OME - Day 8

Question 1

Colicky flank pain that radiates to groin, diagnosis?

Answer 1

Kidney stone

Question 2

First test for Kidney Stone?

Answer 2

U/A (no blood = no stone)

Question 3

Flank pain and hematuria, diagnosis?

Answer 3

Kidney stone

Question 4

Medications that help the stone pass?

Answer 4

Tamsulosin

Question 5

Most common cause of kidney stones?

Answer 5

Calcium Oxalate

Question 6

Stone that is < 5mm, treatment?

Answer 6

Fluid and Analgesic

Question 7

Stone that is >3cm, treatment?

Answer 7

Nephrostomy and surgery

Question 8

Stone that is >5mm, <3cm, treatment?

Answer 8

Lithotripsy

Question 9

What is the radiographic test of choice for kidney stone in pregnancy?

Answer 9

U/S (not CT scan)

Question 10

What is the radiographic test of choice for kidney stone?

Answer 10

CT scan (not X-ray)

Question 11

Flank pain, flank mass, hematuria, diagnosis?

Answer 11

Renal Cell Carcinoma

Question 12

HTN, Renal Failure, Lots of Cysts on the kidney, diagnosis?

Answer 12

Autosomal Dominant Polycystic Kidneys Disease

Question 13

If you have ADPKD, what do you look for?

Answer 13

Berry aneurysms, cysts in pancreas, cysts in liver

Question 14

Paraneoplastic syndrome associated with renal cell carcinoma?

Answer 14

Polycythemia

Question 15

Radially oriented cysts, diagnosis?

Answer 15

Autosomal Recessive Polycystic Kidney Disease

Question 16

What is the diagnostic step to diagnose renal cell carcinoma?

Answer 16

Nephrectomy (not biopsy)

Question 17

You get a CT scan for pancreatitis and find a large loculated cyst, next step?

Answer 17

Nephrectomy

Question 18

You get a CT scan for pancreatitis and find a simple cyst on the kidney, diagnosis?

Answer 18

Reassurance, incidental

Question 19

If you have a metabolic acidosis, what is the next thing you look at?

Answer 19

Anion Gap

Question 20

Next step in a metabolic alkalosis?

Answer 20

Urine Chloride (or give volume and reassess)

Question 21

Next Step in NON anion gap metabolic acidosis?

Answer 21

Urine Anion Gap

Question 22

What are the causes of Respiratory Acidosis?

Answer 22

Hypoventilation ? opiates, Asthma/Copd, OSA, OHS

Question 23

What are the causes of Respiratory Alkalosis?

Answer 23

Hyperventilation Pain, Anxiety, Hypoxemia

Question 24

What is you differential for Anion Gap Metabolic Acidosis?

Answer 24

MUDPILES Methanol, Uremia, DKA, Propylene Glycol, Isopropanol (Isoniazid), Lactate, Ethylene Glycol, Salicylates.