Deck 9: The Urinary System
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Deck 9: The Urinary System
1
Write the correct answer in the middle column.



Surgical fixation is referred to with the suffix -pexy. Surgical fixation is a process of physically attaching an organ, tissue, or object to another organ, tissue, or object.
The correct answer is -pexy.
Urine and the urinary tract use the stem -ur/o.
The renal pelvis is the part of the kidney that collects urine for excretion to the bladder, and is referred to as the stem word pyel/o.
The suffix -lysis refers to the process of breaking down, setting free, separation disassembly, or decomposition.
The process of crushing is referred to using the suffix -tripsy.
The correct answer is -pexy.
Urine and the urinary tract use the stem -ur/o.
The renal pelvis is the part of the kidney that collects urine for excretion to the bladder, and is referred to as the stem word pyel/o.
The suffix -lysis refers to the process of breaking down, setting free, separation disassembly, or decomposition.
The process of crushing is referred to using the suffix -tripsy.
2
Select the correct answer, and write it on the line provided. The term ____________________________ describes treatment in which a body part is removed or its function is destroyed. This type of procedure is frequently used to treat prostate cancer. 

Ablation is a surgical method of destroying a tissue or organ's function through many different types of techniques, which include surgical, heat, and chemical tactics among others. Ablation may be used to treat prostate cancer, by destroying the prostate and its effected cells.
The correct answer is ablation.
Adhesion is the process of two different types of materials or surfaces to cling together.
Lithotomy is a surgical method for the removal of stony objects. Lith/o means stone and -otomy means surgical incision.
Meatotomy is a surgical method for the enlargement of the urethral meautus. Meat refers to the urethral meatus and -otomy means surgical incision.
The correct answer is ablation.
Adhesion is the process of two different types of materials or surfaces to cling together.
Lithotomy is a surgical method for the removal of stony objects. Lith/o means stone and -otomy means surgical incision.
Meatotomy is a surgical method for the enlargement of the urethral meautus. Meat refers to the urethral meatus and -otomy means surgical incision.
3
In the space provided, write the words that each abbreviation stands for.
BPH ___________________________________________
BPH ___________________________________________
The acronym BPH stands for benign prostatic hyperplasia.
Benign prostatic hyperplasia describes the abnormally enlarged condition of a prostate gland that is not caused by cancer or infection. Enlarged prostates cause urinary tract problems in men because only men have prostates. The enlarged prostate constricts the flow of fluid through the urethra.
Benign prostatic hyperplasia describes the abnormally enlarged condition of a prostate gland that is not caused by cancer or infection. Enlarged prostates cause urinary tract problems in men because only men have prostates. The enlarged prostate constricts the flow of fluid through the urethra.
4
Divide each term into its component word parts. Write these word parts, in sequence, on the lines provided. When necessary, use a slash (/) to indicate a combining vowel. (You may not need all of the lines provided.)
Hydronephrosis is the dilation of one or both kidneys.
Hydronephrosis is the dilation of one or both kidneys.

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5
Write the correct answer on the line provided.
When Lenny Nowicki's ________________________ blood test showed a very high PSA level, his physician was concerned about the possibility of prostate cancer.
When Lenny Nowicki's ________________________ blood test showed a very high PSA level, his physician was concerned about the possibility of prostate cancer.
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6
These terms are not found in this chapter; however, they are made up of the following familiar word parts. If you need help in creating the term, refer to your medical dictionary.
The surgical creation of an outside excretory opening from the urethra is a/an_______________________________

The surgical creation of an outside excretory opening from the urethra is a/an_______________________________
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7
Write the correct answer in the middle column.



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8
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9
In the space provided, write the words that each abbreviation stands for.
ESRD ___________________________________________
ESRD ___________________________________________
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10
Divide each term into its component word parts. Write these word parts, in sequence, on the lines provided. When necessary, use a slash (/) to indicate a combining vowel. (You may not need all of the lines provided.)
Voiding cystourethrography is a diagnostic procedure in which a fluoroscope is used to examine the flow of urine from the bladder and through the urethra.
Voiding cystourethrography is a diagnostic procedure in which a fluoroscope is used to examine the flow of urine from the bladder and through the urethra.

