PANCE Nephro 8/17/20 Flashcards

1
Q

how much protein is normal for urine

A

none

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2
Q

when glucose is in the urine, what must the glucose level be at a min

A

180

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3
Q

what two duuretics work on the proximal tubule

A
  • acetazolamide

- mannitiol

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4
Q

what are the 5 elements that are not absorbed with a loop diuretic

A

(Na, Cl, K, mg, Ca)

think about is so a loop duiretic will cause these to be low or hypo

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5
Q

what two classes of diuretics cause hyperglycemia and hyperurecemia 2

A

Loops

Thiazide

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6
Q

what diuretic caused hyperkalemia 1

A

spironilactone

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7
Q

what diuretic class causes hyperCALcemia 1

A

thiazide

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8
Q

what are the 3 hallmarks of nephrotic syndrome

A
  • proteinuria
  • HLD
  • hypoalbuminuria
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9
Q

what are the 4 hallmarks of nephritic syndrome

A
  • hematuria
  • HTN
  • dependent edema
  • azotemia
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10
Q

HTN, RBC casts
Kidney failure
hempoptosis

A

goodpastures

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11
Q

what is Ig- A nephropathy called

A

Bergers disease

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12
Q

anti GBM antibodies think what

A

Goodpastures

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13
Q

wangners disease what marker

A

C anca

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14
Q

2 tx for goodpastures

A
  • corticosteroids

- cyclophosphemide

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15
Q

how to you tx post infections acute glomerulonephritis

A

supportive

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16
Q

2 tx for bergers

A
  • ace

- steroids

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17
Q

how do you tx minimal change disease

A
  • steroid
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18
Q

what is the main cause of prerenal AKI

A

hypovolemia

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19
Q

what are the three medications that cause prerenal AKI

A

NSAID
contrast dye
ACE

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20
Q

epithelial casts think what pathology

A

ATN

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21
Q

perrenal ATN what is the BUN

A

> 20:1

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22
Q

what happens to the creatineal with kidney damage

A
  • increases
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23
Q

how do you dx polycystic kidney disease

A

ultrasound

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24
Q

what is the best marker for CKD

A

protein

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25
what type of casts is CKD
waxy
26
what does the cockcoft equation have to do with
kidney function
27
main cause of SAIDH
stoke
28
pulmonary cause of SIADH
small cell lung cancer
29
how do you tx SIADH 3
- H2O restriction - desmocycline - hypertonic solution with fursimide
30
what causes central DI 2
autoimmune | head trauma
31
what medication neohrogenic DI
lithium
32
how do you tx central DI
ADH
33
how do you tx nephrogenic DI
HCTZ
34
what gets hypomagnezia
ETOH
35
how to you tx hypermagnezia
calcium gluconate
36
what dysfunction for hypokalemia (matabolic ?)
alkalosis
37
how do you tx hyperkalemia 3
- insulin - calcium - albuterol
38
what is the mian cause of hypokalemia
duiretic | -N/V/D
39
what EKG changes with hypokemia
flat T waved
40
what EKG chnages with hyperkelemia
peaked T waves
41
whta does the ultrasound show with epididymitis
increased blood flow
42
what is the cause of epidydmyitis in kids
mumps
43
what is the creammaster reflex with torsion
absent
44
how long do you wait to see if the testicle will descend on it's own
6 months
45
blue dot and bell clapper deformity what pathology
torsion
46
what is an increased risk for testicular cancer
- cryptochidism
47
what side for testicular cancer
right
48
what type of tumor is associated with testicular cancer
germinal cell tumor
49
what marker can be associated with testicular cancer
AFP
50
what side for varicosecele
left
51
what increases a hydrocele on PE
valsalva
52
WBC casts think what
Pylo
53
tx for pylo
cipro
54
tx for pregnant pylo
amoxicillin
55
tx for uncomplicated cystitis 3
- nitrofurantoin - cipro - bactrium
56
what is paraphymosis
stuck behind glands
57
paraphymosis tx
manual reduction w/ dorsal slit
58
phymosis tx
circumcision
59
how do you tx e coli
cipro
60
alpha blocker medication
Tamsulosin, flowmax
61
5 alpha reductase inhibiotr
finasteride
62
How to tx nephrotic syndrome 3
- steroids - edema - Ace Final
63
how do tx burgers 2
ace + steroids Final
64
how to tx post infectious glomerulonephritis
- supportive Final
65
how to tx goodpastures 2
- steroids - cyclophosphemide Final
66
2 the two glomerulonephritis vasculitis
- microscopic polyangitis P ANCA - granulomatis polyangitis (wagners) C- ANCA Final
67
how do you dx AKI 2
Inc serum creatinean | inc BUN
68
muddy brown casts
- ATN
69
what is the Ca and phosepate level with CKD
- Inc phosphate | - dec Calcium
70
what are the two lab indications for dialysis
- GFR< 10 | - serum Cr: > 8
71
what medications can cause SIADH
- carbamazapine
72
2 main TX for SIADH
- H20 respirction | - demeclocycline
73
what medication kills the adrenals
- lithium