6-22

Question 1

most common cause of iron def anemia in elderly

Answer 1

GI blood loss

Question 2

hyperbilirubinemia (conj) w/ nml LFTs + dark hepatocytes

Answer 2

dubin-johnson (impaired hepatocyte bilirubin excretion)

Question 3

1st step in treatment of hyperkalemia

Answer 3

calcium infusion to stabilize cardiac membrane

Question 4

complications of PBC (+ anti-mitochondrial Abs)

Answer 4

malabsorption
metabolic bone dz
HCC

Question 5

medical therapy for urge incontinence

Answer 5

oxybutynin (anti-muscarinic)

Question 6

chronic pancreatitis dx

Answer 6

presence of calcifications on CT/XR

Question 7

hyponatremia w/ low serum osmolality and lower urine osmolality

Answer 7

primary polydipsia

Question 8

arteriosclerotic lesions of renal arterioles are usually caused by ___

Answer 8

HTN

Question 9

beta-adrenergic agents can cause __kalemia

Answer 9

hypokalemia

Question 10

polyuria and sterile pyuria from chronic analgesic abuse

Answer 10

tubulointerstitial nephritis - can also get hematuria due to papillary necrosis

Question 11

renal symptoms in pts w/ end-stage liver disease

Answer 11

hepatorenal syndrome - due to splanchnic arterial dilation -> RAAS activation -> dec renal perfusion/GFR

Question 12

___ intoxication causes fever, tinnitus + tachypnea

Answer 12

aspirin

Question 13

aspirin tox causes a mixed __ and __

Answer 13

resp alkalosis w/ AG met acidosis (low PaCO2 + low HCO3-)

Question 14

loop diuretics can cause __kalemia and metabolic ___

Answer 14

hypokalemia, metabolic alkalosis -> secrete K+ and H+ in urine

Question 15

most common cause of death in pts w/ ESRD

Answer 15

CV disease

Question 16

management of HCV (in addition to antivirals)

Answer 16

HAV + HBV vax to prevent further damage

Question 17

drug therapy to prevent urinary calcium stone formation

Answer 17

thiazide diuretics

Question 18

immediate management for pts w/ severe hypercalcemia

Answer 18

NS hydration + calcitonin