NAVLE Practice Test 4
10 free NAVLE practice questions in the real exam format, covering the official content areas, with an explanation for every answer.
NAVLE Practice Test 4Tutor mode
Question 1 of 10
Clinical PracticeA 10-year-old spayed female Shetland sheepdog is presented for increased thirst and urination and weight loss over 3 months. Temperature 101.0°F (38.3°C), heart rate 96 beats/min, respiratory rate 20 breaths/min. Body condition score is 4/9, and both kidneys are small and irregular on palpation. Systolic blood pressure is 150 mm Hg. Results from a sample taken while she was well hydrated are shown; similar values were found 2 weeks earlier. Urine sediment is inactive and urine culture is negative. Which of the following best describes her chronic kidney disease using the IRIS system?
| Analyte | Result | Reference range | Result (SI) | Reference range (SI) |
|---|---|---|---|---|
| Creatinine | 3.4 mg/dL | 0.5–1.8 mg/dL | 301 µmol/L | 44–159 µmol/L |
| BUN (urea) | 62 mg/dL | 7–27 mg/dL | 22.1 mmol/L | 2.5–9.6 mmol/L |
| Phosphorus | 6.0 mg/dL | 2.5–6.8 mg/dL | 1.94 mmol/L | 0.81–2.20 mmol/L |
| Urine specific gravity | 1.012 | >1.030 | 1.012 | >1.030 |
| Urine protein:creatinine ratio | 0.8 | <0.5 | 0.8 | <0.5 |