Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

UWORLD Q BANK review > Renal > Flashcards

Renal Flashcards

1
Q

Hyponatremia mx, risk of faster correction

A

3% saline. should be 0.5mEq/L/hr due to osmotic demyelination. LOW TO HIGH PONS WILL DIE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Risk of correcting hypernatremia quickly

A

Cerebral edema. HIGH TO LOW BRAIN WLL BLOW

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Vomiting for 4 days. electrolytes? Rx?

A

hypokalemic hypochloremic metabolic alkalosis, urine Na decreased due to compensatory reabsorption, urine Cl decreased. RX- NS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Renal failure in AML

A

Tumor lysis synd- hyperphos, hypocalc, hyperK, hyperuricemia. Calcium phosphate, uric acid stones- AKI- tubular obstruction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Mx of tumor lysis syndrome

A

Aggressive hydration, rasburicase, allopurinol, rx electrolyte abn

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Dull left flank pain, non radiating, hematuria. Swelling of left testis, dil and tortous veins. H/o MN.

A

Renal vein thrombosis due to hypercoag - nephrotic synd

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

RF for renal vein thrombosis

A

Nephrotic syndrome, trauma, renal malig

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

24F dysuria, hematuria, lower abd tenderness, bladder tender on palpation of ant vaginal wall. UA- RBC+

A

Endometriosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Wilms. NBS

A

Abd USG. For extent- CECT, MRI, CT chest for mets

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

BPH causing LUTS, Cr elevated evaluation

A

UA, PSA, CR. AKI- do renal USG, place catheter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

SCZ-confused. Na low, S.osm- low, u.osm-low

A

Primary polydipsia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

22M urti 3 days ago, hematuria, RBC casts, CR high

A

IgA nephropathy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

SIADH Rx

A

Hypertonic saline, fluid restriction +salt tablets

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Posterior urethral injury mx

A

Retrograde urethrography, urethrography and urethroscopy before sx, suprapubic catheter followed by delayed repair

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Primary VUR in children diag and rx

A

Renal USG, voiding cystourethrography. Rx- mild- observation+ppx antibiotics, severe- ppx antibiotics+sx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

ESRD pt has painful skin lesions. Biopsy shows arteriolar calcification, occlusion, subintimal fibrosis. Diag, rx?

A

Calcific uremic arteriolopathy- calciphylaxis. Analgesics, wound care,treat RF, optimize dialysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Conditions causing enuresis

A

constipation, bladder dysfunction, CKD, UTI, DM, DI, OSA

18
Q

5M enuresis, recurrent UTI, tired, HTN, proteinuria. NBS

A

serum Cr- CKD suspect of PUV. can check renal usg, vsug

19
Q

Blood in urine, 1-2 RBC in urine causes

A

hemoglobinuria, myoglobinuria

20
Q

Hypertonic saline given for hyponatremic pt NBS to find cause

A

Urine osmolality

21
Q

72M on TCA, lower abd tenderness

A

Urinary retention- catheterize, stop TCA

22
Q

4M right varicocele, mass doesnt decrease in supine, HTN

A

Do USG abd

23
Q

Elevated Cr, small kidneys, bland sediment, mild proteinuria

A

chronic HTN

24
Q

RA with proteinuria

A

Nephrotic syndr- amyloidosis AA. Take renal biopsy

25
Q

PSGN + vol overload status. NBS

A

Loop diuretic

26
Q

HTN in PSGN

A

CCB- DOC, Dont use ACEi for AKI

27
Q

Liver cirrhosis on furosemide, spironolactone, hypotension, low Na, High K, High BUN/Cr, Urine Na low

A

Prerenal AKI- renal hypoperfusion Hepatorenal syndrome. Rx- albumin+splanchnic vasoconstrictors- terlipressin, NE, midrodrine, octreotide, liver transplant

28
Q

Nephrotic syndrome, HIV+

A

FSGS. 2/2 HIV continue ART

29
Q

Struvite stone formation mechanism

A

Urease producing organisms- increased urine ammonia production

30
Q

Decompensated HF with increased BUN/Cr

A

Prerenal azotemia due to elevated CVP

31
Q

Rx for asymptomatic bacteriuria

A

cefpodoxime, fosfomycin, augmentin, nitrofurantoin only in T2

32
Q

Transplanted kindey x 5 months, elevated Cr, biopsy shows heavy lymphocyte infiltrate + vascular intimal swelling

A

Acute rejection, increase dose of suppressants

33
Q

Afferent and efferent vasoconstriction- prerenal AKI, HTN, BUN/Cr >20, transplanted kidney pt

A

Tacrolimus toxicity

34
Q

Ischemic stroke, cvs, rs- normal, EPO-elevated, smokes

A

RCC- secondary polycythemia. Do CT abdomen

35
Q

NBS after ABG shows metabolic alkalosis

A

Urine chloride to diff saline responsive or not

36
Q

Metabolic alkalosis, high urine Cl in hypovolemic pt

A

Bartter, gitelman synd

37
Q

Alkalosis, high urine Cl in hypervolemic pt

A

Primary hyperaldosteronism, cushing, ectopic ACTH production

38
Q

Mx of magnesium toxicity

A

Stop the drug, IVF + loop diuretics, IV calcium, hemodialysis

39
Q

1st line mx for any incontinence

A

bladder training, kegel

40
Q
A

UWORLD Q BANK review (17 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions