Gu

Question 1

three major categoires of ARF

Answer 1

prerenal
intrinsic renal
postrenal

Question 2

diagnosis of ARF often made by what 2 labs

Answer 2

BUN and creatinine

Question 3

what is nephrotic range proteinuria

Answer 3

more than 3 grams per 24 hours

Question 4

what does nephrotic range proteinuria indicate

Answer 4

glomerular lesion

Question 5

when do signs and symptoms of ARF appear

Answer 5

renal function falls to 10%

Question 6

syndrome resulting from failure of kidneys to perform their normal excretory, metabolic and endocrine functions.

Answer 6

Uremia

Question 7

2 major type of stones

Answer 7

Calcium and uric acid

Question 8

Stones with magnesium ammonium oxalate crystals associated with proteus bacteria

Answer 8

Struvite

Question 9

Confirmatory study for nephrolithoasis

Answer 9

Helical computed tomography

Question 10

Tx for nephrolothiasis

Answer 10

Hydration, pain relief, Extracorpeal shock wave lithotripsy

Question 11

Only type of stone that is radiolucent

Answer 11

Uric acid

Question 12

What type stones often grow very large

Answer 12

Struvite

Question 13

Tx for uric acid stones

Answer 13

Alkalization of urine to ph >6 with potassium citrate
Avoid meat and fish
Allopurinol

Question 14

Most common type of kidney stone

Answer 14

Calcium oxalate

Question 15

what are the 2 min clinical manifestatiosn of nephrotic syndrome

Answer 15

proteinuria nd edema

Question 16

what is the principal urinary protein

Answer 16

albumin

Question 17

what is usually required to establish the diagnosis for why a person has nephrotic syndrome

Answer 17

renal biopsy

Question 18

Tx for nephrotic syndrome

Answer 18

ACEI or ARB, sodium restriction, loop diuretics

Question 19

what other anobrmalities are seen w/ nephrotic syndrome

Answer 19

lipid abnormalities

disporition to accelerated atherosclerosis and arterial thromboses

Question 20

patient with idiopathic nephrotic syndrome often recieve what?

Answer 20

immunosupressive therapy

Question 21

male presents w/ increased frequency of urination, nocturia, hesitancy, urgency and weak urinary stream.

Answer 21

BPH

Question 22

labs to get with BPH

Answer 22

UA, serum creatinine, PSA

Question 23

behavioral tx with BPH

Answer 23

avoid fluids before bed or lreaving the house, reduce consumption of alcohol and caffeine, double voiding to empty the bladder more completely

Question 24

initial treatment for BPH

Answer 24

alpha-adrenergic antagonist

Question 25

for men with severe BPH how can you tx

Answer 25

alpha-adrenergic antagonist and 5-alpha reductase inhibitor