Renal and reproductive Flashcards
A 48-year-old man is hospitalized for shock after massive blood loss in a motor
vehicle accident. On the patient’s second day in the hospital, his blood urea
nitrogen (BUN) and creatinine levels begin to rise and he develops pitting edema
to his knees. A subsequent urinalysis shows numerous granular casts. Which of
the following is the most appropriate treatment?
(A) Angioplasty
(B) Broad-spectrum antibiotics
(C) Corticosteroids
(D) Fluids and dialysis
(E) Use of ultrasound to remove blockage
(D) Fluids and dialysis
A 46-year-old man with AKI complains of retrosternal pain. ECG shows
concave ST segment elevation in all leads. His creatinine is 5.8mg/dl.
Which of the following is most likely the cause of his symptoms?
A. Pericarditis
B. Myocardial infarction
C. Acute pulmonary embolism
D. Hyperkalaemia
E. Hypocalcaemia
(A) Pericarditis
A 15-years old boy suffers an episod of haematuria following a flu-like
illness; his blood pressure was 180/100. Urinalysis reveals proteinuria,
blood ++, and 2–3 white blood cells/mm3.
What is the most probable diagnosis?
a. Renal vasculitis
b. Acute pyelonephritis
c. Henoch–Schönlein purpura
d. Post-infecious glomerulonephritis
e. Acute renal failure
d. Post-infecious glomerulonephritis
A 37-year-old man visits his physician because he has noticed blood in his
urine over the past week. He denies increased frequency or dysuria. He
admits intermittent aching back pain over the past few months, which he
attributes to sitting at his desk for long periods of time each day at work.
Ultrasound shows massively enlarged kidneys bilaterally. The surface of the
right kidney is studded with several well-circumscribed cysts, and the left
kidney demonstrates similar lesions. His blood pressure is 148/84 mm Hg.
A. Renal amyloidosis
B. Autosomal dominant polycystic kidney disease
C. Acute renal failure due to obstructive uropathy
D. Acute pyelonephritis
E. Bilateral haemangioma of the kidney
B. Autosomal dominant polycystic kidney disease
