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Kidney dialysis - class-XI

Description: kidney dialysis
Number of Questions: 41
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Tags: organs systems in animals excretion in humans life processes the excretory system biology animal physiology excretion to maintain homeostasis
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Renal calculi refers to the condition in which 

  1. tumor is present in the renal pelvis

  2. stone is formed in kidney

  3. infection occurs in the pelvis region

  4. urea accumulates in the blood


Correct Option: B
Explanation:
Renal calculi or Kidney stones are solid masses made of crystals. Kidney stones usually originate in the kidneys. However, they can develop anywhere along the urinary tract.
So, the correct option is 'stone is formed in kidney'.

Which one of the following options shows a correct matching pair ?

  1. Man - Ureotelic

  2. Bird - Ammonotelic

  3. Fish - Uricotelic

  4. Frog - Uricotelic


Correct Option: A,D
Explanation:

Most mammals e.g. human excrete in the form of urea. These are called ureotelics.

Most amphibians, birds e.g. frog excrete waste product in the form of uric acid. These are called uricotelics.
Fishes are ammonotelic as they excrete ammonia.
Therefore, correct options are (A) and (D).

The condition of accumulation of urea in the blood is termed as 

  1. Renal Caculli

  2. Glomerulonephritits

  3. Uremia

  4. Ketonuria


Correct Option: C
Explanation:

In uremia, concentration of urea goes high in blood because the tubules are not able to remove it from the blood. 

So the correct option is C.

Match column I with column /ii and select the correct option from the codes given below. 
        Column I                     Column II
A.    Uremia                     (i)  Ketone bodies in urine 
B.    Ketonuria                 (ii) Artificial kidney 
C.    Glycosuria               (iii) Glucose in urine 
D.   Blood dialyser          (iv) Accumulation of urea in blood 

  1. A (iii), B (iv) , C (i), D ( ii)

  2. A (iv), B (i) , C (iii), D ( ii)

  3. A (i), B (iv) , C (ii), D (iii)

  4. A (ii), B (i) , C (iv), D ( iii)


Correct Option: B
Explanation:

Uremia is the condition of having high levels of urea in the blood. Ketonuria is the excretion of abnormally large amounts of ketone bodies in the urine. Renal glycosuria is a rare condition in which the simple sugar glucose is eliminated in the urine despite normal or low blood glucose levels. Dialysis is the process of removing excess water, solutes, and toxins from the blood in people whose kidneys can no longer perform these functions naturally. This is referred to as renal replacement therapy.

So, the correct option is 'A (iv), B (i) , C (iii), D ( ii)'. 

Match the abnormal conditions given in Column A with their explanations given in Column B and choose the correct option.
    Column A                        Column B
A. Glycosuria                   (i) Accumulation of uric acid in joints 
B. Renal caculli                (ii) Inflammation in glomeruli 
C. Glomerular nephritis    (iii) Mass of crystalized salts within the kidney.
D. Gout                             (iv) Presence of glucose in urine 

  1. $A-(i), B-(iii), C-(ii), D-(iv)$

  2. $A-(iii), B-(ii), C-(iv), D-(i)$

  3. $A-(iv), B-(iii), C-(ii), D-(i)$

  4. $A-(iv), B-(ii), C-(iii), D-(i)$


Correct Option: C
Explanation:

Glycosuria is a condition characterized by an excess of sugar in the urine, typically associated with diabetes or kidney disease. Kidney stones, or renal calculi, are solid masses made of crystals. Glomerulonephritis is an inflammation of the tiny filters in the kidneys (glomeruli). Gout is a kind of arthritis caused by a buildup of uric acid crystals in the joints. 

So, the correct option is 'A−(iv),B−(iii),C−(ii),D−(i)'.

The accumulation of uric add crystals in the region of joints resulting in painful movements  is a condition called..

  1. fluorodosis

  2. gout

  3. arthritis

  4. rheumatoid arthritis


Correct Option: B
Explanation:

Gout is caused by accumulation of excess of uric acid crystals in the joint, resulting in painful movements.

So, the correct option is 'gout'.

Glomerulonephritis is 

  1. inflammation of glomeruli of kidney

  2. inflammation of liver

  3. presence of stone in glomerull of kidney

  4. tumour in glomeruli of kidney


Correct Option: A
Explanation:

Glomerulonephritis is inflammation of the tiny filters in your kidneys (glomeruli). Glomeruli remove excess fluid, electrolytes, and waste from your bloodstream and pass them into your urine. 

