Urology/Renal Flashcards

1
Q

What is the single best predictor of CHF progression

A

proteinuria

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2
Q

CKD stages

A
stage 1 >90
stage 2 60-89
stage 3 30-59
stage 4 15-29
stage 5 <15
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3
Q

PCKD

A

autosomal dom, HTN, hematuria, abd, flank and back pain

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4
Q

Tx for PCKD

A

ACEI/ARBs

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5
Q

eosinophilia, allergic rxn to meds

A

Acute interstitial nephritis

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6
Q

inferior urethral obstruction that REFERS pain to ipsilateral labia or testicle

A

hydronephrosis

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7
Q

Nephrotic syndrom

A
Na dec
Albumin dec
Proteinuria >3.5
Hyperlipidemia
Renal vein thrombosis
Orbital edema
Thromboembolism
Infection
Coagulability
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8
Q

fatty casts, sudsy urine, maltese cross

A

Nephrotic syndrome

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9
Q

Tx for nephrotic syndrome

A

glucocorticoids

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10
Q

Dx for renal artery stenosis

A

gadolinium enhanced MRI

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11
Q

Tx for renal artery stenosis

A

angioplasty, ACEI or ARBs

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12
Q

What is fibromuscular dysplasia associated with

A

Renal artery stenosis

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13
Q

what meds do you have to d/c with AKI

A

ACEI bc it blocks angiotensin induced inc in resistance to maintain GFR

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14
Q

muddy brown casts

A

acute tubular necrosis

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15
Q

mc cause of hemolytic uremic syndrome in kids

A

hemolytic uremic syndrome

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16
Q

E. coli O:157

A

HUS

17
Q

blood diarrhea, seizures, lethargy, hemolytic anemia, thrombocytopenia, renal insuff

A

HUS

18
Q

Tx for anemia of CKD

A

darbepoetin or eop alpha

19
Q

aspirin (salicylate) tox causes what pH imbalance

A

mixed resp and metabolic acidosis

20
Q

Tx for contrast induced AKI

A

stop kidney processed meds
N-acetylcystine + IV fluid
po prednisone and Benadryl

21
Q

MC RCC

A

epithial cells of PCT

22
Q

Dx for testicular ca

A

US then if positive then BHCG, alpha fetoprotein and LDH

NEVER BX

23
Q

tx testicular ca

A

radical inguinal orchiectomy

24
Q

MC prostate ca

A

adenocarcinoma

25
Q

gonorrhea tx

A
uncomp = ceftriaxone 250 mg IM
PIC = ceftriaxone + doxy
Disseminated = IV ceftriaxone
26
Q

urgency + freq day or night

A

urge incontinence

27
Q

MC urinary incontinence in elderly pop

A

urge

28
Q

small vol loss with cough/sneeze

A

stress incontinence

29
Q

poor strea, incomplete emptying

A

overflow incontinence

30
Q

complete loss of bladder control

A

atonic bladder

31
Q

RF for nephrolithiasis

A

PUD due to large amt calcium intake with food

32
Q

BPH tx

A

Doxazosin = better urine flow
Finasteride = invol of BPH and prostate shrinkage
Tamsulosin (alpha blocker SE =dizziness)

CYTOKINES CAUSE PROSTATE ENLARGEMENT

33
Q

clue cells

A

bacterial vaginosis

34
Q

RF for testicular ca

A

cryptorchism 30x inc risk

35
Q

mc malig in men 15-35

A

testicular ca