Renal Stuff

Question 1

Tx for uncomplicated cystitis (3)

Answer 1

Nitrofurantoin
TMP-SMX
Fosfomycin
FQ (if can’t use any above)

Question 2

Tx for complicated cystitis (2)

Answer 2

FQ
ESABx (ex: Amoxicillin- Clavunate)

Get Urine culture

Question 3

Tx for Pyelonephritis
o/p
i/p

Answer 3

o/p: FQ

i/p: IV FQ, Aminoglycoside + Ampicillin

Question 4

Urge incontinence due to

Answer 4

detrusor overactivity

Tx:
Oxybutynin- Antimuscarinic
if unable to tolerate use Beta agonist (Mirabegron)

Question 5

All patients with urinary incontinence (ex: stress, urgency, mixed) require initial evaluation for __ & __

Answer 5

urinary retention (postvoid residual)

infection (urinalysis)

Question 6

____ treat urinary retention due to neurogenic bladder by increasing detrusor activity.

Answer 6

Cholinergic agonists (bethanechol)

Question 7

Post-void residual is normal if
less than/= __mL in women
less than/= __ mL in men

Answer 7

150

50

Question 8

Interstitial nephritis most frequently occurs as a drug reaction. Patients present with fever, __, acute kidney injury (Bun/Cr_:_), and __-uria with ____ casts.

Answer 8

rash
>20:1
eosinophiluria
white blood cell

Question 9

Glomerulonephritis presents with
 \_\_\_, 
\_\_\_ casts, 
acute renal failure, 
\_\_\_, 
and edema.

Answer 9

hematuria
red blood cell
hypertension

Question 10

_____ is an important complication of all causes of nephrotic syndrome.

However, MCC Membranous glomerulopathy.

Answer 10

Renal vein thrombosis

Gross Hematuria, abd/flank pain

Question 11

IgA nephropathy usually presents with gross or microscopic ____ with minimal ____
after an upper respiratory tract infection

Answer 11

hematuria

proteinuria

Question 12

Nephrotic syndrome increases risk for ___ and ___.

Answer 12

atherosclerosis (due to hyperlipidemia)

AV thrombosis (due to loss of antithrombin III)

(thus increases the risk for stroke/MI)