Question

1)  You are consulting with the physical therapy department on a patient with long term renal failure. The patient is to start a program to increase their exercise capacity. Which of the following would be a minimal concern in the development of the program?

A)            a potential for osteoporosis due to the bone resorption which accompanies long term renal failure.

B)            peripheral neuropathies which may effect the patient's balance and ability to conduct gravity resistant activities.

C)            altered cardiovascular system resulting in hypotension

2) Which of the following is an incorrect definition?

A)          frequency is the requirement of multiple micturitions

B)            urgency is the infrequent feeling of needing to micturate

C)            incontinence is the loss of volitional control of urine

D)           dribble is a weak urine stream

3) Which of the following would result in swelling of the intracellular compartment?

A)            Hyperaldosteronism

B)            Diabetes Insipidus

C)            Hyperthyroidism

D)            SIADH release

E)            Hypocortisolism

4) Which of the following is AN INCORRECT statement with respect to rheumatoid arthritis?

A)            ESR and CRP are elevated

B)            bulge sign is a puffiness in the popliteal fossa resulting from swelling of the knee joint

C)            infarcts in end arterial bed such as the fingers and toes may occur

D)            pannus is an invasive synovium resulting in destruction of the joint

E)            radial drift in the hand is toward the thumb

Answer 1

1.Correct-A

When kidneys do not function properly, extra parathyroid hormone is released in the blood to move calcium from inside the bones into the blood. Chronic kidney disease causes mineral and bone disorder because the kidneys do not properly balance the mineral levels in the body.

2.Correct-D

Post-micturition dribbling. Specialty. Urology. Post-void dribbling occurs when urine remaining in the urethra after voiding the bladder slowly leaks out after urination. A common and usually benign complaint, it may be a symptom of urethral diverticulum, prostatitis and other medical problems.

3. Correct-D Syndrome inappropriate ADH

First, in the extracellular fluid (ECF) space, there is a dilution of blood solutes, causing hypoosmolality, including a low sodium concentration - hyponatremia. Then virtually simultaneously, in the intracellular space, cells swell, i.e. intracellular volume increases.

4. Correct-C  

Infarction is tissue death (necrosis) due to inadequate blood supply to the affected area. It may be caused by artery blockages, rupture, mechanical compression, or vasoconstriction. The resulting lesion is referred to as an infarct (from the Latin infarctus, "stuffed into").

It may be due to PAD (periferal artry disease)