Renal

Question 1

Alports Syndrome

Answer 1

Congenial sensoneural hearing loss, haematuria, proteinuria
X linked
Autosominal recessive

Question 2

Fabris Disease

Answer 2

Angiokeratoma
corneal opacities
tinnitus
renal failure

Question 3

Non-visible unexplained haematuria in patient aged 60 years or over and with dysuria or raised white cell count on a blood test referral

Answer 3

urgent 2 week

Question 4

Visible haematuria and >45 yrs

Answer 4

urgent 2 week

Question 5

Children with unexplained visible haematuria should be referred

Answer 5

very urgently (within 48 hours) to paediatrics to investigate for Wilm’s tumour

Question 6

PSA test after UTI

Answer 6

1 month

Question 7

PSA test after DRE duration

Answer 7

1 week

Question 8

PSA test after vigorous exercises/ sex

Answer 8

48 hours

Question 9

Hypertension management in CKD with ACR>30 irrespective of age and ethnicity

Answer 9

ACEi

Question 10

ACR referral to nephrology

Answer 10

ACR > 70 unless caused by diabetes
ACR >30 with persistent haematuria after excluding UTI

Question 11

CKD diagnosis

Answer 11

eGFR persistently <60 +/- ACR persistently >3
on atleast 2 occasions 3 months apart = CKD

Question 12

After starting ramipril, what % of increase in creatinine is acceptable

Answer 12

30%

Question 13

CKD monitoring

Answer 13

HTN
AKI
Diabetes
heart disease
family history of end stage cod

Question 14

After starting ACEi % drop in egFR is accepted?

Answer 14

25%

Question 15

Renal cell carcinoma triad

Answer 15

Loin pain, haematuria, abdominal mass

Question 16

Refer to nephrology if egfr is below 30 or if there is drop in greater than how much in 1 yr?

Answer 16

15

Question 17

Refer to nephrology if ACr is >?

Answer 17

> 70 unless diabetic