renal Flashcards

1
Q
A
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2
Q

what is stress urinary incontinence

A

involuntary leakage on exertion/sneezing/coughing

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3
Q

what is urge urinary incontinence

A

involuntary leakage from urgency

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4
Q

mixed urinary incontinence

A

involuntary urine leakage from urgency and with exertion/cough/sneezing

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5
Q

what is continuous urinary incontinence

A

continuous leakage

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6
Q

what is overflow urinary incontinence

A

leakage associated with urinary retention

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7
Q

what is nocturnal enuresis

A

loss of urine during sleep

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8
Q

what is post-micturition dribble

A

involuntary loss of urine after passing urine

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9
Q

what is the most abundant adrenoceptor subtype in prostate

A

a-1-adrenergic receptor

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10
Q

why Lower urinary tract symptoms are seen in men with BPH

A

changes in bladder function
-reduces bladder compliance
-reduces detrusor contractility

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11
Q

drug treatment for renal BPH

A

tamsulosin-> a-adrenergic antagonist

finasteride-> 5-a-reductase inhibitor

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12
Q

surg treatment for renal BPH

A

TURP= trans-urethral resection of prostate

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13
Q

urinary incontinence treatment

A

lifestyle - weight loss, smoking cessation, pelvic floor exercise

pharm- oestrogen therapy

surg- artificial urinary sphincter (AUS)

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14
Q

urge urinary incontinence (overactive bladder= increased urinary frequency, urgency) treatment

A

lifestyle- loss weight , stop smoking

pharm- anti-cholinergic drugs= trospium
b-3-agonsit =betmiga

surg= PTNS- Percutaneous Tibial Nerve Stimulation//BOTOX

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15
Q

Where are baroreceptors found - low Vs high BP

A

– Low BP receptors: atria, RV, pulmonary
vasculature
– High BP receptors: carotid sinus, aortic arch, JGA

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16
Q

Where in brain regulates sodium intake and how

A

Lateral parabrachial nucleus
– Serotonin & Glutamate inhibit
intake
– GABA & opioids stimulate
craving

17
Q

atrial natriuretic peptide - where is it found, what it does and how

A

Made in atria in response to atrial
stretch (high BP)
-Reduces BP

Action
• Dilates AA → increased GFR
• Inhibits Na reabsorption in PCT
• Inhibits angiotensin II production
from JGA