Renal And Urology

Question 1

Ptn with UTI is allergic to penicillin, sulfa drugs and shellfish drugs what to give

Answer 1

Nitrofurantoin

Question 2

Young female with UTI , she’s allergic to penicillin, TMX, shellfish, what’s to give

Answer 2

Nitrofurantoin

Question 3

Ptn with hypercalcemia, what the initial step in treatment

Answer 3

Normal saline

Question 4

Diabetic ptn with UTI , hight creatinine, which drug is contraindicated

Answer 4

Nitrofurantoin

Question 5

Child with nephrotic syndrome has abdominal pain and distention, what’s the expected complications

Answer 5

Peritonitis

Question 6

Old ptn with HTN on 3 anti hypertensive drugs but still not controlled , US shows asymmetric kidney size, what’s your diagnosis

Answer 6

Renal artery stenosis

Question 7

Ptn had seizure 3 days ago , he has hyponatremia 128, with low serum osmolality otherwise normal , what’s your diagnosis

Answer 7

SIADH

Question 8

Signs of nephropathy in DM is

Answer 8

Proteinuria

Question 9

Ptn with renal disease expected to need dialysis next year, what is the most common cause to cause his death

Answer 9

Cardiovascular disease

Question 10

Which antibiotic is contraindicated in pediatrics and pregnancy?

Answer 10

Ciprofloxacin

Question 11

Ptn had head trauma in RTA accident, now has increased urine output, what’s your diagnosis

Answer 11

Central diabetes insipidus

Question 12

Side effects of furosemide is……

Answer 12

Hypokalemia

Question 13

When to consider nephrotic syndrome to be cortisol resistance?

Answer 13

After 4 weeks of daily cortisol

Question 14

Ptn with adrenal insufficiency, how to confirm

Answer 14

Synchathrin test

Question 15

Male has a pb initiating urine, and after voiding still have a palpable bladder, what type of incontinence

Answer 15

Overflow incontinence

Question 16

Acute hemodialysis indication?

Answer 16

In ptn with hyperkalemia not treated after 3 drugs

Question 17

Diabetic ptn with dysuria, frequency and high creatinine and nitrate, which antibiotic is contraindicated

Answer 17

Ciprofloxacin, Nitrofurantoin

Question 18

Ptn complaining of non pitting edema, what the first diagnosis tool? And what’s the best tool

Answer 18

Venous duplex, lymphoscintigraphy

Question 19

Young adult presents with decreased libido with normal FSH,LH , and hyperprolactenemia, what to do to diagnose

Answer 19

MRI pituitary

Question 20

Female ptn with rapid progressive glomerulonephritis + pulmonary hemorrhage + recurrent sinusitis + numbness, diagnosis

Answer 20

Granulomatosis with polyangitis

Question 21

Elderly comes with BPH , has urinary symptoms, and normal PSA and renal tests, what to give him or another Q DM , No HTN Ptn has BPH, treatment

Answer 21

Alpha blockers

Question 22

In which age enuresis considered to be normal ?

Answer 22

5 years

Question 23

SLE ptn is complaining of UTI symptoms, what’s the drug contraindicated in her case

Answer 23

Sulfa

Question 24

Scenario of gout Ptn , management

Answer 24

Indomethacin ( NSAIDS )

Question 25

Ptn with DM, HTN and sickle cell disease, what kind of stones this Ptn has?

Answer 25

Mixed

Question 26

Ptn with CKD is in risk for DVT, what’s your management

Answer 26

Give unfractionated heparin

Question 27

Ptn with +2 proteinuria and oval fat bodies and hyaline cast under microscope , diagnosis

Answer 27

Nephrotic syndrome

Question 28

What’s The part that is affected in urinary incontinence?

Answer 28

Pelvic floor

Question 29

When does bed wetting becomes alarming

Answer 29

After 5 years

Question 30

Ptn with hyperkalemia , how to manage

Answer 30

Give calcium gluconate

Question 31

……..drug is safe to give in end stage kidney disease

Answer 31

Warfarin

Question 32

High urine osmolarity, hyponatremia =

Answer 32

SIADH

Question 33

Ptn with multiple kidney stones, high PTH and normal calcium and phosphate, how to confirm diagnosis?

Answer 33

Sestamibi scan

Question 34

Picture of left ureter agenesis

Answer 34

Ureter agenisis

Question 35

Old male present with acute confusional state and postural hypotension .. investigation just hypercalcemia what is the next ??

Answer 35

Hydrocortisone