GU

Question 1

Acute interstitial nephritis cause and presentation

Answer 1

• Meds: PCN, cephalosporins, sulfonamides, allopurinol
• infection
• fever, rash, eosinophilia, arthralgia

Question 2

Acute interstitial nephritis lab findings (UA)

Answer 2

microscopic hematuria
WBC cast
eosinophils
slight proteinuria

Question 3

Treatment of hyperkalemia

Answer 3

IV calcium (if EKG changes seen)
Emergent: inhaled albuterol, IV glucose with insulin, IV sodium bicarb
Less urgent: sodium polystyrene sulfonate
Hemodialysis

Question 4

Polycystic kidney disease etiology and manifestations

Answer 4

-autosomal dominant inheritance
-hematuria, HTN, flank pain, progressive renal failure
kidney stones

Question 5

Preferred tx for gonococcal urethritis

Answer 5

Rocephin

*always treat for Chlamydia if positive for gonorrhea

Question 6

Tx for chlamydia

Answer 6

single dose Azithromycin or 7 days of doxycycline

Question 7

Glomerulaar disease characteristics

Answer 7

dysmorphic RBCs, RBC cast, proteinuria

Question 8

Henoch-Schonlein purpura

Answer 8

most common vasculitis in children
follows URI
acute glomerular disease findings (RBC case and protein)
rash, arthritis, abd pain

Question 9

Red blood cell cast diagnostic of

Answer 9

glomerular disease

Question 10

PCKD characteristics

Answer 10

autosomal dominant

assoc w/ HTN, progressive RF, flank pain, nephrolithiasis