by the presence of blood in the urine and is not related to vitamins or dietary supplements.
Explanation
A) Incorrect. Microscopic hematuria is not visible to the naked eye; it requires a microscope for detection.
B) Correct. Microscopic hematuria refers to the presence of blood in the urine that is not visible to the naked eye but can be detected under a microscope.
C) Incorrect. Microscopic hematuria is defined by the presence of blood in the urine and is not primarily characterized by severe pain during urination.
D) Incorrect. Microscopic hematuria is not a type of urinary tract infection; it is a finding indicating the presence of blood in the urine.
Explanation
A) Incorrect. While hematuria can be a sign of underlying medical conditions, it is not always indicative of a serious condition.
B) Correct. Hematuria can have various causes, including infections, kidney stones, bladder cancer, and other factors.
C) Incorrect. Psychological stress and anxiety are not primary causes of hematuria.
D) Incorrect. Hematuria can result from multiple factors, not solely trauma to the urinary tract.
Explanation
A) Incorrect. Hematuria may not necessarily resolve on its own, and its consequences can vary depending on the underlying cause.
B) Correct. Untreated hematuria, especially when caused by conditions like kidney disease or bladder cancer, can lead to kidney damage and permanent loss of kidney function.
C) Incorrect. Hematuria should not be dismissed as causing only temporary discomfort, as it can be a sign of serious underlying conditions.
D) Incorrect. Hematuria can have various causes and consequences beyond urinary tract infections.
Explanation
A) Incorrect. Hematuria does not always involve pain or discomfort during urination.
B) Correct. Hematuria can be painless, but it can also present with symptoms such as urinary urgency,
abdominal pain, or back pain.
C) Incorrect. Excessive thirst and frequent urination are not the primary symptoms of hematuria.
D) Incorrect. Fever and chills are not typically associated with hematuria itself but may be related to an underlying infection if present.
Explanation
A) Incorrect. Excessive blood clotting is not a common underlying mechanism of hematuria.
B) Correct. Inflammation and damage to blood vessels in the urinary tract or kidneys can lead to the leakage of blood into the urine, causing hematuria.
C) Incorrect. While bacterial infections can cause hematuria, they are not the primary underlying mechanism.
D) Incorrect. Kidney stones can cause hematuria, but they are not the primary cause of hematuria itself.
Explanation
A) Incorrect. Kidney stones can cause hematuria, but this statement does not address UTIs.
B) Correct. UTIs can lead to irritation and inflammation of the urinary tract, which can result in hematuria.
C) Incorrect. UTIs typically do not involve bacteria directly entering the bloodstream and causing bleeding in the kidneys.
D) Incorrect. UTIs do not trigger excessive production of blood cells as a primary mechanism for hematuria.
Explanation
A) Incorrect. Glomerulonephritis is not primarily caused by blockage of the urinary tract.
B) Correct. Glomerulonephritis involves inflammation of the glomeruli in the kidneys, leading to the leakage of blood and protein into the urine.
C) Incorrect. Excessive alcohol consumption is not a primary cause of glomerulonephritis.
D) Incorrect. Kidney stones are not the primary mechanism of glomerulonephritis.
Explanation
A) Incorrect. Excessive blood clotting is not a primary mechanism of trauma-related hematuria.
B) Correct. Physical trauma can damage blood vessels in the urinary tract, leading to bleeding and hematuria.
C) Incorrect. Infection is not the primary cause of hematuria related to trauma.
D) Incorrect. Trauma-related hematuria is not primarily the result of an autoimmune response.
Explanation
A) Incorrect. Kidney stones primarily affect the urinary tract upstream of the bladder and do not directly damage the bladder lining.
B) Incorrect. Kidney stones themselves do not create a favorable environment for bacterial infections.
C) Incorrect. While kidney stones can cause blockages in the urinary tract, this statement does not explain the primary mechanism of hematuria.
D) Correct. Passing kidney stones through the urinary tract can cause mechanical trauma to the urinary structures, leading to hematuria.
Explanation
A) Incorrect. While infections can cause hematuria, it is not typically related to bacterial infections in the bladder.
B) Correct. Kidney stones are a common cause of hematuria.
