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Renal and Urinary Tract Disorders

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

a. Glomerular filtration decreases.

b. Effective renal plasma flow increases.

c. Serum creatinine concentration increases.

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

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

a. 50 mg/day

b. 100 mg/day

c. 200 mg/day

d. 300 mg/day

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

a. 0.3 mg/dL

b. 0.5 mg/dL

c. 0.7 mg/dL

d. 0.9 mg/dL

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?

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

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

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

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

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?

a. Cystitis

b. Pyelonephritis

c. Diverticulitis

d. Asymptomatic bacteriuria

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

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