Peer 8 - renal and urogenital disorders

Question 1

predominant bacteral etiology in peritonitis associated with peritoneal dialysis?

Answer 1

staph epidermidis, then strep, then e coli/proteus, then staph aureus

Question 2

goal of urine output for treatment of rhabdo with acute renal injury?

Answer 2

3 ml/kg/hr

Question 3

AKI from rhabdoy has what findings?

Answer 3

rapid increase in creatinine, and low fractional excretion of sodium

Question 4

medication class to help with stone expulsion?

Answer 4

alpha antagonist and calcium channel blockers

Question 5

pathognomonic finding of fournier gangrene?

Answer 5

gas in the wall

Question 6

tx of acute poststrep glomerulonephritis?

Answer 6

diuretics avoiding loop diuretics

Question 7

youg patients with orchitis tx?

Answer 7

ceftriaxone, assume sexually transmitted

Question 8

older males with orchitis tx?

Answer 8

levofloxacin

Question 9

pediatric patient tx of nephrotic syndrome?

Answer 9

admission to pediatric floor and tx with high dose steroid therapy

Question 10

traid of hemolytic uremic syndrome?

Answer 10

anemia, nephropathy ( high creatinine), low platelets

Question 11

tx of prostatitis without systemic sx?

Answer 11

cipro x 30 days

Question 12

most common organism in prostatitis?

Answer 12

e coli

Question 13

what is phimosis?

Answer 13

inability to retract foreskin back from penis

Question 14

what is paraphimosis?

Answer 14

inability to return retracted foreskin back to position

Question 15

tx options for uncomplicated UTI in pregnancy?

Answer 15

nitrofurantoin, keflex, or amox

Question 16

cause of struvite stones?

Answer 16

urea splitting bacteria, will show elevated urinary pH

Question 17

classic presentation of mumps?

Answer 17

fever, parotitis, and orchitis

Question 18

most common cause of hypotension after dialysis?

Answer 18

excessive ultrafiltration

Question 19

most common cause of balanoposthitis?

Answer 19

poor hygiene or fungal infection

Question 20

what should be tested with recurrent episodes of balanoposthitis?

Answer 20

check BSG for DM

Question 21

first step if renal failure cuased by obstruction?

Answer 21

place a foley cath

Question 22

most common pathogen in HUS?

Answer 22

e coli