nephrotox Flashcards

1
Q

what are the three main regions of the kidney

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2
Q

whats the functional unit of the kidney

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3
Q

what are the regions of the nephron

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4
Q

what are the key functions of the kidney

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5
Q

why is the kidney so susceptible to toxicity (4 reasons)

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6
Q

what is AKI and what is it based on

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7
Q

what can cause the decline in GFR in AKI?

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8
Q

t/f: AKI related mortality is one of the lowest mortality rates

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9
Q

whats the difference between the aquisition of AKI in low income vs high income countries

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10
Q

what is the glomerular filtration rate normally dependent on

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11
Q

what can decrease the GFR in acute renal failure

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12
Q

whats the difference between acute kidney injury and chronic kidney disease

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13
Q

t/f: if you have AKI you’re less likely to develop CKD

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14
Q

why are patients with AKI more likely to develop CKD (2 reasons)

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15
Q

GFR is a marker for kidney damage. what does it tell you?

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16
Q

what does serum creatinine tell you about kidney damage

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17
Q

what does proteinuria tell you about kidney damage

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18
Q

what does blood urea nitrogen tell you about kidney damage

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19
Q

what does cystatin C tell you about kidney damage

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20
Q

what does it mean that nephrotox is a dose limiting adverse effect of cisplatin

21
Q

what does cisplatin do (to DNA)

22
Q

what class of genotoxic agents does cisplatin belong to

23
Q

how does the cell handle cisplatin

24
Q

what is cisplatin used for clinically. how many of these patients experience kidney damage?

25
Q

t/f: combination regimens reduce risk of renal toxicity

26
Q

how do you manage cisplatin induced AKI

27
Q

why is cisplatin so toxic to the kidney

28
Q

what is the pathway from cisplatin exposure to AKI or CKD

29
Q

whats the relationship between copper, the copper transporter 1, and cisplatin

30
Q

examples of aminoglycosides include:

31
Q

what are aminoglycosides used for? how are they excreted?

32
Q

what family does gentamicin fall into?

33
Q

how does gentamicin accumulate in tubular cells?

34
Q

how does gentamicin trigger ER stress and the UPR?

35
Q

how does gentamicin lead to apoptosis?

36
Q

how does gentamicin get redistributed in the cytosol? how does this contribute to its renal tox?

37
Q

what are the consequences of tubular epithelial damage? what effect does it have on pressure?

38
Q

what are the different: gentamicin has only one mechanism of toxicity

39
Q

what are the different mechs of gentamicin toxicity

40
Q

whats the difference between direct cellular injury and immune mediated injury

41
Q

what can lead to membranous nephropathy

42
Q

if you immediately get rid of the thing causing the membranous nephropathy, does your albumin and proteinurea go back to normal right away?

43
Q

what are the three different models of d penicillamine induced membranous nephropathy

44
Q

how does a membranous neuropathy capillary compare to a normal one

45
Q

what kind of toxicity does aristolochic acid cause?

46
Q

what is the aristoclochic acid mech of toxicity?

47
Q

whats the difference in toxicity between AA-1 and AA-2

48
Q

how does sulfamethoxazole induce nephropathy