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Renal and Urinary Tract Disorders

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Which of the following statements regarding the physiologic changes of pregnancy is true?

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a. Glomerular filtration decreases.

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b. Effective renal plasma flow increases.

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c. Serum creatinine concentration increases.

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d. Glomeruli become larger because of an increased number of cells (hyperplasia).

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Which of the following is a threshold for proteinuria in pregnancy, above which levels are considered abnormal?

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a. 50 mg/day

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b. 100 mg/day

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c. 200 mg/day

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d. 300 mg/day

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A serum creatinine level in pregnancy that persistently exceeds what threshold value should prompt a suspicion for intrinsic renal disease?

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a. 0.3 mg/dL

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b. 0.5 mg/dL

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c. 0.7 mg/dL

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d. 0.9 mg/dL

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A 27-year-old G1P0 at 14 weeks’ gestation presents for prenatal care. She reports having donated a kidney to a family member 2 years ago. She has no other significant medical history. In regard to her having only one kidney, which of the following is true?

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a. She has a significantly increased risk for developing preeclampsia.

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b. She is likely to manifest severe edema in the third trimester.

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c. She will require close monitoring for frequent electrolyte abnormalities.

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d. If her renal function is normal, she can expect to have a normal pregnancy.

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An asymptomatic 17-year-old G1P0 at 16 weeks’ gestation presents for her first prenatal visit, and a urine culture is sent as part of routine care. The results show > 100,000 gram-negative rods. The diagnosis is which of the following?

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a. Cystitis

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b. Pyelonephritis

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c. Diverticulitis

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d. Asymptomatic bacteriuria

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An asymptomatic 17-year-old G1P0 at ...

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