Nephro/ Endo

Question 1

Mesangial deposits

Normal c3

Answer 1

IgA nephropathy

Question 2

Sub epithelial humps

Answer 2

PSGN

Question 3

Low C3

Increase ASO titer

Answer 3

PSGN

Question 4

Sudden onset of gross or microscopic hematuria with unilateral or bilateral flank mass

Answer 4

Renal vein thrombosis

Question 5

Triad of thrombocytopenia, anemia and renal dysfunction

Answer 5

Hus

Question 6

Autosomal recessive

PKD- fibrocystin gene

Answer 6

Polycystic kidney disease

Question 7

Low set ears, micrognathia, flat nose, limb positioning defects, growth deficiency, HTN, hyponatremia, impaired renal function/ renal agenesis, hepatic fibrosis

Answer 7

Potter syndrome/ sequence –> deformity

Question 8

Virus in drug induced cystitis

Answer 8

Polyoma BK virus

Question 9

+ leukocytes

- urine culture

Answer 9

Sterile pyuria

Question 10

Culture count in UTU

Answer 10

> 100,000 colonies in a single pathogen or >10,000 in a symptomatic pt

Question 11

Define presumed UTI in a bag sample from a symptomatic patient

Answer 11

Colony count >100,000

Question 12

Positive culture for UTI

Answer 12

> 50,000 catheter
100,000 clean catch
1,000 suprapubic

Question 13

Upper limit of normal protein excretion

Answer 13

150mg/d

Question 14

Nephrotic disease with T cell dysfunction which appear normal on light microscope

E/M effacement of foot process

Answer 14

Minimal change disease

Question 15

Major complication of nephrotic syndrome

Answer 15

Infection-
Strep pneumoniae
E coli

Question 16

MC chronic glomerular disease

Answer 16

IGA neph

Question 17

Tx for emergency neonatal tetany

Answer 17

Calcium gluconate

Question 18

Percentage of ionized calcium

Answer 18

50% ionized
40-45% to albumin
5-10% to other anions

Question 19

Painful bones
Renal stones
Abdominal groans
Psychic moans
Fatigue overtones

Answer 19

Hyperparathyroidism

Question 20

Type of Hyperparathyroidism

Answer 20

Primary- parathyroid adenoma
Seconday- parathyroid hyperplasia (sec to dec Ca)
Tertiary-ESRF

Question 21

Tx for CAH

Answer 21

Glucocorticoids–> inhibit further androgen production and virilization

Hydrocortisone

Question 22

Pheochromocytoma is most common

Left or right

Answer 22

Right