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Haemodialysis - class-XI

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Which one of the following is correct with reference to haemodialysis? 

  1. Absorbs and resends excess of ions.

  2. The dialysis unit has a coiled cellophone tube

  3. Blood is pumped back through suitable artery after haemodialysis

  4. Nitrogenous wastes are removed by active.


Correct Option: B
Explanation:
Haemodialysis is done in the patients whose kidneys become completely non-functional. Haemodialysis is the process of diffusion across a semipermeable membrane to remove unwanted substances from the blood while adding derivable components. The dialysis unit consists of a coiled cellophane tube kept it the dialysing fluid. The membrane of the tube is impermeable to blood cells and proteins but permeable to urea, uric acid, creatinine and mineral ions.

So, the correct answer is 'The dialysis unit has a coiled cellophone tube'.

Dialysing unit (artificial kidney) contains a fluid which is almost same as plasma except that it has 

  1. High glucose

  2. High urea

  3. No urea

  4. High uric acid


Correct Option: C
Explanation:

Artificial kidney (Dialysing unit ) is a machine that is used for filtration of blood in the people whose kidneys are failed or damaged by the process called Dialysis.

Dialysis fluid is produced by the blending of treated water with electrolytes at the patient's bedside. The composition of the dialysis fluid should match that of plasma except for the nitrogenous waste (urea). 

So the answer is 'No urea'. 

The process of filtering of blood through an artificial kidney called as ............

  1. Transplantation

  2. Dialysis

  3. Filtration

  4. Diffusion


Correct Option: B
Explanation:

Dialysis of kidneys is a process in which the blood is purified with the help of machine. It is done when the Kidneys fail to perform their function of filtering blood and balancing electrolytes and fluid concentration. Due to this,  Dialysis is also referred as Artificial Kidneys. Transplantation is a process in which a damaged organ is replaced by the healthy one. And filteration and diffusion are process that occurs in kidneys as well as other cells of the body. 

In uraemia, artificial kidney is used for removing accumulated waste products like urea by the process called

  1. Micturition

  2. Ureotehsm

  3. Reverse dialysis

  4. Haemodialysis


Correct Option: D
Explanation:

The process of filtering the blood by the artificial kidney is known as hemodialysis. It is a method of removing excess water, nitrogenous wastes (urea), toxins from the blood in the patient who is rapidly developing loss of kidney function. It is also called renal replacement therapy. Uraemia is the presence of excess urea in the blood. It may occur due to chronic kidney disease or kidney failure. Hence In uraemia, the artificial kidney is used for removing accumulated waste products like urea by the process called hemodialysis.

So, the correct answer is 'Haemodialysis'.

Haemodialysis is also called artificial

  1. Liver

  2. Lung

  3. Heart

  4. Kidney


Correct Option: D
Explanation:

The process of filtering the blood by the artificial kidney is known as hemodialysis. It is a method of removing excess water, nitrogenous wastes (urea), toxins from the blood in the patient who is rapidly developing loss of kidney function. It is also called renal replacement therapy. Hence haemodialysis is also called as artificial Kidney.

So, the correct answer is 'Kidney'.

In the case of renal failure and uraemia , which one of the following is employed?

  1. Kindey replacement

  2. Lithotripsy

  3. Haemodialysis

  4. Kidney removal


Correct Option: C
Explanation:

  • Haemodialysis is a process of purifying the blood of a person whose kidneys are not working normally. This type of dialysis achieves the extracorporeal removal of waste products such as creatinine and urea and free water from the blood when the kidneys are in a state of kidney failure. 
  • Haemodialysis is one of three renal replacement therapies (the other two being kidney transplant and peritoneal dialysis). An alternative method for extracorporeal separation of blood components such as plasma or cells is apheresis.

So the correct option is 'Haemodialysis'.

Which one of the following is correct with reference to haemodialysis?

  1. Absorbs and resends excess of ions

  2. The dialysis unit has a coiled cellophane tube

  3. Blood is pumped back through a suitable artery after haemodialysis

  4. Anti-heparin is added prior to haemodialysis


Correct Option: B
Explanation:

Answer is option B i.e. "The dialysis unit has a coiled cellophane tube"
Dialysis is an ‘artificial kidney’ consists of a long coiled cellophane tube immersed in a water bath. The cellophane tube is semi-permeable and allows body waste to diffuse out of the blood into the water bath, while retaining the plasma proteins and blood cells, only the excess amounts of ions and glucose diffuse into the bath from the blood.