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11
Write the correct answer on the line provided.
Dr. Morita's patient was diagnosed as having ______________________ This is a type of kidney disease caused by inflammation of the glomeruli that causes red blood cells and proteins to leak into the urine.
Dr. Morita's patient was diagnosed as having ______________________ This is a type of kidney disease caused by inflammation of the glomeruli that causes red blood cells and proteins to leak into the urine.
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12
These terms are not found in this chapter; however, they are made up of the following familiar word parts. If you need help in creating the term, refer to your medical dictionary.
The surgical repair of the bladder is a/an_______________________________

The surgical repair of the bladder is a/an_______________________________
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13
Write the correct answer in the middle column.



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14
Write the correct answer in the middle column.



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15
In the space provided, write the words that each abbreviation stands for.
ESWL ___________________________________________
ESWL ___________________________________________
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16
Divide each term into its component word parts. Write these word parts, in sequence, on the lines provided. When necessary, use a slash (/) to indicate a combining vowel. (You may not need all of the lines provided.)
A percutaneous nephrolithotomy is the surgical removal of a kidney stone through a small incision in the back.
A percutaneous nephrolithotomy is the surgical removal of a kidney stone through a small incision in the back.

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17
Write the correct answer on the line provided.
Mrs. Franklin describes her condition as a floating kidney. The medical term for this condition, in which there is a dropping down of the kidney, is _________________________________
Mrs. Franklin describes her condition as a floating kidney. The medical term for this condition, in which there is a dropping down of the kidney, is _________________________________
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18
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19
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20
In the space provided, write the words that each abbreviation stands for.
IVP ___________________________________________
IVP ___________________________________________
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21
Divide each term into its component word parts. Write these word parts, in sequence, on the lines provided. When necessary, use a slash (/) to indicate a combining vowel. (You may not need all of the lines provided.)
Ureterorrhaphy means the surgical suturing of a ureter.
Ureterorrhaphy means the surgical suturing of a ureter.

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22
Select the correct answer, and write it on the line provided. Acute renal failure has sudden onset and is characterized by __________________ This condition can be caused by many factors, including a sudden drop in blood volume or blood pressure due to injury or surgery. 

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23
The following story and questions are designed to stimulate critical thinking through class discussion or as a brief essay response. There are no right or wrong answers to these questions.
"Mom, they want me to play for the National Women's Hockey League!" Josie yelled as she ran into the living room. She had just finished practice, and the scouts had told her afterward how impressed they were with her moves. Finally, her lifelong dream of winning an Olympic gold medal for Canada might actually come true! She'd had to make some sacrifices, like living at home after high school, but it looked like that would all pay off. As soon as she saw the looks on the faces of her parents, her smile disappeared.
"Honey, we just got back from the doctor. It turns out that your brother's recurrent bouts of pyelonephritis have led to irreversible renal damage. The nephrologist is recommending that Xavier have a kidney transplant," her mom explained with a pained look. "We know that he has a better chance if he has a related donor, but he could always go on hemodialysis and wait for a cadaver donor …"
Josie saw her dreams of a hockey career fade away. After Xavier's third bout with nephrotic syndrome, the whole family had been tested for compatibility in case he needed a transplant. Josie was the only one with a positive cross-match. The doctors had explained to her then what it would mean if she decided to donate one of her kidneys, but Josie had brushed it off, assuming that her brother would get better. Now the voices of the doctors came back to her. "No contact sports after a nephrectomy," she heard them say, "there's too big a risk of rupturing the remaining kidney."
Josie was faced with the toughest decision of all: she loved Xavier, but hockey was her life.
Discuss the long-term repercussions of being a living organ donor.
"Mom, they want me to play for the National Women's Hockey League!" Josie yelled as she ran into the living room. She had just finished practice, and the scouts had told her afterward how impressed they were with her moves. Finally, her lifelong dream of winning an Olympic gold medal for Canada might actually come true! She'd had to make some sacrifices, like living at home after high school, but it looked like that would all pay off. As soon as she saw the looks on the faces of her parents, her smile disappeared.
"Honey, we just got back from the doctor. It turns out that your brother's recurrent bouts of pyelonephritis have led to irreversible renal damage. The nephrologist is recommending that Xavier have a kidney transplant," her mom explained with a pained look. "We know that he has a better chance if he has a related donor, but he could always go on hemodialysis and wait for a cadaver donor …"
Josie saw her dreams of a hockey career fade away. After Xavier's third bout with nephrotic syndrome, the whole family had been tested for compatibility in case he needed a transplant. Josie was the only one with a positive cross-match. The doctors had explained to her then what it would mean if she decided to donate one of her kidneys, but Josie had brushed it off, assuming that her brother would get better. Now the voices of the doctors came back to her. "No contact sports after a nephrectomy," she heard them say, "there's too big a risk of rupturing the remaining kidney."
Josie was faced with the toughest decision of all: she loved Xavier, but hockey was her life.
Discuss the long-term repercussions of being a living organ donor.
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24
Write the correct answer in the middle column.



