The presence of epithelial cells in urinary casts indicates which of the following pathophysiologic conditions?
Acute tubular necrosis
Glomerulonephritis
Urinary tract infection
Pyelonephritis
The Correct Answer is A
A. The presence of epithelial cells in urinary casts is indicative of acute tubular necrosis (ATN), a condition where the tubular cells in the kidneys are damaged, often due to ischemia or nephrotoxic substances. These damaged cells shed into the urine, forming casts.
B. Glomerulonephritis is characterized by inflammation of the glomeruli and typically leads to hematuria and proteinuria, but it is not specifically associated with epithelial cells in casts.
C. Urinary tract infections (UTIs) usually cause bacteriuria, pyuria, and sometimes hematuria, but not epithelial cell casts.
D. Pyelonephritis is an infection of the kidneys that can cause white blood cell casts and bacteria in the urine, but it is not typically associated with epithelial cell casts.
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Related Questions
Correct Answer is B
Explanation
A. Adjusting thirst sensation is not the primary focus of treatment for Diabetes Insipidus. The condition is more concerned with fluid balance and preventing dehydration due to excessive urination.
B. Hydration is crucial in the management of Diabetes Insipidus, as patients experience excessive urination and fluid loss. Proper hydration helps prevent dehydration and its associated complications.
C. A 24-hour urine collection is used to assess the extent of polyuria but is not a primary treatment strategy. Treatment focuses on managing fluid balance rather than just monitoring urine output.
D. While increasing Antidiuretic Hormone (ADH) or using synthetic ADH (desmopressin) can be part of treatment, the key treatment focus is maintaining adequate hydration to counteract the effects of polyuria.
Correct Answer is A
Explanation
A. Consolidation refers to the accumulation of inflammatory products, such as exudate, in the alveoli of the lungs, which is a hallmark finding in pneumonia. It appears as a dense, solid area on chest X-ray and indicates that the lung tissue has become filled with fluid, pus, and cellular debris.
B. Exudation is the process by which fluid and cells leak out of blood vessels into the surrounding tissues, which is part of the inflammatory response in pneumonia. However, consolidation is the specific diagnostic finding that results from exudation in pneumonia.
C. Pneumonia is the overall condition being described, but it is not the diagnostic finding itself. Consolidation is the key radiological and clinical finding in pneumonia.
D. Hemoptysis, or coughing up blood, can occur in some cases of pneumonia, but it is not a typical or defining diagnostic finding of pneumonia. It is more often associated with conditions like tuberculosis or lung cancer.
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