BONUS QUESTION Autoregulation allows the kidneys to maintain steady blood flow and glomerular filtration rate (GFR) necessary to eliminate waste. There are two internal autoregulatory mechanisms that operate without outside influence: the myogenic response and the tubuloglomerular feedback mechanism. What mechanism(s) does the arteriolar myogenic mechanism use to maintain a steady blood flow? Smooth Muscle Relaxation when blood pressure increases Smooth Muscle Relaxation when blood pressure decreases Smooth Muscle Contraction when blood pressure increases Smooth Muscle Contraction when blood pressure decreases

Corals and algae are known to have a mutualistic relationship. What is an example of the contributions they make to each other?   The corals provide [1] to the Symbiodinium.   The Symbiodinium provides [2] to the corals.  

You are assessing a 58-year-old woman with hyaline urinary casts, fractional excretion of Na+ (FENa) of 0.6% and BUN:Cr ratio of 28:1. Past medical history is remarkable for kidney stones, which needed to be removed by lithotripsy. She is currently taking ibuprofen to alleviate arthritis pain in her hands, and omeprazole for gastric reflux. 21. What is the cause of this patient’s acute kidney injury?

A 54-year-old man presents to his primary care provider for an annual wellness examination. He takes NSAIDS as needed for a recent knee replacement. Vital signs and physical examination are within normal limits, with the exception of trace edema in the lower extremities.  Laboratory studies are significant for serum creatinine of 2.4 mg/dl, and urinalysis reveals albuminuria of 101 mg/g. Estimated GFR is 52 mL/min/1.73 m2. At two previous visits, serum creatinine was < 2.0 mg/dl. 16. Which of the following is the most likely stage of the disease?

32. Which of the following parameters best characterizes overt diabetic nephropathy?

True or False:   A sonicator separates samples based on density.

14. Which of the following is the most common cause for the development of chronic kidney disease in adults?

A 28-year old woman with a history of anorexia is admitted to the hospital with lethargy and cognitive impairment.  BMI is 18.5. Serum creatinine is 3.1 mg/dl.  FENa is 0.1%, and urine sediment is bland.  She is diagnosed with pre-renal AKI secondary to diuretic abuse.   On hospital day 3 her symptoms worsen. Serum creatinine is  5.1 mg/dl.  FENa is 3.1%.  Repeat urinalysis reveals brownish pigment and granular casts with epithelial cells, but no white blood cells. 10. Which of the following is the most likely diagnosis on hospital day 3?

22. Which of the following is the best definition of a hypertensive urgency/emergency? Systolic BP (mmHg) Diastolic BP (mmHg) A. < 120 < 80 B. 120 - 139 80 - 89 C. 140 - 159 90 - 99 D. ≥ 180 ≥ 120  

3. Which of the following findings is most commonly present in a patient with prerenal acute kidney injury?