Robbins Flashcards

1
Q

Is acute proliferation glomerulonephritis nephritic or nephrotic syndrome and what can you get it from?

A

Nephritic/Malaria

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2
Q

Inherited focal segmental glomerulosclerosis is caused by the dysfunction of?

A

Slit diaphragms (space between podocytes)

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3
Q

Slow progressive renal disease that end with bilateral shrunken kidneys, think?

A

Chronic glomerulonephritis from HTN

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4
Q

Severe muscle injury can lead to what kind of damage to the kidney?

A

Excrete large amount of myoglobin—>acute tubular injury

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5
Q

BJ protein is a characteristics of what disease?

A

Multiple myeloma

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6
Q

What could enlarge the kidney besides congenital abnormalities?

A

Amyloid deposition like in multiple myeloma

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7
Q

Mutation in fibrocystin and polycystin give rise to what diseases?

A

AR polycystic kidney disease/AD polycystic kidney disease

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8
Q

What is medullary sponge kidney?

A

Benign congenital cystic dilation of papillary collecting duct with kidney stone/re occurrent infection/hematuria

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9
Q

What is nephronophthisis and what gene is mutated?

A

Genetic cause for end stage renal disease in children/NPHP1

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10
Q

What is the second most common renal carcinoma and what gene mutation is it associated with?

A

Papillary renal cell carcinoma/MET

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11
Q

What’s the most common cause of hydronephrosis in infants and children?

A

Vesicoureteral reflex

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12
Q

Retro peritoneal fibrosis can cause unilateral or bilateral hydronephrosis?

A

Bilateral

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13
Q

Persistent urachus forms a fistula between ___ and ___

A

Ureter and umbilicus

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14
Q

What is urethral caruncle?

A

Tender bleeding mass outside of urethra—>common in postmenopausal women

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15
Q

What is urethral caruncle?

A

Tender bleeding mass outside of urethra—>common in postmenopausal women

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16
Q

DM predisposes what kind of infection on genital?

A

Candidiasis

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17
Q

What risk factors are for penile squamous carcinoma?

A

HPV and phimosis

18
Q

GH suppress or promote insulin?

A

Suppresses—>leads to DM

19
Q

What is the histologic finding of Graves disease?

A

Papillary projection lined by tall columnar epithelial cell

20
Q

What is goitrogen and what does it cause?

A

It is from cabbage/turnip/brussels sprouts—>cause sporadic goiter

21
Q

What is Plummer’s disease?

A

Toxic multi-nodular goiter that cause hyperthyroidism

22
Q

Insulitis with inflammatory cells are seen in type I or II DM?

23
Q

How does DM causes oxidative stress and cause neuropathy and what not?

A

(Polyol pathway) Excess glucose—>aldose reductase—>sorbitol—>use NADPH as cofactor—>NADPH is also needed to reduce GSH—>reduced NADPH—->reduced GSH—>oxidative stress

24
Q

What kind of pancreatic tumor might secrete insulin?

A

Pancreatic neuroendocrine tumor (PanNET)

25
How to distinguish Cushing syndrome from adrenal adenoma or ectopic cortisol secretion?
Look at CRH--->if it's high then ectopic/low then it's adrenal adenoma
26
If pheochromocytoma is familial, is it usually bi or unilateral?
Bilateral/sporadic is usually unilateral
27
What cells in kidney secretes EPO?
Interstitial peritubular cell
28
What is focal proliferative glomerulonephritis?
It includes lupus nephritis and IgA nephropathy
29
Bilateral cortical necrosis of the kidney is caused by?
Hypovolemic shock
30
HTN can lead to what kind of renal disease?
Hypertensive nephrosclerosis--->shrunken kidneys
31
What are the 2 common causes of hydroneprhosis?
BPH and metastatic cancer like cervical cancer
32
Fever, pain and nodular scrotal mass, think?
Epididymitis
33
What do you see with chronic interstitial cystitis?
Hunner ulcer/fibrosis
34
Hyponatremia can have what CNS presentation?
Altered mental status/seizure
35
What are some symptoms of acromegaly?
Impaired glucose tolerance/male sexual dysfunction
36
GH is secreted from?
Anterior pituitary
37
What is the most common pituitary adenoma?
Prolactinoma
38
The most common goitrogenic drug is?
Li+
39
Difference between somatotropin and somatostatin?
Somatostatin inhibits somatotropin (GH)
40
Excess prolactin would results in what dysfunction in male?
Erectile
41
What cells secrete PTH?
Chief cells
42
How does hyperPTH causes peptic ulcers?
Hypercalcemia stimulates gastrin secretion--->peptic ulcers