KROK 1 2009 – Question 169 · KROK (Medicine) · Pathophysiology
A patient with massive burns developed acute renal insufficiency characterized by a significant and rapid deceleration of glomerular filtration. What is the mechanism of its development?
- A. Rise of pressure of tubular fluid
- B. Reduction of functioning nephron number
- C. Damage of glomerular filter
- D. Renal artery embolism
- E. Reduction of renal blood flow
Hint
Think about what massive plasma loss through burned skin does to circulating volume and to perfusion of the kidneys, and whether the nephrons themselves are injured at first.
The answer, the explanation and a note on every option are available once you log in. The account is free: topic tests, a mock exam, mistake review and statistics.
More questions on Pathophysiology
- After taking poor-quality food a patient developed repeated episodes of diarrhea. On the next day he presented with decreased arterial pressure…
- A patient complains of frequent diarrheas, especially after consumption of rich food, weight loss. Laboratory examination revealed steatorrhea; his…
- A 44 year old woman complains of general weakness, heart pain, significant increase of body weight. Objectively: moon face, hirsutism, AP is 165/100…
- A 34 year old woman was diagnosed with hereditary microspherocytic hemolytic anemia (Minkowsky-Shauffard disease). What mechanism caused haemolysis…
- A 56 year old patient suffering from cardiac insufficiency has edema of feet and shins, edematous skin is pale and cold. What is the leading…
- A 25 year old Palestinian woman complains of weakness, dizziness, dyspnea. In anamnesis: periodically exacerbating anemia. In blood: Hb - 60 g/l…