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Which of these statements is/are true in relation to renal failure, resulting from poorly-treated diabetes?W. Thickened basement membrane will lead to decreased excretion of glucose and plasma proteins.X. The major sites of damage in the kidney would be the tubules and interstitial tissue.Y.  Microangiopathy will result in an increased glomerular filtration rate (GFR).Z.  Urinalysis would show protein and glucose present in urine.Question 3Select one:a.if only W, X and Y are correctb.if only W and Y are correctc.if only X and Z are correctd.if only Z is correcte.if all are correc

Question

Which of these statements is/are true in relation to renal failure, resulting from poorly-treated diabetes?W. Thickened basement membrane will lead to decreased excretion of glucose and plasma proteins.X. The major sites of damage in the kidney would be the tubules and interstitial tissue.Y.  Microangiopathy will result in an increased glomerular filtration rate (GFR).Z.  Urinalysis would show protein and glucose present in urine.Question 3Select one:a.if only W, X and Y are correctb.if only W and Y are correctc.if only X and Z are correctd.if only Z is correcte.if all are correc

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Solution

The correct answer is c. if only X and Z are correct.

Explanation:

W. This statement is incorrect. The thickened basement membrane in the glomeruli due to diabetes does not decrease the excretion of glucose and plasma proteins. Instead, it impairs the filtration function of the kidneys, leading to increased excretion of proteins in the urine, a condition known as proteinuria.

X. This statement is correct. In diabetes, high blood sugar can damage the kidneys and affect their function. The major sites of damage are indeed the tubules and interstitial tissue.

Y. This statement is incorrect. Microangiopathy, or small blood vessel disease, does not increase the glomerular filtration rate (GFR). Instead, it can lead to a decrease in GFR over time as the disease progresses.

Z. This statement is correct. In renal failure due to poorly-treated diabetes, urinalysis would indeed show the presence of protein and glucose in the urine. This is due to the impaired filtration function of the kidneys.

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