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1. Exams - Semester 3 > Clin Med - Exam 4 > Flashcards

Clin Med - Exam 4 Flashcards

1
Q
  1. What is the single most important factor in the evaluation of kidney disease?
A

Proteinuria

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2
Q
  1. 42yo male presents with acute pain, dysuria, urgency, fever. Exam reveals a boggy prostate. What is the Tx?
A

Cipro 500mg bid x 14d

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3
Q
  1. Male presents with extreme scrotal pain, and N/V. Testicle is retracted and the cremaster reflex is absent?
A

Torsion

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4
Q
  1. Male presents with a painless swelling of his testicle. He said he injured it a week ago playing basketball. The testicle is Non-reducible, transillumination is positive, and did not increase with valsalva?
A

Hydrocele

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5
Q
  1. Which test is more sensitive/specific for measuring the function of the kidney because it is only excreted by the kidney?
A

Creatinine

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6
Q
  1. What tx is shown to dec progression of CKD along with glucose and HTN control?
A

ACE/ARB

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7
Q
  1. What is true of renal artery stenosis?
A

Will see worsening of renal disease after administration of an ARB

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8
Q
  1. In addition to hematuria, and edema, which of the following would be a common finding in nephritic syndrome?
A

HTN

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9
Q
  1. Which of the following is true of PSA?
A

Is also increased in BPH

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10
Q
  1. Pathophys of the glomerulus CKD?
A

Hyperfiltration

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11
Q
  1. Female pt with dysuria, nitrites in urine, urgency, and no fever?
A

Cystitis

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12
Q
  1. Female pt with dysuria, nitrites, flank pain, and fever?
A

Pyelonephritis

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13
Q
  1. Pt found to have <4mm stone. What is the Tx?
A

Continue pain meds and watch and wait

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14
Q
  1. BPH tx (small and low PSA)?
A

Alpha blocker

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15
Q
  1. What is true of BPH?
A

More commonly presents later in life

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16
Q
  1. Which is MC testicular CA?
A

non-seminoma

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17
Q
  1. What is true of seminoma?
A

Commonly presents as a painless mass

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18
Q
  1. Old guy with urinary retention?
A

Renal Hypoperfusion of the kidneys

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19
Q
  1. What is the desired BP for CKD with >1g proteinuria?
A

140/90 mmHg

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20
Q
  1. Kid with coca-cola urine that presents with renal issues while he has “a cold”?
A

IgA (Berger’s Disease)

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21
Q
  1. What is most common nephrotic in children?
A

Minimal change disease

22
Q
  1. What is more specific to nephrotic over nephrotic?
A

Hypoalbuminuria

23
Q
  1. Pt presents with bilateral kidney enlargement and HTN test for diagnosis?
A

US (for PCKD)

24
Q
  1. Kid treated with chemo has arm spasm with BP cuff?
A

Hypocalcemia

25
25. What is true of treating hyponatremia?
Treat slowly to prevent neuro issues (demyelination)
26
26. Which of the following is not seen in Interstitial nephritis?
Glucosuria
27
27. Normal exam, muddy brown casts?
ATN
28
28. “Bag of worms”?
Varicocele
29
29. Risk factor for bladder, renal, ureteral cancer?
Smoking
30
30. What is true of Prostate CA?
Mets bone
31
31. Younger sexually active male with fever, dysuria?
Ceftriaxone and Doxy
32
32. Acid/Base case?
Metabolic acidosis w Anion gap (30) calculation
33
33. Acid/Base case pt in coma;?
Respiratory acidosis
34
34. Casts not seen in the pt with h/o post-strep glomerulonephritis, what is the most likely explanation?
Lost in transport
35
35. What is the MCC of HTN before puberty?
GU anomalies
36
36. Most appropriate diagnostic test for nephrolithiasis?
Lower GI film, upper GI film, CT (can be done to evaluate flank pain), MRI
37
37. Acid/Base case: pH 7.5?
Respiratory alkalosis with compensatory metabolic acidosis
38
38. What is true of cryptorchordism?
Infertility and risk of testicular CA
39
39. What is true of syphilis?
May need a darkfield microscopy and serum test in early stages
40
40. Vomiting is most likely to cause?
Metabolic alkalosis with hypokalemia
41
41. Which of the following will NOT cause aniongap metabolic acidosis?
Acetaminophen, methanol, ethylene glycol, DKA, lactic acidosis
42
42. What is the MC pathogen of cystitis?
E. coli
43
43. What is the name of the congenital malformation with the meatus is on underside of penis?
Hypospadious
44
44. What is azotemia?
Increased BUN
45
45. What is an accurate assessment of GFR?
1/PCr
46
46. Which of the following would be more indicative of an overactive bladder issue?
Incontinence
47
47. What is the prognosis of a renal carcinoma that is contained in the capsule?
Excellent, 90-100%
48
48. Which of the following is a stage 2 CKD?
Kidney injury with GFR 60-89
49
49. Which of the following is not a risk factor for ED?
Osteoarthritis
50
50. Which of the following is not true of post strep?
If there is protein present with hematuria it is fatal

1. Exams - Semester 3 (21 decks)

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