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25
Write the correct answer in the middle column.



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26
In the space provided, write the words that each abbreviation stands for.
OAB ___________________________________________
OAB ___________________________________________
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27
If the statement is true, write True on the line. If the statement is false, write False on the line.
_____________________ Stress incontinence is the inability to control the voiding of urine under physical stress such as running, sneezing, laughing, or coughing.
_____________________ Stress incontinence is the inability to control the voiding of urine under physical stress such as running, sneezing, laughing, or coughing.
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28
Select the correct answer, and write it on the line provided. The term __________________________ means urinary incontinence during sleep. It is also known as bed-wetting. 

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29
Write the correct answer in the middle column.



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30
Write the correct answer in the middle column.



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31
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32
Select the correct answer, and write it on the line provided. The absence of urine formation by the kidneys is known as __________________________________ 

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33
If the statement is true, write True on the line. If the statement is false, write False on the line.
_____________________ Prostatism is a malignancy of the prostate gland.
_____________________ Prostatism is a malignancy of the prostate gland.
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34
Select the correct answer, and write it on the line provided. The term meaning the distention of the ureter is ______________________________________ 

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35
The following story and questions are designed to stimulate critical thinking through class discussion or as a brief essay response. There are no right or wrong answers to these questions.
"Mom, they want me to play for the National Women's Hockey League!" Josie yelled as she ran into the living room. She had just finished practice, and the scouts had told her afterward how impressed they were with her moves. Finally, her lifelong dream of winning an Olympic gold medal for Canada might actually come true! She'd had to make some sacrifices, like living at home after high school, but it looked like that would all pay off. As soon as she saw the looks on the faces of her parents, her smile disappeared.
"Honey, we just got back from the doctor. It turns out that your brother's recurrent bouts of pyelonephritis have led to irreversible renal damage. The nephrologist is recommending that Xavier have a kidney transplant," her mom explained with a pained look. "We know that he has a better chance if he has a related donor, but he could always go on hemodialysis and wait for a cadaver donor …"
Josie saw her dreams of a hockey career fade away. After Xavier's third bout with nephrotic syndrome, the whole family had been tested for compatibility in case he needed a transplant. Josie was the only one with a positive cross-match. The doctors had explained to her then what it would mean if she decided to donate one of her kidneys, but Josie had brushed it off, assuming that her brother would get better. Now the voices of the doctors came back to her. "No contact sports after a nephrectomy," she heard them say, "there's too big a risk of rupturing the remaining kidney."
Josie was faced with the toughest decision of all: she loved Xavier, but hockey was her life.
Imagine that you are Josie's mom or dad and one of your children has the opportunity to save the life of another one of your children. Would you encourage him or her to donate an organ?
"Mom, they want me to play for the National Women's Hockey League!" Josie yelled as she ran into the living room. She had just finished practice, and the scouts had told her afterward how impressed they were with her moves. Finally, her lifelong dream of winning an Olympic gold medal for Canada might actually come true! She'd had to make some sacrifices, like living at home after high school, but it looked like that would all pay off. As soon as she saw the looks on the faces of her parents, her smile disappeared.
"Honey, we just got back from the doctor. It turns out that your brother's recurrent bouts of pyelonephritis have led to irreversible renal damage. The nephrologist is recommending that Xavier have a kidney transplant," her mom explained with a pained look. "We know that he has a better chance if he has a related donor, but he could always go on hemodialysis and wait for a cadaver donor …"
Josie saw her dreams of a hockey career fade away. After Xavier's third bout with nephrotic syndrome, the whole family had been tested for compatibility in case he needed a transplant. Josie was the only one with a positive cross-match. The doctors had explained to her then what it would mean if she decided to donate one of her kidneys, but Josie had brushed it off, assuming that her brother would get better. Now the voices of the doctors came back to her. "No contact sports after a nephrectomy," she heard them say, "there's too big a risk of rupturing the remaining kidney."
Josie was faced with the toughest decision of all: she loved Xavier, but hockey was her life.
Imagine that you are Josie's mom or dad and one of your children has the opportunity to save the life of another one of your children. Would you encourage him or her to donate an organ?
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36
Write the correct answer in the middle column.



