Possible Test Q

Question 1

What MUST be ordered in the presence of hematuria

Answer 1

CT Urogram + send to Urologist for Cystoscopy

Question 2

T/F Finasteride is approved for the use of reducing risk for prostate cancer

Answer 2

False; NOT approved; some studies have shown possibility

Question 3

What is the most common presentation of Bladder Cancer?

Answer 3

NO PHYSICAL SIGNS

Question 4

Treatment for Ureteral or renal pelvic tumor?

Answer 4

Nephroureterectomy - remove kidney, ureter, + cusp of bladder

Question 5

What is the indication for Renal MRI?

Answer 5

Renal mass w/ suspected Renal vein/vena cava involvement

Question 6

What is the biggest problem with prostate cancer screening?

Answer 6

You can have a normal PSA and still have cancer

Question 7

What is the req to stop PSA screening?

Answer 7

Older than 7- w/ life expectancy <10 yrs

Question 8

Most common type of testicular cancer?

Answer 8

Seminoma

Question 9

Scrotal mass workup

Answer 9

• Scrotal US

- Biochem markers

Question 10

1 etiologic factor Penile cancer

Answer 10

Poor hygiene

Question 11

pH 7.29
PCO2 34
HCO3 14

Answer 11

metabolic acidosis

Question 12

pH 7.57
HCO3 47
pCO2 48

Answer 12

Metabolic alkalosis w/ respiratory compensation

Question 13

How would you describe Type II RTA?

A. Distal Hypokalemic
B. Distal Hyperkalemic
C. Proximal Hypokalemic
D. Proximall Hyperkalemic

Answer 13

C. Proximal Hypokalemic

I-II-IV
Hypo-Hypo-Hyper
Dis-Pro-Dis

Question 14

Pathology of Type I RTA includes:
A. Autoimmune damage to alpha intercalated cells leading to reduced K+/H+ activity
B. Fanconi syndrome + proximal tubule damage
C. Reduced Na/K ATPase activity in the Distal convoluted tubule
D. Combination of Fanconi syndrome + Sjogren’s disease

Answer 14

A. Autoimmune damage to alpha intercalated cells leading to reduced K+/H+ activity

Question 15

pH 7.4
PCO2 40
PO2 98
HCO3 24
Na 135
L 3.3 
Cl- 75

Answer 15

Mixed Disorder

High anion Gap metabolic acidosis + metabolic alkalosis

Question 16

What ion imbalance canb occur due to PPIs?

Answer 16

MAlabsorption -> Hypomagnesemia -> Hypokalemia

Question 17

Hyperkalemia treatment

Answer 17

Give Calcium + Insulin (Or B2 agonist) + Diuretics

Question 18

What acid-base disorder is caused by overdose of aspirin?

Answer 18

INC anion gap metabolic acidosis with respiratory alkalosis (DEC resp stim in brain)

Question 19

Pathology of metabolic acidosis from renal failure

Answer 19

Excretory failure -> failure of ammoniogenesis -> Reduced bicarb prod

Question 20

Two most common Causes of normal anion gap MA

Answer 20

RTA + Diarrhea

Question 21

Two most common cause of CKD

Answer 21

HTN

DM

Question 22

CKD patient comes in with GFR 67 ml/min/1.73 m2 for 4 months w/ microscopic hematuria. What is the appropriate next step in the focus of their care of CKD?

A. Diagnosis/treatment of comorbid conditions + risk reduction
B. Renal replacement
C. Evaluating + treating complications
D. Estimating progression

Answer 22

D. Estimating progression

Question 23

Which two events occur as a result of hyper-filtration in a kidney with CKD?

Answer 23

• Glomerulosclerosis

- TI Disease

Question 24

Patient with Hx of automobile accident, kidney injury, and subsequent stage II CKD. Which would best reduce risk factors for progression of CKD?

A. Atorvastatin
B. Spironolactone
C. Lisinopril
D. Amiloride

Answer 24

C. Lisinopril

Question 25

Most common cause of EPO resistance?

Answer 25

FE deficiency