Renal/GU

Question 1

chronic prostatitis

Answer 1

afebrile

voiding

Question 2

chronic inflammatory prostatitis

Answer 2

INCREASE WBCs
afebrile
voiding

Question 3

chronic NONinflammatory prostatitis

Answer 3

NORMAL WBCs
afebrile
voiding

Question 4

contrast induced nephropathy tx=

Answer 4

non-ionic contrast agent before and during

NAC, bicarb

Question 5

fastest way pf decreasing glucose

Answer 5

insulin and glucose

—> intracellular shift

Question 6

hematuria at end of stream

Answer 6

bladder

Question 7

hematuria at beginning of stream

Answer 7

urethral

Question 8

which kidney is easier to palpate

Answer 8

R kidney= lower than left kidney– since the liver

Question 9

renal stones

Answer 9

decrease protein
decrease oxalate
decrease fat
decrease salt

increase fluids
increase calcium– thiazides

Question 10

PC: acute renal vein thrombosis

Answer 10

PAIN PAIN PAIN PAIN PAIN
fever
hematuria

Question 11

normal in elderly

Answer 11

absent/ decrease achilles

Question 12

when to put in foley catheter

Answer 12

greater than 100ml

Question 13

chronic alcoholics

Answer 13

hypophosphatemia

hypomagnesemia—> hypokalaemia

Question 14

urinary outflow obstruction

Answer 14

• flank pain
• low volume voids (and sometimes high)
• bilateral–> hydronephrosis

Question 15

post-ictal acid base=

Answer 15

lactic acidosis– resolves without treatment in 60-90minutes

Question 16

value for chloride responsive

Answer 16

greater than 20 urine chloride

Question 17

what can alkalinize urine for uric acid stones

Answer 17

potassium citrate

Question 18

dehydration

Answer 18

IV crystalloids

Question 19

renal transplant dysfunction, acute rejection tx=

Answer 19

IV steroids

Question 20

diuretic abuse

Answer 20

K+ urine

Na+ urine

Question 21

painful blader syndrome= interstitial cystitis

Answer 21

• idiopathic
• chronic bladder pain– worse with filling, relief with voiding
• dyspareunia
• urinary frequency
• urgency

Question 22

tx of alkalosis

Answer 22

IV normal saline

Question 23

PSA discussion in 65yo

Answer 23

• mild prostate enlargement

- stool in rectal vault negative for occult blood

Question 24

quick check if SIADH

Answer 24

urine osmolarity> serum osmolarity

Question 25

saline unresponsive metabolic alkalosis

Answer 25

urine chloride > 20

Question 26

renal papillary necrosis PC

Answer 26

ACUTE RENAL FAILURE
flank pain
gross hematuria

Question 27

precocious puberty- advanced bone age- INCREASE LH

Answer 27

central

Question 28

precocious puberty-advanced bone age- LOW LH

Answer 28

peripheral

Question 29

PC: recurrent UTI’s and nephrolithiasis,

and palpable kidneys and liver

Answer 29

PCKD