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37
Select the correct answer, and write it on the line provided. A surgical incision into the renal pelvis is _____________________________________ 

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38
Select the correct answer, and write it on the line provided. The surgical suturing of the bladder is known as ______________________________________ 

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39
If the statement is true, write True on the line. If the statement is false, write False on the line.
_____________________ Urethrorrhea is bleeding from the urethra.
_____________________ Urethrorrhea is bleeding from the urethra.
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40
Select the correct answer, and write it on the line provided. The presence of abnormally low concentrations of protein in the blood is known as ___________________ 

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41
Write the correct answer in the middle column.



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42
Select the correct answer, and write it on the line provided. Urine is carried from the kidneys to the urinary bladder by the _________________________________ 

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43
Select the correct answer, and write it on the line provided. The discharge of blood from the ureter is ___________________________________ 

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44
Select the correct answer, and write it on the line provided. The term meaning the freeing of a kidney from adhesions is ______________________________________ 

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45
If the statement is true, write True on the line. If the statement is false, write False on the line.
_____________________ Renal colic is an acute pain in the kidney area that is caused by blockage during the passage of a kidney stone.
_____________________ Renal colic is an acute pain in the kidney area that is caused by blockage during the passage of a kidney stone.
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46
Select the correct answer, and write it on the line provided. A specialist in diagnosing and treating diseases and disorders of the kidneys is a/an ____________________ 

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47
The following story and questions are designed to stimulate critical thinking through class discussion or as a brief essay response. There are no right or wrong answers to these questions.
"Mom, they want me to play for the National Women's Hockey League!" Josie yelled as she ran into the living room. She had just finished practice, and the scouts had told her afterward how impressed they were with her moves. Finally, her lifelong dream of winning an Olympic gold medal for Canada might actually come true! She'd had to make some sacrifices, like living at home after high school, but it looked like that would all pay off. As soon as she saw the looks on the faces of her parents, her smile disappeared.
"Honey, we just got back from the doctor. It turns out that your brother's recurrent bouts of pyelonephritis have led to irreversible renal damage. The nephrologist is recommending that Xavier have a kidney transplant," her mom explained with a pained look. "We know that he has a better chance if he has a related donor, but he could always go on hemodialysis and wait for a cadaver donor …"
Josie saw her dreams of a hockey career fade away. After Xavier's third bout with nephrotic syndrome, the whole family had been tested for compatibility in case he needed a transplant. Josie was the only one with a positive cross-match. The doctors had explained to her then what it would mean if she decided to donate one of her kidneys, but Josie had brushed it off, assuming that her brother would get better. Now the voices of the doctors came back to her. "No contact sports after a nephrectomy," she heard them say, "there's too big a risk of rupturing the remaining kidney."
Josie was faced with the toughest decision of all: she loved Xavier, but hockey was her life.
If Josie decides to donate her kidney and then later chooses to continue playing hockey, what advice should her parents give her?
"Mom, they want me to play for the National Women's Hockey League!" Josie yelled as she ran into the living room. She had just finished practice, and the scouts had told her afterward how impressed they were with her moves. Finally, her lifelong dream of winning an Olympic gold medal for Canada might actually come true! She'd had to make some sacrifices, like living at home after high school, but it looked like that would all pay off. As soon as she saw the looks on the faces of her parents, her smile disappeared.
"Honey, we just got back from the doctor. It turns out that your brother's recurrent bouts of pyelonephritis have led to irreversible renal damage. The nephrologist is recommending that Xavier have a kidney transplant," her mom explained with a pained look. "We know that he has a better chance if he has a related donor, but he could always go on hemodialysis and wait for a cadaver donor …"
Josie saw her dreams of a hockey career fade away. After Xavier's third bout with nephrotic syndrome, the whole family had been tested for compatibility in case he needed a transplant. Josie was the only one with a positive cross-match. The doctors had explained to her then what it would mean if she decided to donate one of her kidneys, but Josie had brushed it off, assuming that her brother would get better. Now the voices of the doctors came back to her. "No contact sports after a nephrectomy," she heard them say, "there's too big a risk of rupturing the remaining kidney."
Josie was faced with the toughest decision of all: she loved Xavier, but hockey was her life.
If Josie decides to donate her kidney and then later chooses to continue playing hockey, what advice should her parents give her?
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48
Select the correct answer, and write it on the line provided. A stone in the urinary bladder is known as a ____________________________ 

