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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
Q
  1. What is true of treating hyponatremia?
A

Treat slowly to prevent neuro issues (demyelination)

26
Q
  1. Which of the following is not seen in Interstitial nephritis?
A

Glucosuria

27
Q
  1. Normal exam, muddy brown casts?
A

ATN

28
Q
  1. “Bag of worms”?
A

Varicocele

29
Q
  1. Risk factor for bladder, renal, ureteral cancer?
A

Smoking

30
Q
  1. What is true of Prostate CA?
A

Mets bone

31
Q
  1. Younger sexually active male with fever, dysuria?
A

Ceftriaxone and Doxy

32
Q
  1. Acid/Base case?
A

Metabolic acidosis w Anion gap (30) calculation

33
Q
  1. Acid/Base case pt in coma;?
A

Respiratory acidosis

34
Q
  1. Casts not seen in the pt with h/o post-strep glomerulonephritis, what is the most likely explanation?
A

Lost in transport

35
Q
  1. What is the MCC of HTN before puberty?
A

GU anomalies

36
Q
  1. Most appropriate diagnostic test for nephrolithiasis?
A

Lower GI film, upper GI film, CT (can be done to evaluate flank pain), MRI

37
Q
  1. Acid/Base case: pH 7.5?
A

Respiratory alkalosis with compensatory metabolic acidosis

38
Q
  1. What is true of cryptorchordism?
A

Infertility and risk of testicular CA

39
Q
  1. What is true of syphilis?
A

May need a darkfield microscopy and serum test in early stages

40
Q
  1. Vomiting is most likely to cause?
A

Metabolic alkalosis with hypokalemia

41
Q
  1. Which of the following will NOT cause aniongap metabolic acidosis?
A

Acetaminophen, methanol, ethylene glycol, DKA, lactic acidosis

42
Q
  1. What is the MC pathogen of cystitis?
A

E. coli

43
Q
  1. What is the name of the congenital malformation with the meatus is on underside of penis?
A

Hypospadious

44
Q
  1. What is azotemia?
A

Increased BUN

45
Q
  1. What is an accurate assessment of GFR?
A

1/PCr

46
Q
  1. Which of the following would be more indicative of an overactive bladder issue?
A

Incontinence

47
Q
  1. What is the prognosis of a renal carcinoma that is contained in the capsule?
A

Excellent, 90-100%

48
Q
  1. Which of the following is a stage 2 CKD?
A

Kidney injury with GFR 60-89

49
Q
  1. Which of the following is not a risk factor for ED?
A

Osteoarthritis

50
Q
  1. Which of the following is not true of post strep?
A

If there is protein present with hematuria it is fatal

1. Exams - Semester 3 (21 decks)

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