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Flashcards in Renal/GU Deck (37):
1

RTA a/w abnl HCO3- and Rickets

Type II (proximal) RTA

2

RTA a/w aldo defect

Type IV (distal) RTA

3

"Doughy" skin

Hypernatremia

4

DDx of hypervolemic hyponatremia

Cirrhosis, CHF, nephritic syndrome

5

Chvostek's and Trousseau's signs

Hypocalcemia

6

MCCs of hypercalcemia

Malignancy and hyperparathyroidism

7

T-wave flattening and U waves

Hypokalemia

8

Peaked T waves and widened QRS

Hyperkalemia

9

1st line tx for moderate hypercalcemia

IV hydration and loop diuretics (furosemide)

10

Type of AKI with FENa

Prerenal

11

49 yo M with acute onset flank pain and hematuria

Nephrolithiasis

12

MC type of nephrolithiasis

Calcium oxalate

13

20 yo M presents with a palpable flank mass and hematuria. U/S shows b/l enlarged kidneys with cysts. Associated brain anomaly?

Cerebral berry aneurysms (ADPKD)

14

Hematuria, HTN, oliguria

Nephritic syndrome

15

Proteinuria, hypoalbuminemia, HLD, hyperlipiduria, and edema

Nephrotic syndrome

16

MC form of nephritic syndrome

Membranous glomerulonephritis (GN)

17

MC form of glomerulonephritis (GN)

IgA nephropathy (Berger's dz)

18

Glomerulonephritis (GN) with deafness

Alport syndrome

19

Glomerulonephritis (GN) with hemoptysis

Wegener's granulomatosis, Goodpasture syndrome

20

Presence of red cell casts in urine sediment

Glomerulonephritis/nephritic syndrome

21

Eos in urine sediment

Allergic interstitial nephritis

22

Waxy casts in urine sediment and Maltese crosses (seen with lipiduria)

Nephrotic syndrome

23

Drowsiness, asterixis, nausea, and pericardial friction rub

Uremic syndrome seen in pts with renal failure

24

55 yo M is dx'd with prostate CA. Tx options?

Wait, surgical resection, radiation and/or androgen suppression

25

Low urine specific gravity in the presence of high serum osmolality

Diabetes insipidus

26

Tx of SIADH

Fluid restriction, demeclocycline

27

Hematuria, flank pain, and palpable flank mass

Renal cell carcinoma (RCC)

28

Testicular CA a/w ß-hCG, AFP

Choriocarcinoma

29

MC type of testicular CA

Seminoma (type of germ cell tumor)

30

MC histology of bladder CA

Transitional cell carcinoma

31

Complication of overly rapid correction of hyponatremia

Central pontine myelinolysis

32

Salicylate ingestion causes what type of acid-base d/o?

AG acidosis and 1˚ respiratory alkalosis d/t central respiratory stimulation

33

Acid-base disturbance commonly seen in pregnant F

Respiratory alkalosis

34

3 systemic dzs that lead to nephrotic syndrome

DM, SLE, and amyloidosis

35

Elevated erythropoietin (EPO) level, elevated hematocrit (Hct), and nl O2 saturation

RCC or other EPO-producing tumor. Evaluate with CT scan.

36

55 yo M presents with irritative and obstructive urinary sxs. Tx options?

Likely BPH.
-Tx options: no tx, terazosin, finasteride, or surgical intervention (TURP)

37

Renal tubular acidosis (RTA) a/w abnl H+ secretion and nephrolithiasis

Type I (distal) RTA