Urologic and renal disorders

Question 1

UTI bacteria

Answer 1

e.coli, proteus mirabilis, klebsiella, enterobacter

Question 2

What patients need to be treated for asymptomatic bacteremia

Answer 2

pregnant, immunocompromised

Question 3

UTI abx safe in pregnancy

Answer 3

amoxicillin, cephalosporin,fosfomycin

Question 4

ABX to avoid in 1st trimester and near term

Answer 4

nitrofurantoin, tmp-sulfa

Question 5

Glomerulonephritis dx

Answer 5

Antistreptolysin O^
^anti-dnase
throat skin cx
vC3, C4
BUN/Cr, UA

Question 6

Urethritis cause/tx

Answer 6

gonorrhea more likely in males
ceftriaxone IM ONCE + Doxy BID 1wk
non-gonorrhea in females
Azithromycin 1G PO ONCE or Doxy BID 1wk

Question 7

Kidney disease grades 1-5 GFR

Answer 7

1=>90 (control dm/htn)
2=60-89
3a=45-59(refer)
3b=30-44 
4=15-29 (may need dialysis)
5=<15
5D=Dialysis

Question 8

ACEi/ARB

Answer 8

given until cr hits 3, monitor K

Question 9

meds harmful to kidneys

Answer 9

ahminoglycosides and nsaids