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

Flashcards in UWorld Deck (19)
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What are the (2) First-Line Treatments for Primary Nocturnal Enuresis if Lifestyle Modifications (ie, Motivational Therapies) are unsuccessful?

  1. Enuresis Alarms
  2. Desmopressin


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


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).


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)


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).


What is the Major Complication associated with Rhabdomyolysis?

Acute Kidney Injury (AKI) due to Myoglobinuria


What is (1) Physical Characteristic of Rhabdomyolysis?

Muscle Atrophy


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

CREATININE KINASE (Dramatically Elevated)


What is the Treatment for a patient with Rhabdomyolysis?

Isotonic Saline


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


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)


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)​


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

If Initial Treatment Fails


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


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

Fluoroquinolones (eg, Ciprofloxacin, Levofloxacin)


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

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


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

Pregnancy Test (to avoid potential fetal teratogen exposure)


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)


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

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