Renal/Urology Diagnostics

Question 1

Renal Calculi are?

Answer 1

kidney stones

Question 2

Stage 1 of Chronic Kidney Dz

Answer 2

Kidney damage with

GFR: Normal or ↑ (>=90)

Question 3

Stage 2 of Chronic Kidney Dz

Answer 3

Kidney damage with

GFR: Normal or ↓ (60-89)

Question 4

Stage 3 of Chronic Kidney Dz

Answer 4

Kidney damage with

GFR: Moderate ↓ (30-59)

Question 5

Stage 4 of Chronic Kidney Dz

Answer 5

Kidney damage with

GFR: Severe ↓ (15-29)

Question 6

Stage 5 of Chronic Kidney Dz

Answer 6

Kidney failure with

GFR: <15

Question 7

Cr clearance Cockroft-Gault formula?

Answer 7

Ccr Men = (140-age) x LBW / Pcr x 72

Ccr Women = 0.85 of men’s total

Question 8

Prostate-Specific Antigen (PSA) is?

Screens for?

Answer 8

glycoprotein in prostate

prostate cancer

Question 9

Causes of high PSA?

Answer 9

prostate CA
BPH
Prostatitis
Prostate manipulation

Question 10

Review urinalysis in Clin Lab

Answer 10

review

Question 11

24-hr urine useful how?

Answer 11

better quantitative measure for proteinuria or GFR

Question 12

Urine immunoelectrophoresis used for?

Answer 12

Bence Jones protein in multiple myeloma

Question 13

Indications for Abdom XRay?

Answer 13

Pain of kidney, ureter, bladder

Supine and upright

Question 14

Kidney US good for identifying what? (3)

Not useful for?

Answer 14

Urinary Tract Stones made of:
Ca2+, struvite, cystine
Prostatic calculi
Bladder distention

Stones made of:
uric acid (radiolucent)
small stones
stones over bones

Question 15

Staghorn is?

Answer 15

Stones in renal pelvis and into > 1 calyces

Question 16

Renal US º test for what? (2)

Answer 16

renal fail w/ unknown cause,

exclude urinary tract obstruction

Question 17

Renal Doppler used for?

Answer 17

eval of renal vascular flow

thrombosis, infarct, stenosis, etc

Question 18

Pyelonephritis is?

Answer 18

kidney bacterial infection

Question 19

Nephrolithiasis is?

Answer 19

kidney stones

Question 20

Diagnostic test of choice for nephrolithiasis?

Answer 20

non-contrast CT

detects radiolucent stones

Question 21

Intravenous Pyelogram (IVP) measures what?

Used to eval?

Answer 21

(contrast/xray)
excretory fxn

kidney/tract anatomy
stones
obstruction

Question 22

Renal bx used for?

Answer 22

nephrotic synd
unexplained renal fail
mass
transplant rejection

Question 23

Cystourethrogram is?

Used for?

Answer 23

bladder filled w/ contrast/XRay

vesicoureteral reflux
tumor-caused distortion
fistula
perforation

Question 24

Cystoscopy is?

Used for?

Answer 24

fiberoptic scope thru urethra

assess bladder/ureteral malignancy
eval urogynecologic
dx intrinsic bladder dz

Question 25

Testicular US used for?

Answer 25

eval mass, size, pain, missing testes

Question 26

Prostate US performed how? Used for?

Answer 26

transrectally CA detection