Urology/Nephrology Flashcards Preview

NPLEX 2 > Urology/Nephrology > Flashcards

Flashcards in Urology/Nephrology Deck (30):
1

What urinary lab tests can be falsely negative with Vitamin C?

Hemoglobin, Glucose, and Nitrites, Leukocyte esterase

2

What do ketones in the urine indicate?

Fat catabolism

3

What is elevated urinary VMA indicative of?

Pheochromocytoma

4

How does tolterodine improve bladder control?

Anticholinergic properties

5

What supplements are indicated for ED or angina?

L-Arginine 1-2g BID
Mg glycinate 100-300mg BID
Zinc 20-50mg BID

6

What is the most common renal stone?

Ca oxalate

7

Oliguria is defined as less than ____cc/day.

Anuria is defined as less than ____ cc/day.

500

100

8

Term: Increased BUN in the urine.

Azotemia

9

Prerenal azotemia has to do with ______. The BUN and Cre both ______ but _____ rises faster.

prerenal blood flow

rise

BUN

10

Intrarenal azotemia has to do with ________. The BUN and Cre both ______ but _______.

injury to glomeruli, tubules, small vessels

rise

equally

11

Postrenal azotemia has to do with _______. BUN and Cre rise ___________.

Obstruction

after long oligura

12

What is common iatrogenic cause of acute renal failure?

IV Contrast

13

If you suspect post streptococcal glomerulonephritis, what is your next diagnostic step?

Look of red blood cell cast - cytology

ASO-titer

14

What is normal/healthy GFR?

60

15

What GFR qualifies for stage 1 CKD? Stage 2 CKD? Stage 3?

90 or higher w/ chronic HTN, abn Kid anatomy, proteinuria

60-89 w/ the above

30-59

16

Name the male pathology: most common tumor with cryptorchidism, best prognosis of testicular tumors, metastasis to lymphatics, some have increased HCG

Seminoma

17

Name the male pathology:
congenital misplacement of urethral canal ventrally or dorsally, may be associated with undescended testicles, may cause urinary obstruction or inability to inseminate

Hypo/Epi spadius

18

Name the male pathology:
Orifice of prepuce is too small to permit retraction. Also applies to inflammatory fusion of the foreskin to the glans.

Prepuce is retracted & won’t replace

Phimosis

Paraphimosis

19

BPH medications

Proscar/Finasteride - 5 alpha reductase inhibitor
Flomax/Tamsulosin - alpha blocker

20

What kidney condition can cause hematuria significant enough to lead to anemia?

Polycystic Kidney Dz

Cysts often found in the liver, pancreas, and testes. Aneurysms and diverticula in GI tract

21

Name the condition:
protein in the urine (exceeding 3.5 grams/day)
low blood protein levels
high cholesterol levels and
swelling (edema).
The urine may also contain fat which is visible under the microscope

Nephrotic syndrome

22

Name the condition:
an immune complex glomerulopathy in which deposition of IgA with C3 and fibrin-related antigens occurs in a granular pattern in the glomerulus

Macro and microscopic hematuria, mild proteinuria are usually the only signs

Disease progresses over 2 to 3 decades with glomeruli destruction, loss of renal function and hypertension.

IgA Nephropathy/Buerger's Dx
Primary recurrent hematuria

23

Condition with hemoptysis and hematuria?

Goodpasture's syndrome

24

Namet the condition:
Pediatric (3yo) nephroblastoma associated with abdominla pain and swelling.

Wilm's tumor

25

What size stone can not pass through the ureter and requires referral?

> 5mm

26

What type of non proliferative nephritis is most common in children? Presents as a nephrotic syndrome.

Minimal change dz

27

What type of non proliferative nephritis is most common in white individuals?

Membranous glomerulonephritis

28

Nephritic or nephrotic:
Proteinuria
Hematuria
Azotemia
RBC casts
Oliguria
HTN

PHAROH
Nephritic

29

Nephritic or nephrotic:
Proteinuria
HypoAlbuminemia
HyperLipidemia
Edemas

PALE
Nephrotic

30

What type of nephrotic syndrome is most common in young black patients?

Focal segmental glomerular sclerosis