So, the correct option is 'inflammation of glomeruli of kidney'.

Diuresis is the condition in which 

  1. The excretory volume of urine increases

  2. The excretory volume of urine decreases

  3. The kidneys fail to excrete urine

  4. The water balance of the body is disturbed


Correct Option: A
Explanation:

Diuresis is when the body has too many of certain substances in the fluid that the kidneys filter. Eventually, this fluid becomes urine and increases the amount of water expelled by the body, leading to increased or excessive urination. 

So, the correct option is 'The excretory volume of urine increases'.

Which of the following diseases shows the blockage of kidney tubules and causes severe back pain?

  1. Renal calculi

  2. Uremia

  3. Kidney failure

  4. Nephritis


Correct Option: A
Explanation:
Kidney stones are also called urine calculi. Urine calculi are small stones which are hard deposit in the kidneys and cause blockage of the kidney tubules and cause pain when are passed through the urinary stream. They are often calcium oxalate crystals. Hence the disease that shows the blockage of kidney tubules and causes severe back pain is Renal calculi.
So, the correct answer is 'Renal calculi'.

The accumulation of urea in the blood due to malfunctioning of kidneys is referred to as 

  1. Uremia

  2. Renal calculi

  3. Edema

  4. Glomerulonephritis


Correct Option: A
Explanation:

Urea is one of the primary component of the urine. Uremia is the condition having excess amount of urea in the blood. Uremia is the disease due to kidney failure, in which urea and other nitrogenous waste materials which should eliminated through urine are retained and accumulated in the blood.

Excessive accumulation of uric acid in joints causes _________.

  1. Tetany

  2. Osteo arthritis

  3. Gout

  4. Osteoporosis


Correct Option: C
Explanation:

Gout is a painful form of arthritis that occurs when high levels of uric acid in the blood cause crystals to form and accumulate in and around a joint. Uric acid is produced when the body breaks down a chemical called purine. 

So, the correct option is 'Gout'.

One of the following is not a component of kidney stones.

  1. Calcium Oxalate

  2. Calcium Phosphate

  3. Cholesterol

  4. None of the above


Correct Option: A

Inadequate consumption of water may result in the formation of kidney stones.

  1. True

  2. False


Correct Option: A
Explanation:

True, when we have too much of certain wastes and not enough fluid in your blood, the wastes can build up and stick together in kidneys and these clumps of waste are called kidney stones.

Urinary tract infection is more common in men than in women. 

  1. True

  2. False


Correct Option: B

In man, the kidney stones are formed due to

  1. Blockage by fats

  2. Deposition of sand in kidney

  3. Protein accumulation in kidneys

  4. Salts such as oxalates are crystallised in pelvis.


Correct Option: D
Explanation:

In man, the kidney stones are formed due to salts such as oxalates are crystallised in pelvis.

  • A kidney stone is a hard, crystalline mineral material formed within the kidney or urinary tract.
  • Kidney stones form when there is a decrease in urine volume and/or an excess of stone-forming substances in the urine.
  • Dehydration is a major risk factor for kidney stone formation.
  • Symptoms of a kidney stone include flank pain (the pain can be quite severe) and blood in the urine (hematuria).
  • Diagnosis of kidney stones is best accomplished using an ultrasound, IVP, or a CT scan.
  • Treatment includes pain-control medications and, in some cases, medications to facilitate the passage of urine.

Most common kidney stones are made up of

  1. Magnesium phosphate

  2. Calcium oxalate

  3. Uric acid

  4. Cholesterol


Correct Option: B
Explanation:
There are four main types of kidney stones. Calcium stones are the most common type of kidney stones. They are usually made of calcium and oxalate (a natural chemical found in most foods) but are sometimes made of calcium and phosphate. Uric acid stones form when urine is often too acidic.
So, the correct option is 'Calcium oxalate'.

Which one of following statements is false?

  1. Presence of albumin in urine is albuminuria.

  2. Presence of glucose in urine is glycosuria.

  3. Presence of ketone sugar in urine is ketonuria.

  4. Presence of excess urea in blood is uremia.

  5. Presence of haemoglobin in urine is haemoglobinuria.

  6. None of the above.


Correct Option: F
Explanation:

Ketones are the end products of fatty acid metabolism in absence of glucose. These ketones are excreted through urine.