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49
Select the correct answer, and write it on the line provided. The term meaning excessive urination is ______________________________ 

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50
Select the correct answer, and write it on the line provided. The term meaning scanty urination is __________________________________________ 

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51
If the statement is true, write True on the line. If the statement is false, write False on the line.
_____________________ Acute renal failure has sudden onset and is characterized by uremia.
_____________________ Acute renal failure has sudden onset and is characterized by uremia.
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52
These terms are not found in this chapter; however, they are made up of the following familiar word parts. If you need help in creating the term, refer to your medical dictionary.
The creation of an artificial opening between the urinary bladder and the exterior of the body is a/an _____________________

The creation of an artificial opening between the urinary bladder and the exterior of the body is a/an _____________________
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53
Write the correct answer in the middle column.



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54
Select the correct answer, and write it on the line provided. The increased output of urine is known as _____________________________ 

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55
Select the correct answer, and write it on the line provided. The term meaning inflammation of the bladder is ________________________________ 

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56
Select the correct answer, and write it on the line provided. The process of artificially filtering waste products from the patient's blood is known as _____________________ 

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57
Write the correct answer on the line provided.
Mr. Baldridge suffers from excessive urination during the night. The medical term for this is ___________________
Mr. Baldridge suffers from excessive urination during the night. The medical term for this is ___________________
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58
These terms are not found in this chapter; however, they are made up of the following familiar word parts. If you need help in creating the term, refer to your medical dictionary.
A surgical incision into the kidney is a/an __________________________

A surgical incision into the kidney is a/an __________________________
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59
The following story and questions are designed to stimulate critical thinking through class discussion or as a brief essay response. There are no right or wrong answers to these questions.
"Mom, they want me to play for the National Women's Hockey League!" Josie yelled as she ran into the living room. She had just finished practice, and the scouts had told her afterward how impressed they were with her moves. Finally, her lifelong dream of winning an Olympic gold medal for Canada might actually come true! She'd had to make some sacrifices, like living at home after high school, but it looked like that would all pay off. As soon as she saw the looks on the faces of her parents, her smile disappeared.
"Honey, we just got back from the doctor. It turns out that your brother's recurrent bouts of pyelonephritis have led to irreversible renal damage. The nephrologist is recommending that Xavier have a kidney transplant," her mom explained with a pained look. "We know that he has a better chance if he has a related donor, but he could always go on hemodialysis and wait for a cadaver donor …"
Josie saw her dreams of a hockey career fade away. After Xavier's third bout with nephrotic syndrome, the whole family had been tested for compatibility in case he needed a transplant. Josie was the only one with a positive cross-match. The doctors had explained to her then what it would mean if she decided to donate one of her kidneys, but Josie had brushed it off, assuming that her brother would get better. Now the voices of the doctors came back to her. "No contact sports after a nephrectomy," she heard them say, "there's too big a risk of rupturing the remaining kidney."
Josie was faced with the toughest decision of all: she loved Xavier, but hockey was her life.
What options might be open to Josie's brother other than having his sister donate a kidney?
"Mom, they want me to play for the National Women's Hockey League!" Josie yelled as she ran into the living room. She had just finished practice, and the scouts had told her afterward how impressed they were with her moves. Finally, her lifelong dream of winning an Olympic gold medal for Canada might actually come true! She'd had to make some sacrifices, like living at home after high school, but it looked like that would all pay off. As soon as she saw the looks on the faces of her parents, her smile disappeared.
"Honey, we just got back from the doctor. It turns out that your brother's recurrent bouts of pyelonephritis have led to irreversible renal damage. The nephrologist is recommending that Xavier have a kidney transplant," her mom explained with a pained look. "We know that he has a better chance if he has a related donor, but he could always go on hemodialysis and wait for a cadaver donor …"
Josie saw her dreams of a hockey career fade away. After Xavier's third bout with nephrotic syndrome, the whole family had been tested for compatibility in case he needed a transplant. Josie was the only one with a positive cross-match. The doctors had explained to her then what it would mean if she decided to donate one of her kidneys, but Josie had brushed it off, assuming that her brother would get better. Now the voices of the doctors came back to her. "No contact sports after a nephrectomy," she heard them say, "there's too big a risk of rupturing the remaining kidney."
Josie was faced with the toughest decision of all: she loved Xavier, but hockey was her life.
What options might be open to Josie's brother other than having his sister donate a kidney?
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60
Select the correct answer, and write it on the line provided. Before entering the ureters, urine collects in the ______________________________ 

