renal

Question 1

drug that slows progression of CKD in ADPKD

Answer 1

tolvaptan

Question 2

flu-like symptoms and fever, dry cough, bradycardia, confusion and recent holiday with air con

Answer 2

legionella

Question 3

diagnostic test for legionella

Answer 3

urinary antigen
also chest x-ray: mid to lower zone patchy consolidation

Question 4

features of rhabdomyolysis

Answer 4

disproportionately raised creatinine
CK > 10,000 (if only 2-3 times raised then not suggestive of rhabdo)
myoglobinuria: red brown
hypocalcaemia

Question 5

symptoms that point to hypovolaemic cause of AKI

Answer 5

no JVP
dry mucous membranes
tachycardia and hypotension

Question 6

management of pre-renal cause of AKI (hypovolaemia)

Answer 6

fluid challenge

Question 7

management of epididymo-orchitis

Answer 7

if STI cause: refer to GUM clinic (IM ceftriaxone + doxy for 10-14 days)
if enteric organisms: send MSU, oral quinolone (ofloxacin)

Question 8

management of erectile dysfunction

Answer 8

first line: PDE-5 inhibitors (sildenafil)- not if on a nitrate
second line: intracavernosal prostaglandin , vacuum

Question 9

the most common type of renal stone composition

Answer 9

calcium oxalate

Question 10

management of methanol poisoning

Answer 10

fomepizole