Blackening of urine when exposed to air is a metabolic
disorder in human beings. This is due to

  1. Phenylalanine

  2. Tyrosine

  3. Valine replacing glutamine

  4. Homogentistic acid

  5. Glumine replacing valine


Correct Option: D
Explanation:

Alkaptonuria is an inherited condition that causes urine to turn black when exposed to air. Mutations in the HGD gene cause alkaptonuria. Homogentisic acid, which is produced when phenylalanine and tyrosine are broken down, accumulates in the body. Excess homogentisic acid is deposited in connective tissues, which causes cartilage and skin to darken. Over time, a buildup of this substance in the joints leads to arthritis. Homogentisic acid is also excreted in urine, making the urine turn dark when exposed to air.

The depression at the mesial surface of the kidney is called.

  1. Hilus

  2. Pelvis

  3. Pyramid

  4. Calyx


Correct Option: A

In uraemia, there is

  1. Increased urine output

  2. Increased urea in blood

  3. Increased serum cholesterol

  4. Increased blood sugar.


Correct Option: B
Explanation:

Uremia is the presence of excess urea in the blood. It may occur due to chronic kidney disease or kidney failure.

So, the correct answer is 'Increased urea in blood'.

Occurrence of excess urea in blood due to kidney failure is

  1. Urochrome

  2. Uraemia

  3. Uricotelism

  4. Ureotelism


Correct Option: B
Explanation:

Uremia is the presence of excess urea in the blood. It may occur due to chronic kidney disease or kidney failure. Hence occurrence of excess urea in the blood due to kidney failure is uremia.

So, the correct answer is 'Uraemia'.

Uraemia is the occurrence of

  1. Blood in urine

  2. Excess of urea in blood

  3. Excess of sugar in blood

  4. Deficiency of sugar


Correct Option: B
Explanation:

Uremia is caused by extreme and usually irreversible damage to your kidneys. This is usually from chronic kidney disease. The kidneys are no longer able to filter the waste from your body and send it out through your urine. Instead, that waste gets into your bloodstream, causing a potentially life-threatening condition.

So, the correct option is 'Excess of urea in blood'.

Haemodialysis helps the patient having

  1. Goitre

  2. Anaemia

  3. Uremia

  4. Diabetes


Correct Option: C
Explanation:

Hemodialysis is the most common type of dialysis. This process uses an artificial kidney (hemodialyzer) to remove waste and extra fluid from the blood. The blood is removed from the body and filtered through the artificial kidney. The filtered blood is then returned to the body with the help of a dialysis machine.

So, the correct option is 'Uremia'.

Chemical composition of renal calculi, besides uric acid is

  1. Bile salts

  2. Barium chloride

  3. Zinc sulphate

  4. Calcium oxalate


Correct Option: D
Explanation:
Approximately 70-80% of kidney stones are composed of calcium oxalate and calcium phosphate. Of the rest, 10% are struvite, 10% of uric acid; and less than 1% are composed of cystine or are diagnosed as drug-related stones. Calcium and uric acid stones are more common in men; women have more struvite stones.
So, the correct option is 'Calcium oxalate'.

Renal calculi are formed due to

  1. Calcium oxalate crystals accumulation

  2. Bacterial infection

  3. Clotting of blood

  4. Presence of hard particles in food


Correct Option: A
Explanation:

Kidney stones are also called urine calculi. Urine calculi are small stones which are hard deposit in the kidneys and cause pain when are passed through the urinary stream. They are formed often to do accumulation of calcium oxalate crystals.

So, the correct answer is 'Option A'.

Accumulation of urea in blood due to malfunctioning of kidneys is

  1. Edema

  2. Uremia

  3. Renal calculi

  4. Glomerulonephritis


Correct Option: B
Explanation:
Accumulation of urea in the blood due to malfunctioning of kidneys is Uremia. It may occur due to chronic kidney disease or kidney failure.
So, the correct answer is 'Option B'.

Urine calculi are

  1. Bile pigments

  2. Protein particles

  3. Ketones

  4. Small stones


Correct Option: D
Explanation:

Kidney stones are also called urine calculi. Urine calculi are small stones which are hard deposit in the kidneys and cause pain when are passed through the urinary stream. They are often calcium oxalate crystals.

