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Multisystem 2 > Renal/GU > Flashcards

Renal/GU Flashcards

1
Q

healthy MA man, vomiting and diarrhea

findings of orthostatic hyperTN

labs will show inc ___
urine osmolality is __ serum

effective circulating volume is ___

aldosterone is ___

A

ADH
more

dec

inc

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2
Q

YA male, history of a tonic clonic seizure

started on medicine

CK rises, creatitine is elevated

urinalyis shows lots of blood, low RBC

dx is ___
may be precipitated by S/S/T

A

rhabdomyolysis
]
statin, seizure, trauma

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3
Q

Elderly woman, post MI

lacy violaceous on legs, toe is blue

pulses are normal, creatitine is high

worsening renal fxn bc of ___

catheterization resulted in ___
may have high __ in blood

A

atheroembolic dz

ruptured plaques
eosinophils

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4
Q

YA woman, dx with cellulitis

began Dicloxacillin
creatitine rises, leukocyte cast in urine
__ in urine

urine Na is high

dx is ____
may be caused by P/N

A

eosinophils

acute interstitial necrosis

penicillin, NSAIDs

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5
Q

vomting, diarrhea, FeNa <1%, urine Na less than 20

dx is ___

A

prerenal azotemia

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6
Q

hypoTN, muddy brown cast, epithelial cells, urine Na is inc

dx is ____

A

Acute tubular necrosis

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7
Q

eldely man, coughing up blood, multiple sinus/ear infections

creatitine is rising, RBC in urine

cxr shows pulmonary nodules

dx is ____
antibody to

A

GPA

anti-PR3

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8
Q

post pharyngitis, AKI, RBC casts

low C3/C4

dx is ____
glomeruli are enlarged and ___

IF is ___ w deposition of IgM/IgG/C3
deposited along the __/__

EM shows __ immune complexes

type __ hs

A

post streptococcal GN

hypercellular

granular
GBM/mesangium

subepithelial

3

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9
Q

young boy, arthralgias, ab pain, rash over the legs

URI week a go, palpable rash

UA with RBC

dx is ____
mechanism

A

henoch schonlein purpura

IgA depostion in small vessels

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10
Q

MA man, urinating blood

recovering from mild URI

recurrent episodes, always w URI

UA w RBC

dx is ____
deposition in ___

A

IgA nephropathy

mesangium

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11
Q

young boy, hearing loss, ocular findings, hematuria

dx is ___
mutation in ___

__/__ of basement membrane
__ inheritance

A

alport syndrome

T4 collagen

thinning/splitting
XD

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12
Q

older patient, smoker, hematria

dx is __

A

bladder cancer

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13
Q

hematuria, flank pain, high HCT and Ca

left sided varicocele, fever

dx is ____

A

RCC

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14
Q

young pt, facial/lower extremity edema

Creatinie is normal, albumin low, cholesterol high

urinalysis shows protein

dx is ____
EM shows ____

responds to ___

A

minimal change glomerulonephropathy

effacement of foot processes

CS

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15
Q

elderly man, post cancer

low albumin, proteinuria
nodule in kidney, fatty casts in urine

dx is ____
granular as a result of __

Nephrotic presentation in __

spike and dome appearance w ____

may be related to A
or N/P/G

assc w ___

A

membranous nephropathy

IC deposition

SLE

supepithelial deposits

antibodies
NSAIDs/penacillamine/gold

Hep B

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16
Q

YA woman, nephrotic syndrome

develops flank pain/bloody urine
aebrile/CVAT

dx is ____
due to loss of ___

A

renal vein thrombosis

AT3

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17
Q

HIV pt, AA, nephrotic syndrome

dx is ___
effacement of ___

also related to S/H/O

A

FSGS
foot processes

SCD, heroin, obesity

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18
Q

young boy, wet diaper w blood

palpable mass in right flank, deletion of chromosome 11p

dx is _____

A

wilms tumor

19
Q

infant, appeas sick

palpable mass in both upper quadrants

tumor involves adrenal gland and liver

dx is ____
lab shows in ___ in urine

A

neuroblastoma

VMA

20
Q

MA woman, pregnant, develops painless vaginal bleeding

uterus is larger than it shoul be

BHCG is greatly elevated

dx is ____
possible compliation

A

molar preg

choriocarcinoma

21
Q

YA woman, breast lump

firm, nontender, mobile mass

dx is ___

__ is much more diffuse

A

fibroadenoma

fibrocystic dz

22
Q

YA male, swollen left testicle

UA is neg
labs show high AFP/BHCG

dx is ___

A

nonseminoma

23
Q

elderly man, hx of back pain, weight loss

collapse at L4

serum ALP is elevated

dx is ___

A

prostate cancer

24
Q

elderly woman, LLQ discomfort

US shows mass

assc with elevated __

A

CA 125

25
Q

older woman, worsening bladder control

sometimes doesnt make it to the bathroom

voiding may be

dx is ___
caused by ___

A

urge incontinence
detrusor hyperactivity

incomplete

26
Q

loss of continence w cough/sneeze

dx is ___
caused by __ or insufficiency of ____

A

stress incontinence

detrusor hypermobility, internal sphincter

27
Q

continuous leakage, neurologic dysfunction

dx is ___

A

overlow incontinence

28
Q

elderly, dementia pt, debilitated

dx is ___

A

functional incontinence

29
Q

MA woman, LLQ pain

risky sexual practices

Fever, adnexal/cervical motion tenderness

dx is ____

A

PID

30
Q

thick white vaginal discharge, vagina is erythematous

discharge is white, pH is low

dx is ___

look for

A

vaginal candidiasis

hyphae

31
Q

frothy, green yellow vaginal discharge

smells poor

pH greater than 5

dx is ___
look for ____

A

trichomoniasis

motile flagella

32
Q

painless, indurated clean base ulcer

dx is ___

A

syphillis

33
Q

deep, undermined, purulnt ulcer

tender adenopathy

dx is __ via ___

A

chancroid

H druceyi

34
Q

multiple painful shallow ulcers

dx is ___

A

genital herpes HSV2

35
Q

proctitis, draining inguinal LN, anorectal ulcers

dx is ___ via ____

A

lymphogranuloma venereum

C trachomantis L1-3

36
Q

painless ulcer is __ syph

rash on palms, fever, LAN is ___ syph

tabes dorsalis, AR pupils, aortitis, gummas is __ syph

fever, hypoTN, rigors after PCN tx is ____

A

primary

secondary

tertiary

Jarish herxheimer rxn

37
Q

MA man, unconcious

high AGAP metabolic acidosis

urine shows oxalate crystals

dx is ___

A

ethylene glycol poisoning

38
Q

staghorn calculus

assc w __ or ___

A

urease producing Proteus/Klebsiella

39
Q

sudden onset testicular pian, does not improve w elevation

dx is ___

A

testicular torsion

40
Q

AKI post tx for lymphoma

high uric acid, phosphate and K

dx is ___

A

tumor lysis syndrome

41
Q

Aminoglycosides/vancomycin SE

A

Acute tubular necrosis

42
Q

older man, URI followed by acute urinary obstructiion

result of ___ in cold meds

inc smooth muscle tone in __

A

alpha agonists

bladder neck

43
Q

BPH sx, tx w ___ 5AR inhibitor first

followed by alpha blocker ___

A

finasteride

tamsulosin

Multisystem 2 (14 decks)

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