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1.19) Renal, Urinary System, & Electrolytes > UWorld > Flashcards

Flashcards in UWorld Deck (19)
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1

What are the (2) First-Line Treatments for Primary Nocturnal Enuresis if Lifestyle Modifications (ie, Motivational Therapies) are unsuccessful?

  1. Enuresis Alarms
  2. Desmopressin

2

Of the 2 first-line treatments for Primary Nocturnal Enuresis, which one provides the best Long-Term outcome (eg, low rate of relapse)?

Enuresis Alarms

3

What is the definition of Primary Nocturnal Enuresis?

An Inability to achieve Nighttime Dryness in Healthy Patients age ≥ 5 without additional urinary tract symptoms (eg, dysuria, daytime incontinence).

4

What are the (4Initial Management Steps in a patient with suspected Primary Nocturnal Enuresis?

  1. Urinalysis (dx step)
  2. Lifestyle Changes (tx step)
  3. Enuresis Alarms (tx step)
  4. Desmopressin (tx step)

5

What are (4) Lifestyle Changes that can be made for a patient with Primary Nocturnal Enuresis?

  1. Minimize Fluid Intake before bedtime.
  2. Avoid Sugary/Caffeinated Beverages.
  3. Void Before bedtime.
  4. Institute a Reward System (eg, "Gold Star" chart).

6

What is the Major Complication associated with Rhabdomyolysis?

Acute Kidney Injury (AKI) due to Myoglobinuria

7

What is (1) Physical Characteristic of Rhabdomyolysis?

Muscle Atrophy

8

What is the Primary Laboratory Finding in a patient with suspected Rhabdomyolysis?

CREATININE KINASE (Dramatically Elevated)

9

What is the Treatment for a patient with Rhabdomyolysis?

Isotonic Saline

10

What are the (2) Mechanisms of Action for the Treatment of Choice in a patient with Rhabdomyolysis?

  1. Improves Volume Status
  2. Prevents Intratubular Cast Formation

*FYI:  TOC for Rhabdomyolysis is Isotonic Saline

11

What are (3) Medication Treatment Options for Acute Cystitis in a NONpregnant Woman?

  1. Nitrofurantoin (5 days)
  2. Trimethoprim-Sulfamethoxazole (3 days)
  3. Fosfomycin (1 Dose)

12

What Class of Medication is considered the Second-Line Drug of Choice (DOC) in a NONpregnant Woman with Acute Cystitis (only if 1st-line options can't be used)?

Fluoroquinolones (eg, Ciprofloxacin, Levofloxacin)​

13

Under What Condition should you get a Urine Culture in a NONpregnant Woman with Acute Cystitis?

If Initial Treatment Fails

14

What is the Medication Class of Choice and Duration of Use for a NONpregnant Woman with COMPLICATED Cystitis?

Fluoroquinolones (eg, Ciprofloxacin, Levofloxacin)​

  • 5 - 14 days

15

What is the OUTpatient Treatment for a NONpregnant Woman with Pyelonephritis?

Fluoroquinolones (eg, Ciprofloxacin, Levofloxacin)

16

What are (2INpatient Treatment Options for a NONpregnant Woman with Pyelonephritis?

  1. Fluoroquinolone (IV)
  2. Aminoglycoside +/- ampicillin (IV

17

What is Indicated PRIOR to Treating a sexually active Women of Childbearing Age with Antibiotics?

Pregnancy Test (to avoid potential fetal teratogen exposure)

18

What are (5) UTI Antibiotics Recommended for Pregnant Women with a UTI?

  1. Fosfomycin
  2. Amoxicillin
  3. Amoxicillin-Clavulanate (Augmentin)
  4. Nitrofurantoin (Macrobid)
  5. Cephalexin (Keflex)

F.A.A.N.C. ("Fancy" abx for preggars w/ uti)

19

What are (3) UTI Antibiotics Contraindicated in Pregnant Women with a UTI?

  1. Tetracyclines
  2. Fluoroquinolones
  3. Trimethoprim-Sulfamethoxazole (Bactrim)