Blood dialysis is called

  1. Artificial lung

  2. Artificial kidney

  3. Artificial heart

  4. Artificial brain


Correct Option: B
Explanation:

Malfunctioning of kidneys can lead to accumulation of urea in blood, a condition called uremia, which is highly harmful and may lead to kidney failure. In such patients, urea can be removed by a process called hemodialysis (artificial kidney). In this procedure, blood drained from a convenient artery is pumped into a dialysing unit after adding an anticoagulant like heparin. The unit contains a coiled cellophane tube surrounded by a fluid (dialysing fluid) having the same composition as that of plasma except for the nitrogenous wastes. The porous cellophane membrane of the tube allows the passage of molecules based on concentration gradient. As nitrogenous wastes are absent in the dialysing fluid, these substances freely move out, thereby clearing the blood. The cleared blood is pumped back to the body through a vein after adding anti-heparin to it. This method is a boon for thousands of uremic patients all over the world.

Which one of the following is correct with reference to hemodialysis?

  1. Absorbs and resends excess of ions.

  2. The dialysis unit has a coiled cellophane tube.

  3. Blood is pumped back through a suitable artery after haemodialysis.

  4. Nitrogenous wastes are removed by active transport.


Correct Option: B
Explanation:

The process of purifying blood artificially of a person whose kidney is not working is called hemodialysis. In this process, the impure blood is taken to a dialyzer and returned pure to the body. While filtering, the blood flows through tubes made up of a membrane (cellophane) that allows the waste products smaller than the blood cells to pass through it. Passing through the membrane the waste products goes into a dialysis solution called dialysate then out of the machine. The clean and pure blood is carried on through and returned safely to the body.  

Cleaning of blood of a person with the help of a kidney machine is known as

  1. Paralysis

  2. Alcoholysis

  3. Hydrolysis

  4. Dialysis


Correct Option: D
Explanation:

Haemodialysis is a method for removing waste products such as creatinine and urea, as well as free water from the blood when the kidneys can not work properly. The mechanical device used to clean the patient's blood is called a dialyzer, also known as an artificial kidney. 

Significantly higher level of urea in the blood is the indication of

  1. Liver damage

  2. Kidney damage

  3. Heart attack

  4. Spleen damage


Correct Option: B
Explanation:

Blood urea nitrogen (BUN) measures the amount of urea nitrogen, a waste product of protein metabolism, in the blood. Urea is formed by the liver and carried by the blood to the kidneys for excretion. Because urea is cleared from the bloodstream by the kidneys, a test measuring how much urea nitrogen remains in the blood can be used as a test of renal function. Diseased or damaged kidneys cause an elevated BUN because the kidneys are less able to clear urea from the bloodstream. In conditions in which renal perfusion is decreased, such as hypovolemic shock or congestive heart failure, BUN levels rise. A patient who is severely dehydrated may also have a high BUN due to the lack of fluid volume to excrete waste products.

Therefore, the correct answer is option B.

Dialysis is meant for

  1. Kidney

  2. Gall bladder

  3. Lung

  4. Liver


Correct Option: A
Explanation:

Kidney dialysis is a life-support treatment that uses a special machine to filter harmful wastes, salt, and excess fluid from your blood. This restores the blood to a normal, healthy balance. Dialysis replaces many of the kidney's important functions. There are different types of kidney dialysis, including hemodialysis- blood is filtered using a dialyzer and dialysis machine and peritoneal dialysis- blood is filtered inside the body after the abdomen is filled with a special cleaning solution.

Therefore, the correct answer is option A.

Haemodialysis is carried out in the case with a sever defect in

  1. Kidney

  2. Liver

  3. Pancres

  4. Gall bladder


Correct Option: A
Explanation:
Dialysis is the artificial process of eliminating waste (diffusion) and unwanted water (ultrafiltration) from the blood. Our kidneys do this naturally. Some people, however, may have failed or damaged kidneys which cannot carry out the function properly - they may need dialysis.
Dialysis may be used for patients who have become ill and have acute kidney failure (temporary loss of kidney function), or for fairly stable patients who have permanently lost kidney function.
Therefore, the correct answer is option A.

The process used in separating larger particles from smaller ones in a solution is called

  1. Chromatography

  2. Dialysis

  3. Osmosis

  4. Tyndallisation


Correct Option: B
Explanation:

The process of filtering the blood by the artificial kidney is known as dialysis. It is a method of removing excess water, nitrogenous wastes (urea), toxins from the blood in the patient who is rapidly developing loss of kidney function. In dialysis, the larger particles like proteins are separated from smaller particles(nitrogenous waste) in a solution called dialysis fluid.

So, the correct answer is 'Dialysis'.

Haemodialysis is carried out in case of severe defect in 

  1. Kidney

  2. Liver

  3. Lung

  4. Stomach


Correct Option: A
Explanation:

The process of filtering the blood by the artificial kidney is known as hemodialysis. It is a method of removing excess water, nitrogenous wastes (urea), toxins from the blood in the patient who is rapidly developing loss of kidney function. It is also called renal replacement therapy. Hence haemodialysis is carried out in case of the severe defect in kidney.

So, the correct answer is 'Kidney'.

