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UWorld Step 2 > Renal > Flashcards

Flashcards in Renal Deck (30):
1

HTN, palpable bilateral abd masses, microhematuria
- dx
- associated with

ADPCKD
- intracranial berry aneurysms
- hepatic cysts
- MVP, AR
- colonic diverticula
- hernias

2

angiography shows string of beads in renal artery. dx?

fibromuscular dysplasia

3

anticholinergics - mechanism on bladder

detrussor inactivity

4

cause of initial hematuria

lesion in urethra (ex: urethritis)

5

causes of terminal hematuria

prostate or
bladder (do cystoscopy)

6

causes of total hematuria (throughout urinary cycle)

ureter or kidney (glomerular diseases)

7

mechanism of stress incontinence

urethral hypermobility / loss of urethral support
intraabdominal pressure exceeds urethral pressure

8

mechanism of urge incontinence

detrussor overactivity

9

mechanism of overflow incontinence

impaired detrussor contractility
bladder outlet obstruction

10

workup of urethral hyper mobility (which causes stress incontinence)

Q tip test (for urethrovesical angle)

11

normal post void residual

less than 150 females
less than 50 males

12

obese minority with HIV and heroin use, what renal dz?

FSGS

13

Hep B associated w/ what renal dz?

membranous
membranoproliferative

14

most common nephrotic syndrome

FSGS

15

associations w/ amyloidosis

multiple myeloma
chronic inflammatory disease (rheumatoid arthritis, bronchiectasis)

16

noninflammatory vs inflammatory chronic prostatitis

both have normal UA and prostatic culture
inflammatory has prostatic leukocytes greater than 10 WBC per HPF

17

air in urine, fecal matter in urine, or recurrent UTIs with mixed flora
- dx
- imaging

rectovesical fistula
abd CT with oral or rectal contrast AND colonoscopy to r/o malig

18

emphysematous pyelonephritis (pyelo due to gas producing infection) is more likely in what type of patient

diabetic

19

suspect BPH. order what?

urinalysis (look for hematuria)
creatinine

20

BPH and elevated creatinine. next step?

renal ultrasound to look for hydronephrosis

21

indications for cystoscopy

microscopic hematuria with risk of cancer
gross hematuria but no glomerular disease or infection
recurrent UTIs
obstructive symptoms
irritative symptoms w/o UTI
abn bladder imaging or urine cytology

22

most important risk factor for bladder cancer

smoking

23

patient using analgesics, WBC casts
- dx

tubulointerstitial nephritis

24

tx of uric acid stones

alkalinize urine with potassium citrate

25

evaluation of uric acid stones

CT or IVP or US

26

high riding prostate, blood at urethral meatus...
- dx
- next step

posterior urethral injury
retrograde urethrogram (before Foley insertion)

27

anterior urethral injury
- next step

surgical repair

28

bladder injury
- next step

retrograde cystogram with post void films

29

management of penile fracture

retrograde urethrogram (assess urethral injury)
then surgery of penis (evacuate hematoma, repair tunica albuginea)

30

management of renal artery stenosis and HTN

ACEi
surgery only if...
- HTN not controlled with meds
- flash pulm edema
- heart failure from HTN