C) Incorrect. Viral infections are not a primary cause of hematuria.
D) Incorrect. Excessive caffeine consumption is not a leading cause of hematuria.
Explanation
A) Incorrect. Age can be a risk factor for hematuria, especially in older individuals.
B) Correct. Men are at a higher risk of developing hematuria compared to women.
C) Incorrect. A family history of kidney disease can be a risk factor for hematuria.
D) Incorrect. Smoking is associated with an increased risk of hematuria and kidney problems.
Explanation
A) Incorrect. Excessive alcohol consumption is not a primary cause of hematuria.
B) Correct. UTIs are a common cause of hematuria.
C) Incorrect. While physical trauma can cause hematuria, it is not the main cause.
D) Incorrect. Spicy food consumption is not typically linked to hematuria.
Explanation
A) Incorrect. A diet high in fruits and vegetables is generally considered healthy and is not a common risk factor for hematuria.
B) Incorrect. Regular physical exercise is not a common risk factor for hematuria.
C) Correct. A history of kidney stones is a common risk factor for hematuria.
D) Incorrect. While maintaining a healthy body weight is important for overall health, it is not a primary risk factor for hematuria.
Explanation
A) Incorrect. Emotional stress can exacerbate some health conditions, but it is not a primary cause of hematuria.
B) Correct. Excessive caffeine consumption can contribute to hematuria.
C) Incorrect. A lack of exercise is not a common cause of hematuria.
D) Incorrect. Genetic factors can play a role in the development of some kidney conditions that may lead to hematuria.
Explanation
A) Incorrect. While blood tests may be conducted as part of the evaluation, they are not typically the initial step.
B) Incorrect. A physical examination may be performed, but it is not the initial diagnostic step for hematuria.
C) Correct. A urinalysis is the initial step in assessing hematuria, as it helps determine the source and characteristics of the blood in the urine.
D) Incorrect. A renal biopsy is an invasive procedure and is not typically the initial diagnostic step for hematuria.
Explanation
A) Incorrect. While CT scans can detect kidney stones, the primary purpose of contrast is not to visualize stones.
B) Correct. Contrast is used to highlight blood vessels and enhance the visualization of the urinary tract.
C) Incorrect. Contrast is not primarily administered to minimize radiation exposure but rather to improve imaging quality.
D) Incorrect. Contrast enhances the visualization of blood vessels and structures in the urinary tract, not specifically the bladder lining.
Explanation
A) Incorrect. After cystoscopy, clients may need a short period of rest and recovery before resuming normal activities.
B) Incorrect. It is important to maintain hydration after cystoscopy; avoiding fluids is not recommended.
C) Correct. Temporary discomfort and mild bleeding are common after cystoscopy and should be expected.
D) Incorrect. The use of harsh soaps for perineal care can irritate the urinary tract and is not recommended.
Explanation
A) Incorrect. Fasting is typically not required before a renal ultrasound.
B) Incorrect. Unlike some imaging modalities, renal ultrasound does not use radiation.
C) Incorrect. While drinking water may be necessary for other types of imaging studies, it is not a standard requirement for a renal ultrasound.
D) Correct. Renal ultrasound is a non-invasive procedure that uses high-frequency sound waves to create images of the kidneys and surrounding structures.
Explanation
A) Incorrect. Cystography primarily assesses the bladder and urinary tract, not kidney function.
B) Incorrect. Cystography is not used to evaluate blood clotting disorders.
C) Correct. Cystography is a diagnostic procedure that visualizes the bladder and urinary tract to assess for abnormalities.
D) Incorrect. Cystography typically does not involve the administration of radioactive substances for imaging.
Explanation
A) Incorrect. Increasing dietary salt intake is not a recommended intervention for managing kidney stones; it can worsen the condition.
B) Incorrect. Drinking cranberry juice is not a specific treatment for kidney stones or hematuria associated with them.
C) Correct. Maintaining hydration and allowing the stone to pass naturally is a common approach to managing kidney stones and associated hematuria.
D) Incorrect. Pain medications may be needed for pain relief, but antibiotics are not typically indicated for kidney stones.