Following are four statements. Find out the correct combination. 
1. Glucose has high threshold value.
2. Urine is concentrated in Henles loop. 
3. Haemodialyser removes urea, uric acid, glucose and proteins. 
4. In glomerulus, urea, uric acid, water, glucose and plasma proteins are filtered out

  1. $1, 3, 4$

  2. $2, 3, 4$

  3. $1, 2$

  4. $1, 3$


Correct Option: C
Explanation:

1) The substances which are present in blood on being filtered into the tubule are completely reabsorbed are called as high threshold substance. For example, Glucose, NaCl.Hence Glucose has a high threshold value.

2) Urine in concentrated in heles loop through a countercurrent mechanism. The flow of filtrate in the two limbs of Henle’s loop is in opposite directions and thus forms a counter current. The flow of blood through the two limbs of vasa recta is also in a countercurrent pattern. The proximity between the Henle’s loop and vasa recta, as well as the countercurrent in them, help in maintaining the concentration of urine.
So, the correct answer is '1,2'.

Which one acts as artificial kidney in haemodialysis?

  1. Dialysing liquid

  2. Bubble trap

  3. Blood pump

  4. Dialyser


Correct Option: D
Explanation:
Hemodialysis is a method for removing waste products such as creatinine and urea, as well as free water from the blood when the kidneys are in kidney failure. The mechanical device used to clean the patient's blood is called a dialyser, also known as an artificial kidney.

So, the correct option is 'Dialyser'.

Haemodialysis is connected with

  1. Liver

  2. Spleen

  3. Stomach

  4. Kidney


Correct Option: D
Explanation:

The process of filtering the blood by the artificial kidney is known as haemodialysis. It is a method of removing excess water, nitrogenous wastes (urea), toxins from the blood in the patient who is rapidly developing loss of kidney function. It is also called renal replacement therapy. Hence haemodialysis is connected with the kidney.

So, the correct answer is 'Kidney'.

Dialysis fluid contains all the constituents as in plasma except

  1. Electrolytes

  2. Proteins

  3. Nitrogenous wastes

  4. All the above


Correct Option: C
Explanation:

The process of filtering the blood by the artificial kidney is known as dialysis. It is a method of removing excess water, nitrogenous wastes (urea), toxins from the blood in the patient who is rapidly developing loss of kidney function. It is also called renal replacement therapy. Dialysis fluid contains all constituents as in plasma except nitrogenous waste (Urea)

So, the correct answer is 'Nitrogenous waste'.

Haemodialysis is done for the removal of ......... from blood

  1. Urea

  2. Glucose

  3. Amino acids

  4. All the above


Correct Option: A
Explanation:
The process of filtering the blood by the artificial kidney is known as Haemodialysis. It is a method of removing excess water, nitrogenous wastes (urea), toxins from the blood in the patient who is rapidly developing loss of kidney function. Hence Haemodialysis is done for the removal of Urea from the blood.
So, the correct answer is 'Option A'.

Haemodialysis is a treatment option for patients with malfunctions of

  1. Kidney

  2. Heart

  3. Liver

  4. Lungs


Correct Option: A
Explanation:

Haemodialysis is a method that is used to achieve the extracorporeal (procedure takes place outside the body) removal of waste products such as creatinine and urea from the blood when the kidneys are in a state of renal failure.

The main waste which passes into the dialysing solution of a dialysis machine is

  1. Cellulose

  2. Glucose

  3. Water

  4. Urea


Correct Option: D
Explanation:

The dialysis fluid contains water, glucose, salts and various substances at the correct concentration for the body. The dialysing membrane allows small particles such as water, urea and mineral ions to pass through it. There will be a net flow from the region of higher concentration (usually in the blood) to the region of lower concentration (in the dialysis fluid) by diffusion. As a result, the concentration of these small particles ends up being the same on both sides of the membrane. So the blood leaving the dialysis machine has all these substances in the same concentration as the dialysis solution. The fresh dialysis solution does not contain urea - so urea (and other impurities) pass out of the blood. They are taken away by the flow of dialysis solution. Proteins and blood cells are too big to pass through the membranes, so stay in the blood.

The separation of macromolecules from molecules and ions can be accomplished by

  1. Photolysis

  2. Cytolysis

  3. Hemolysis

  4. Dialysis


Correct Option: D
Explanation:

A number of techniques are developed for separating, analyzing, and isolating the various macromolecular constituents of cells and tissues. All these techniques that principally work on the separation of proteins (and enzymes), peptides, carbohydrates, oligonucleotides and nucleic acids are electrophoresis, chromatography and ultracentrifugation. However, separation of macromolecules from the molecules and ions can also be done by using semipermeable membranes, such as those prepared from cellophane or collodion to separate solutes on the basis of molecular weight differences. The technique is called as dialysis and was first described in 1861 by T. Graham.

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