So, the correct answer is 'Small stones"

Identify correctly matched pairs.
1. Uremia- Excessive amount of urea in blood
2. Hyperglycemia- Excess glucose in blood
3. Absence of factor VIII- Haemophilia
4. X-linked disorder- Glycosuria

  1. 1, 2, 3 correct

  2. 1, 2 correct

  3. 2, 4 correct

  4. 1, 3 correct


Correct Option: A
Explanation:
1. Uremia is the condition in which there is excess urea present in the body. It occurs when there is decreased excretion of urea in the kidney.
2. Hyperglycemia is the condition of excess glucose in blood. It can occur due to factor like decreased level of insulin in blood.
3. Factor VIII is known as anti-haemophilic factor. Deficiency of this factor causes classical haemophilia in which blood clot formation does not occur and the bleeding continues.
4. Glycosuria is the presence of glucose in urine. This indicates abnormal absorption of glucose in the renal tubules.
Hence, 1,2 and 3 options are correctly matched pairs.
So, the correct answer is '1, 2, 3 correct'. 

Which of the following disease shows the blockage of kidney tubules and causes severe back pain?

  1. Nephtritis

  2. Kidney failure

  3. Uremia

  4. Renal calculi


Correct Option: D
Explanation:

Renal calculi or kidney stone is a solid piece of material blocking the passage of urine in ureter. It leads to pain usually in lower back and then growing in groin area.

Black urine disease is due to

  1. Absence of alkapton oxidase

  2. Absence of homogentisic acid

  3. Metabolism of phenylalanine

  4. Metabolism of tyrosine


Correct Option: A

Both gout and kidney stone formation is caused by ___________.

  1. Calcium oxalate

  2. Uric acid

  3. Creatinine

  4. Potassium Chloride


Correct Option: B

Which of the following disease shows the blockage of kidney tubules and causes severe back pain?

  1. Renal calculi

  2. Kidney failure

  3. Uremia

  4. Nephritis


Correct Option: A
Explanation:

Renal calculi is also called as kidney stones. Renal calculi mainly contains calcium oxalate. It also includes cystine stones or uric acid stones. It results in the blockage of kidney tubules by a solid mass of crystals. It causes severe pain in the back, abdomen, flank and groin. 

Thus, the correct answer is option A.

Select correct option for the following statement.
(a) It occurs due to bacterial infection
(b) Back pain
(c) Frequent urination
(d) It is an inflammation of renal pelvis, intestinal tissue and calyces.

  1. Uremia

  2. Renal Calculi

  3. Kidney failure

  4. Nephritis


Correct Option: D
Explanation:

Nephritis is the inflammation of kidneys. renal pelvis, intestinal tissue and calyces. It occurs due to bacterial infection or toxins. Symptoms include back pain, pain in pelvis, frequent urination, blood or pus in urine, swelling in some body parts. 

Thus, the correct answer is 'nephritis.'

One of the following is not a component of kidney stones. 

  1. Calcium Oxalte

  2. Calcium Phosphate

  3. Cholesterol

  4. None of the above


Correct Option: C
Explanation:

Kidney stones or renal calculi, are solid masses made of crystals. Calcium stones are the most common. They can be made of calcium oxalate (most common), phosphate or maleate.

Uraemia is an excretory disorder in which

  1. The tubules of kidney reabsorb urea in large amount.

  2. Concentration of urea goes high in the blood because the tubules are not able to remove it from the blood.

  3. Urea is produced in excess in the body.

  4. None of the above


Correct Option: B
Explanation:

Uraemia is the toxic effects of abnormally high concentrations of urea or nitrogenous substances in the blood as a result of the kidneys failure to expel these waste products by way of the urine. The end products of protein metabolism accumulate in the blood but are normally filtered out when the blood passes through the kidneys. Uraemia can result from any disorder that impairs the functioning of the kidneys or that hinders the excretion of urine from the body. 

Urine is dark yellow color in hepatitis patients.

  1. True

  2. False

  3. Ambiguous

  4. Data insufficient


Correct Option: A
Explanation:

Hepatitis causes liver failure or liver cancer. Due to this the functioning of liver disturbs drastically. This results in jaundice being one of the symptoms of hepatitis. Thus excretes dark yellow colored urine.

Diuretics are substances that help eliminate water from the body. Few volunteers were taken into the study, all of which had same mass. They drank nothing for eight hours before the test and urinated just prior to ingesting the test substance. The three substances (water, caffeine, and salt) were tested on three separate days. The results are shown in the tables below.
Table 1

Volunteer Amount of caffeine ingested(in 100 ml water) Volume of urine collected after 1 hour
A 50 mg 302 ml
B 100 mg 492 ml
C 150 mg 667 ml
D 200 mg 863 ml


Table 2

Volunteer Amount of sodium chloride ingested(in 100 ml water) Volume of urine collected after 1 hour
A 0.9 g 201 ml
B 1.8 g 162 ml
C 2.7 g 125 ml
D 3.6 g 82 ml

Table 3

Volunteer Volume of water ingested Volume of urine collected after 1 hour
A 100 ml 230 ml
B 200 ml 240 ml
C 300 ml 252 ml
D 400 ml 263 ml


Which of the following substances could be classified as a diuretic?

