GU CME - Sheet1 Flashcards

1
Q

Which renal function is most sensitive to dehydration?

A

BUN

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2
Q

How will the urine appear with intrinsic renal disease?

A

Casts (WBC, RBC, granular, epithelial) and protein

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3
Q

What is a new bio-marker for detecting acute kidney injury?

A

Cystatin C

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4
Q

What ultrasound finding indicates a chronic renal problem?

A

A small kidney less then 10cm

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5
Q

What are indications for dialysis?

A

Acidosis, electrolyte disorder, fluid overload, uremic complications

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6
Q

What are the most common causes of chronic kidney disease?

A

DM, HTN, glomerulonephritis, and polycystic kidney disease

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7
Q

What are three abnormal symptoms of renal failure?

A

Metallic taste, hiccups and pruritus

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8
Q

What is the gold standard for identifying renal disease?

A

GFR

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9
Q

What is the marker for kidney disease?

A

Proteinuria

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10
Q

What diagnostic test looks for recent strep infection and is helpful in evaluating post streptococcal glomerulonephritis?

A

ASO Titer

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11
Q

How do we define nephrotic syndrome?

A

Excretion of more than 3.5grams of protein (per 1.73m2) of body surface area

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12
Q

What are the manifestations of nephrotic syndrome?

A

Hypoalbuminemia, lipiduria, hypercholesterolemia and edema

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13
Q

What is a key finding in the urine for nephrotic syndrome?

A

Oval fat body in urine

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14
Q

What is the diagnostic method of choice for polycystic renal disease?

A

Ultrasound

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15
Q

What are 80% of kidney stones made up from?

A

Calcium

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16
Q

What stones are produced by infections?

A

Struvite stones

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17
Q

What is the modality of choice in identifying kidney stones?

A

CT scan Abd/pelvis without contrast

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18
Q

What are the 5 causes of Diabetes insipidus?

A

Inherited, lithium, hypokalemia, hypercalcemia or renal disease

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19
Q

What urine osmolality points to DI?

A

<250 mOsm/kg

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20
Q

How is diabetes insipidus treated?

A

Intranasal desmopressin

21
Q

What medication should be administered to patients with hyperkalemia and EKG changes?

A

Calcium gluconate

22
Q

What are the EKG changes in hyperkalemia?

A

Peaking of T waves, QRS wide and flat P waves

23
Q

What treatment is used to remove potassium from the body?

A

Sodium polystyrene sulfonate (Kayexalate)

24
Q

Name the classic sign of hypocalcemia that is identified by tapping on the cheek?

A

Chvostek sign

25
Q

Name the classic sign of hypocalcemia that is identified by tourniquet-ing off the arm with a BP cuff?

A

Trousseau sign

26
Q

What is the suggested treatment for cystitis?

A

Fluoroquinolone or nitrofurantoin for 3-5 days

27
Q

What medications will change your urine red/orange?

A

Phenazopyridine and Rifampin

28
Q

What is the most common bug to cause pyelonephritis?

A

E.Coli

29
Q

What is the recommended treatment for prostatitis?

A

Cipro 500mg BID, Levoquin 500mg daily for 2- 6 weeks or TMP-SMZ BID for 6 weeks

30
Q

What is the bug in male patient with epididymitis less than 35 years old?

A

GC/Chlamydia

31
Q

What is the bug in male patient with epididymitis older than 35 years old?

A

E.coli

32
Q

What is a classic, yet unreliable sign in epididymitis?

A

Prehn’s sign

33
Q

What medication class is effective in treating urge incontinence?

A

Anticholinergic

34
Q

What is the most common kind of prostate CA?

A

Adenocarcinoma

35
Q

What is the most common renal cancer?

A

Adenocarcinoma

36
Q

What is the classic triad for renal cancer?

A

Hematuria, flank pain and palpable mass

37
Q

What is the most common solid renal tumor in children?

A

Wilms tumor (nephroblastoma)

38
Q

What is the initial image testing to evaluate abdominal masses?

A

Ultrasound

39
Q

What is the most common cancer in young men?

A

Testicular

40
Q

What are the risk factors for testicular cancer?

A

Cryptorchidism or past testicular CA

41
Q

What diagnostic markers are diagnostic for non-seminomatous germ cell testicular CA?

A

Alpha fetoprotein and B-human gonadotropin

42
Q

What is it called when we canít retract the foreskin over the glans penis?

A

Phimosis

43
Q

What leads to paraphimosis?

A

Frequent cauterizations without reducing the foreskin

44
Q

What is a fibrous plaque causing penile curvature?

A

Peyronieís disease

45
Q

What is the class of medications used for erectile dysfunction?

A

Phosphodiesterase 5 inhibitor

46
Q

Which two scrotal masses trans-illuminate?

A

Hydrocele and Spermatocele

47
Q

Which scrotal mass has a ìbag of wormsî presentation?

A

Variocele

48
Q

How can the presentation of a varicocele be more pronounced?

A

Valsalva