RENAL

Question 1

Tx BPH

Answer 1

alpha blocker - tamsulosin (1st line)

5 alpha reductase - finestride (2nd line)

Question 2

first investigation for a hydrocele

Answer 2

doppler ultrasound with colour

Question 3

transilluminable scrotal swelling, which is a hard lump

Answer 3

torsion

Question 4

what happens stage 3 CKD

Answer 4

GFR 30-60

Question 5

what did you give for proteinuria and hypertension

Answer 5

ACEi (lisinopril)

Question 6

what results would you expect in IgA nephropathy?

Answer 6

increased IgA serum levels assoc with HSP (arthritis, colitis and purpuric skin rash)

Question 7

asthma, vasculitis(small & medium sized), allergic hypersensitivity. Eosinophilic, some ENT associations, 2/3rds- skin involvement

what is it and what antibodies

Answer 7

Churg-strauss (Eosinophilic granulamatousis with polyangiitis)
p-ANCA positive

Question 8

vasculitis (small & medium), rhinitus, epistaxis, saddle nose deformity, conductive hearing loss, Rapidly progressing Glomerulonephritis, haemoptysis

Answer 8

granulomatosis with polyangiitis (wegners)

c-ANCA +ve

Question 9

Hyperkalemia -on ECG

Answer 9

ECG - Peaked T waves, widened QRS, small or absent P waves,

Question 10

How to treat -

Answer 10

Calcium Gluconate (stabilise ECG changes), Insulin–Glucose IV Infusion, Salbutamol Nebulised and Calcium Resonium (potassium binding there gut can not absorb)