  1. Caffeine

  2. Sodium

  3. Water

  4. Both A and B

  5. Both A and C


Correct Option: E
Explanation:

Diuretics are substances that cause an increase in the production of urine. In the given table 1, as the concentration of caffeine ingestion increases, volume of urine increases. Same results can be made from table 3 that is the volume of urine collected increases with the volume of water ingested but In table 2 as the concentration of sodium chloride ingested, the volume of urine decreases gradually. So, water and caffeine can be classified as a diuretic. Thus, the correct answer is 'Both A and C.'

Which of the following will not lead to a diuresis ?

  1. Excessive Sweating

  2. Deficiency of ADH

  3. Deficiency of insulin

  4. Excessive of water intake


Correct Option: A
Explanation:
Diuresis is nothing but the excessive production urine in a person’s body. it could be due to excessive water intake or due to the deficiency of ADH. Low levels of insulin also trigger diuresis. However, excessive sweating acts as a counteracting measure and decreases the urine production and release from the body.
So, the correct answer is 'Excessive Sweating'.

Diuretics are substances that help eliminate water from the body. Few volunteers were taken into the study, all of which had same mass. They drank nothing for eight hours before the test and urinated just prior to ingesting the test substance. The three substances (water, caffeine, and salt) were tested on three separate days. The results are shown in the tables below.
Table-1

Volunteer Amount caffeine ingested(in 100 ml water) Volume urine collected after 1 hour
A 50 mg 302 ml
B 100 mg 492 ml
C 150 mg 667 ml
D 200 mg 863 ml

Table-2

Volunteer Amount sodium chloride ingested(in 100 ml water)    Volume urine collected after 1 hour
A 0.9 g 201 ml
B 1.8 g 162 ml
C 2.7 g 125 ml
D 3.6 g 82 ml

Table-3

Volunteer Volume water ingested Volume urine collected after 1 hour
A 100 ml 230 ml
B 200 ml 240 ml
C 300 ml 252 ml
D 400 ml 263 ml


The reason of ingesting the plain water was to

  1. Rehydrate the volunteers

  2. Dissolve the substances

  3. Act as a control

  4. Flush out the kidneys

  5. Act as a positive test substance


Correct Option: C
Explanation:

Because the caffeine and the sodium chloride were dissolved in water, plain water was consumed as a control to make sure the effects seen were due to the added substances and not the water. Thus, the correct answer is option C.

Diuretics are substances that help eliminate water from the body. Few volunteers were taken into the study, all of which had same mass. They drank nothing for eight hours before the test and urinated just prior to ingesting the test substance. The three substances (water, caffeine, and salt) were tested on three separate days. The results are shown in the tables below.
Table-1

Volunteer Amount of caffeine ingested(in 100 ml water)    Volume of urine collected after 1 hour
A 50 mg 302 ml
B 100 mg 492 ml
C 150 mg 667 ml
D 200 mg 863 ml

Table-2

Volunteer Amount of sodium chloride ingested(in 100 ml water) Volume of urine collected after 1 hour
A 0.9 g 201 ml
B 1.8 g 162 ml
C 2.7 g 125 ml
D 3.6 g 82 ml

Table-3

Volunteer Volume of urine collected after 1 hour Volume of urine collected after 1 hour
A 100 ml 230 ml
B 200 ml 240 ml
C 300 ml 252 ml
D 400 ml 263 ml


If a volunteer had ingest 4.5 g sodium chloride dissolved in 100 ml water, what would had be the amount of urine volume collected after one hour?

  1. 20 ml

  2. 30 ml

  3. 40 ml

  4. 50 ml

  5. 60 ml


Correct Option: C
Explanation:
From the table, as the increase in sodium chloride of 0.9 g results in the decrease in urine volume of approximately 40 ml. When 3.6 g sodium chloride is ingested, 82 ml urine is produced. Thus on ingesting 4.5 g sodium chloride, the expected urine volume would be 40 ml less than 82 ml i.e., 42 ml.
Therefore, the correct answer is option C.

Find the odd one out, with respect to X-linkage.

  1. Haemophilia

  2. Myopia

  3. Nephritis

  4. Night blindness


Correct Option: C
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