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61
Select the correct answer, and write it on the line provided. The major waste product of protein metabolism is ___________________________ 

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62
Write the correct term or terms on the lines provided.
An inflammation of the kidney, most commonly caused by toxins, infection, or an autoimmune disease is called _______________________________
An inflammation of the kidney, most commonly caused by toxins, infection, or an autoimmune disease is called _______________________________
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63
Write the correct answer on the line provided.
Rosita LaPinta inherited___________________ kidney disease. These cysts slowly reduce the kidney function, and this eventually leads to kidney failure.
Rosita LaPinta inherited___________________ kidney disease. These cysts slowly reduce the kidney function, and this eventually leads to kidney failure.
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64
These terms are not found in this chapter; however, they are made up of the following familiar word parts. If you need help in creating the term, refer to your medical dictionary.
Abnormal hardening of the kidney is known as _______________________________

Abnormal hardening of the kidney is known as _______________________________
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65
Write the correct answer in the middle column.



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66
Select the correct answer, and write it on the line provided. Urine leaves the bladder through the _______________________________________ 

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67
Find the misspelled word in each sentence. Then write that word, spelled correctly, on the line provided.
A Willms tumor is a malignant tumor of the kidney that occurs in children. ________________________________
A Willms tumor is a malignant tumor of the kidney that occurs in children. ________________________________
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68
Write the correct term or terms on the lines provided.
A stone located anywhere along the ureter is known as a _______________________________
A stone located anywhere along the ureter is known as a _______________________________
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69
Write the correct answer on the line provided.
Doris Volk has a chronic bladder condition involving inflammation within the wall of the bladder. This is known as___________________
Doris Volk has a chronic bladder condition involving inflammation within the wall of the bladder. This is known as___________________
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70
These terms are not found in this chapter; however, they are made up of the following familiar word parts. If you need help in creating the term, refer to your medical dictionary.
Prolapse of the bladder into the urethra is known as_______________________________

Prolapse of the bladder into the urethra is known as_______________________________
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71
Write the correct answer in the middle column.



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72
Select the correct answer, and write it on the line provided. Urine is produced in microscopic functional units of each kidney called_______________________________________ 

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73
Find the misspelled word in each sentence. Then write that word, spelled correctly, on the line provided.
Being unable to control excretory functions is known as incontinance.________________________________
Being unable to control excretory functions is known as incontinance.________________________________
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74
Write the correct term or terms on the lines provided.
The placement of a catheter into the bladder through a small incision made through the abdominal wall just above the pubic bone is known as _______________________________
The placement of a catheter into the bladder through a small incision made through the abdominal wall just above the pubic bone is known as _______________________________
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75
Write the correct answer on the line provided.
John Danielson has an enlarged prostate gland. This caused narrowing of the urethra, which is kown___________________
John Danielson has an enlarged prostate gland. This caused narrowing of the urethra, which is kown___________________
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76
These terms are not found in this chapter; however, they are made up of the following familiar word parts. If you need help in creating the term, refer to your medical dictionary.
A prolapse of the female urethra is a/an_______________________________

A prolapse of the female urethra is a/an_______________________________
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77
Write the correct answer in the middle column.



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78
Select the correct answer, and write it on the line provided. In the male, the ______________________________________________ carries both urine and semen. 

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79
Find the misspelled word in each sentence. Then write that word, spelled correctly, on the line provided.
The process of withdrawing urine from the bladder is known as urinary cathaterization..____________________________
The process of withdrawing urine from the bladder is known as urinary cathaterization..____________________________
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80
Write the correct term or terms on the lines provided.
The surgical fixation of the bladder to the abdominal wall is a/an_______________________________
The surgical fixation of the bladder to the abdominal wall is a/an_______________________________
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