20 Cards

Question 1

Management of renal stones <5 mm and asymptomatic

Answer 1

Watchful waiting

Question 2

Management of renal stones 5-10mm

Answer 2

Shockwave lithotripsy

Question 3

Management of renal stones 10-20mm

Answer 3

Shockwave lithotripsy or ureteroscopy

Question 4

Management of renal stones >20mm

Answer 4

Percutaneous nephrolithotomy

Question 5

Gold standard for investigation of renal colic

Answer 5

CT KUB - it is non contrast which makes it safe for use when kidney function is compromised

Question 6

Alternative investigation for renal colic

Answer 6

Abdo USS

Question 7

What fluids to administer during post- obstructive diuresis

Answer 7

IV crystalloid fluids at a rate of 50-70% of urinary losses / hour

Question 8

SFX of prazosin

Answer 8

First dose hypotension, orthostatic hypotension. syncope

Question 8

What is a phlebolith

Answer 8

Calcified thrombosis within a vein that appears as a small, round radio- opaque density

Question 9

Presentation of child with urethral calculi

Answer 9

Acute urinary retention and perineal pain

Question 10

https://app.emedici.com/storage/media/JMcwqtd7ITTEz79pDDatj4eJrA9Yoh.jpg

Answer 10

Gas in the bladder consistent with emphysematous cystitis - usually caused by gas forming organisms like e coli

Question 11

What major vessel does the uterine artery bracnh from

Answer 11

Internal iliac artery

Question 12

Describe the course of the uterine artery

Answer 12

Originates from the anterior division of the internal iliac artery and travels medially through the base of the broad ligament. Crosses above the ureter at the level of the uterine isthmus before ascending along the lateral border if the uterus

Question 13

Treatment of choice for rapid relief of localized bone pain associated with metastatic cancer

Answer 13

Radiotherapy

Question 14

Persistent or worsening UTI symptoms despite appropriate ABx especially in patients with risk factors like DM, immunocompromised

Answer 14

Renal abscess . DDX- pyelonephritis with obstruction

Question 15

Renal manifestations of autosomal polycystic kidney disease

Answer 15

Flank/abdominal pain
Hematuria
Recurrent UTIs
Nephrolithiasis

Question 16

Extrarenal manifestations of autosomal dominant polycystic kidney disease

Answer 16

Benign hepatic, pancreatic and splenic cysts
Cerebral berry aneurysm
HTN

Question 17

Investigation of choice for suspected ADPKS

Answer 17

Renal ultrasound
CT abdo and pelvis if real US inconclusive