Renal

Question 1

Respiratory alkalosis cause

Answer 1

Hyperventilation

Question 2

What electrolyte imbalance is seen with renal failure/dialysis?

Answer 2

Hyperkalemia

Question 3

MCC Renal Artery Stenosis in women <50yo

Answer 3

Fibromuscular dysplasia

Question 4

Minimal Change Disease Tx

Answer 4

Corticosteroids

Question 5

Hypercalcemia initial Tx

Answer 5

IV saline → Furosemide

Question 6

Definitive Mgmt for Hyperkalemia

Answer 6

Dialysis

Question 7

Abnormality expected on arterial blood gas with ASA toxicity

Answer 7

Mixed respiratory alkalosis and metabolic acidosis.

Question 8

Proteinuria and NephrOtic Syndrome lead to what kinds of casts?

Answer 8

Fatty casts

Question 9

Tx for HyperK, hypoCa, hypoPT

Answer 9

Calcium (gluconate or chloride)

Question 10

What ECG change is seen in Hypercalcemia?

Answer 10

Short QT

Question 11

Hypokalemia Tx

Answer 11

K + Mg

Question 12

What mood D/O med can cause renal toxicity?

Answer 12

Lithium

Question 13

What is GFR at in Stage 3 CKD?

Answer 13

30-59

Question 14

Renal bruit and unexplained HTN in <35 yo. Dx?

Answer 14

Fibromuscular Dysplasia (Renal Stenosis)

Question 15

Dx for Nephrotic Syndrome

Answer 15

24 hr urine protein

Question 16

What ABG values do we look at for Respiratory concerns? What direction do these values go?

Answer 16

• pH and PaCO2

- Opposite

Question 17

RBC casts, proteinuria, hematuria. Dx?

Answer 17

Glomerulonephritis

Question 18

HypoNa Tx

Answer 18

IV Saline (symptomatic)

Question 19

Common causes of HypoMg

Answer 19

Malnutrition and Alcoholism

Question 20

What med must be stopped for 48 hrs after giving contrast agent?

Answer 20

Metformin

Question 21

Respiratory acidosis causes:

Answer 21

• Overdose (CNS dep.)
• COPD
• Obese
• Neuro D/O’s

Question 22

Hypoalbuminemia, hyperlipidemia and urinary protein > 3.5 in 24 hrs. Dx?

Answer 22

Nephrotic Syndrome

Question 23

Polycystic Kidney Disease Tx

Answer 23

ACEIs or ARBs

Question 24

2 electrolyte abnormalities that ~cause of hiccups

Answer 24

HypoNa, HypoCa

Question 25

<15 yo pt. presents with abdominal distention and pain. PE: abdominal mass. Dx?

Answer 25

Wilms Tumor (Nephroblastoma)

Question 26

Complication of Nephrotic Syndrome

Answer 26

DVT

Question 27

Normal anion gap seen in:

Answer 27

• CKD
• Diarrhea
• Adrenal insufficiency

Question 28

What electrolyte abnormality causes decreased membrane excitability?

Answer 28

Hyperkalemia

Question 29

Which antiepileptic meds causes hyponatremia?

Answer 29

• Carbamazepine

- Oxcarbazepine

Question 30

What would a large numbers of epithelial cells on urine sediment indicate?

Answer 30

Contaminated sample

Question 31

Would we treat a pt. with asymptomatic bacteriuria with no history of DM or structural abnormalities of the GU tract?

Answer 31

• No

- Treat: pregnant, renal transplant pts, pts. undergoing uro procedures with bleeding.