Vascular Ds In Kidney

Question 1

Large vessel kidney disease

Answer 1

Renal artery stenosis

Renovascular HTN

Question 2

Small vessel kidney disease

Answer 2

Thrombotic microangiopathy

Question 3

Most common cause of renovascular htn

Answer 3

Atherosclerosis

Question 4

Mc xause of renovascular htn in young

Answer 4

Fibromuscular dysplasia

Question 5

Mcc of renovascular htn in india

Answer 5

Takayasu arteritis F>M

Question 6

String of bead appearance on ct renal angiogram is seen in

Answer 6

Fibromuscular dysplasia

Question 7

Non inflammatory arteriopathy

Answer 7

Tunica media fibroplasia i e fibromuscular dysplasia

Question 8

Fibromuscular dysplasia involves with part of renal artery

Answer 8

Mid and distal renal artery

Question 9

Treatment of fibromuscular dysplasia

Answer 9

PTRA

Percutaneous transluminal renal angioplasty

Question 10

Vascular kidney ds progressing to ckd k/a

Answer 10

Ischemic nephropathy

Question 11

BP =CO ×PR
Sustained rise of BP can be due to
Why increase cardiac output cannot cause sustained bp rise

Answer 11

Increase PR

Pressre natriuresis

Question 12

Unilateral ras symptom will be -
Urine output will be
Usg finding-

Answer 12

Htn
Normal urine output
Asymmetrical kidney upto 1 cm

Question 13

Flash pulmonary edema and low urine outputin b/l ras is due to
Treatment?

Answer 13

Due to increase volume overload as both kidney are not able to excrete sodium

Diuretics

Question 14

If kidney size is more than 8cm with u/l and B/l ras

Treatment

Answer 14

U/l ptra + stenting

B/l statin +Antiplatelet +smoking cessation

Question 15

Triad seen in thrombotic microangiopathy

Answer 15

MAHA
Thrombocytopenia
Microcirculatory occlusion by platelet thrombi

Question 16

Thrombotic microangiopathy in kidney is aka

In brain is aka

Answer 16

Kidney HUS

brain TTP

Question 17

HeLLP syndrome

Answer 17

Hemolysis
Elevated liver enzymes
Low platelet count

Question 18

Childhood HUS occurs to due

Answer 18

90% D+HUS 
EHEC - shiga like toxin 
Shigella dysentriae -shiga toxin type 1 
10% 
Neuraminidase producing strep pneumonia

Question 19

Childhood cause of B/L RVT
ADULT CAUSE
ELDERLY

Answer 19

A dehydration
B membranous nephropathy
C rcc

Question 20

Most common genetic cause of atypical HUS

Answer 20

Alternate complement pathway activation

Complement factor H mutation

Question 21

Sporadic cause of atypical hus

Answer 21

Drugs mitomycin tacrolismus clopidogrel 
Hiv 
Preg 
Sle 
Post transplant recurrence

Question 22

Only treatment in adult hus to salvage kidney

Answer 22

Plasma exchange within 24 hrs