Explanation
A) Incorrect. Cystoscopy is not a surgical procedure that requires hospitalization; it is typically done on an outpatient basis.
B) Correct. Having an empty bladder before the procedure allows for better visualization during cystoscopy.
C) Incorrect. Cystoscopy is a diagnostic procedure used to visualize the bladder and urinary tract but does not involve the removal of kidney stones.
D) Incorrect. Cystoscopy is usually performed with local anesthesia or sedation but not general anesthesia.
Explanation
A) Incorrect. Antifungal antibiotics are used to treat fungal infections and are not typically prescribed for UTIs.
B) Correct. Broad-spectrum antibiotics are prescribed for UTIs when the specific bacteria causing the infection are not known, and they can help resolve hematuria associated with the infection.
C) Incorrect. Antiviral antibiotics are used to treat viral infections, not bacterial UTIs.
D) Incorrect. Narrow-spectrum antibiotics target specific types of bacteria and may not be as effective in treating a wide range of UTI-causing bacteria.
Explanation
A) Incorrect. Administering diuretics may not be appropriate and can exacerbate dehydration in a client with hematuria.
B) Incorrect. Strenuous physical activity can increase the risk of bleeding and should be avoided in clients with hematuria and bleeding disorders.
C) Correct. Monitoring vital signs and assessing for signs of bleeding or hemorrhage is essential to ensure prompt intervention if excessive bleeding occurs.
D) Incorrect. Restricting fluid intake is not typically recommended unless there are specific medical indications. In many cases, adequate hydration is important.
Explanation
A) Correct. Maintaining good hydration and practicing good perineal hygiene are effective strategies to prevent future UTIs and hematuria.
B) Incorrect. Increasing alcohol consumption is not a recommended strategy for preventing UTIs and can have negative health effects.
C) Incorrect. Avoiding all sexual activity is not necessary to prevent UTIs, but practicing safe sex and good hygiene are important.
D) Incorrect. Using harsh, scented soaps and bath products can irritate the urinary tract and should be avoided for perineal care.
Explanation
A) Incorrect. Hematuria can have various causes, and it is not always related to kidney stones.
B) Correct. Hematuria can be caused by UTIs, kidney injury, bladder infections, and other medical conditions.
C) Incorrect. While caffeine consumption may irritate the urinary tract, it is not a primary cause of hematuria.
D) Incorrect. Dehydration may contribute to certain urinary issues, but it is not the primary cause of hematuria.
Explanation
A) Incorrect. Administering pain medications may be necessary for pain relief but does not address the underlying cause of hematuria.
B) Incorrect. A high-protein diet is not a primary intervention for managing hematuria.
C) Correct. Monitoring vital signs and assessing for signs of shock is essential, especially if the hematuria is severe, to ensure the client's stability.
D) Incorrect. Restricting fluid intake is not typically recommended unless there are specific medical indications. In many cases, adequate hydration is important.
Explanation
A) Incorrect. Hematuria can be related to kidney disorders and is not solely caused by bladder infections.
B) Correct. Hematuria can signal various kidney conditions, and additional evaluation is necessary to determine the underlying cause.
C) Incorrect. Hematuria does not necessarily indicate kidney failure, but it should be investigated further to determine the cause.
D) Incorrect. Hematuria is not typically considered a normal occurrence and should be evaluated by a healthcare provider.
Explanation
A) Incorrect. Maintaining a low-protein diet is not typically recommended to prevent UTIs.
B) Correct. Completing the prescribed antibiotics and attending follow-up appointments are crucial to ensure the UTI is fully treated and to monitor for any complications, including recurrent hematuria.
C) Incorrect. Increasing caffeine intake is not a primary recommendation for improving urinary health.
D) Incorrect. Restricting fluid intake is not typically advised as it may lead to dehydration and does not prevent UTIs.
Explanation
A) Correct. Excessive caffeine consumption can irritate the bladder and lead to hematuria, even without kidney or urinary tract disorders.
B) Incorrect. Kidney stones are related to kidney and urinary tract disorders and can cause hematuria.
C) Incorrect. UTIs are infections of the urinary tract and can lead to hematuria.
D) Incorrect. Bladder cancer is a condition of the urinary tract and can cause hematuria.
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