Master the Boards: Nephrology Flashcards Preview

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Flashcards in Master the Boards: Nephrology Deck (14):
1

What will FeNa be in prerenal azotemia?

Low (

2

What will the urine osmolality be in patients with ATN and why?

It will be similar in osmolality to serum because the kidneys are damaged and cannot appropriately absorb fluids

*Also, urine sodium will be above 20

3

Besides ingestion of preformed Botulinism toxin, what is another means of contracting Botulinism?

Inhalation of spores from the environment (soil). The incidence of this type is highest in California, Utah, and Pennsylvania.

4

Glycogen Storage Disease

Hypoglycemia (provoking possible seizure), lactic acidosis, hyperlipidemia, hyperuricemia in a patient with protuberant abdomen due to hepatomegaly

GSD I (Von-Gierkes' Disease)

Glucose-6-phosphatase deficiency

5

GSD

Hepatomegaly, "floppy baby", macroglossia, heart failure (progressive hypertrophic cardiomyopathy)

Pompe Disease (GSD II)

Acid maltase deficiency

6

GSD

Hypoglycemia, hyperlipidemia, hepatomegaly, elevated LFTs, ketosis, normal lactic and uric acid concentrations

GSD III: Glycogen debranching enzyme deficiency

7

GSD

Progressive cirrhosis of liver and failure to thrive

GSD IV
Deficiency of branching enzyme

8

GSD

Benign course with mild hypoglycemia, hyperlipidemia, hyperketosis but normal lactic acid and uric acid levels

Liver phosphorylase deficiency

9

A new conduction block in a patient with infective endocarditis should raise suspicion for what complication?

Perivalvular abscess

10

How may uric acid stones be evaluated with imaging?

They're radiolucent so CT abdomen or intravenous pyelography

11

Alopecia (hair loss)
Abnormal taste
Bullous/pustulous lesions at body orifices
Impaired wound healing

All are signs of what vitamin/mineral deficiency?

Zinc

12

Deficiency of what mineral may cause cardiomyopathy?

Selenium

13

Patients with hypothyroidism are at increased risk of what common peripheral neuropathy?

What is the mechanism by which it occurs?

Carpal tunnel syndrome

Deposition of mucopolysaccharide complexes within the perineum and endoneurium of median nerve

14

What is the better method of assessing total protein urinated in a day?

Single protein to creatinine ratio