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Details

GU Exam
GU Exam
30
Medical
Graduate
10/31/2013

Additional Medical Flashcards

 


 

Cards

Term
What is the Dx ToC for PKD?
Definition
Renal US
Term
What's the Dx ToC to monitor kidney size post-Tx to assess progress?
Definition
MRI
Term
Which pt is a greatest risk for PKCD?
Definition
49yo BM with HTN, positive FH of ESRD, and recent wt loss of 15lbs
Term
What is commonly the first S&S that presents in pts with PKCD?
Definition
Ab/Flank !
Term
When performing a UA, what finding is associated with AKI?
Definition
Muddy Brown Casts
Term
What is the most common source of AKI Injury
Definition
Pre-Renal pathology
Term
Pt is a 17yof who complains of burning during urination. VS include: HR 92, 120/90, f 14, 101. On PE: positive CVA tenderness. UA with + leuks, nitrites and bacteria. Dx?
Definition
Pyelonephritis
Term
Most renal infxns are caused by?
Definition
E. Coli
Term
Which of the following is a potential complication of acute pyelonephritis?
Definition
Perinephric abscess
Term
Which of hte following is a strong indicator of a hypercalcemic paraneoplastic syndrome when other reasons for hypercalcemia have been ruled out?
Definition
Elevated PTHrp
Term
Hematuria is one of the classic triad of symptoms of renal cell carcinoma?
Definition
True
Term
What is the ToC for localized, stage T1-3a renal cell carcinoma?
Definition
Partial or complete nephrectomy
Term
Atherosclerosis is the primary cause of renal artery stenosis?
Definition
True
Term
A 65yom with severe HA is examined by his physician. His BP is 170/115mmHg, and a bruit is heard over the right flank. Further testing reveals stenosis of the R renal artery. Which of the following is diagnostic ToC for RAS?
Definition
Renal angiography
Term
A 67yom evaluated for HTN. He c/o occasional morning HA. PMH significant for DMII, CAD, and CVA with residual L weakness. he underwent CABG and carotid endarterectomy. Current meds are lisinopril, HCTZ, amlodipine, metoprolol, ASA, metforin, and glyburide. His BP is 190/100. PE reveals a L sided carotid bruit. Which med is considered first line in medical mgmt of RAS?
Definition
Lisinopril
Term
a 38yom with a h/o frequent UTI and renal lithiasis is following up. Urine todays continues to reveal hematuria. VSS. Denies pain. GFR normal. Urogram reveals paint brush appearance of the papillae. Kidneys are normal in size. Dx?
Definition
Medullary Sponge Dz
Term
43yof with pain and hematuria. No UTI. Bilateral flank masses. Urine + for blood and - for leuks/nitrites. Dx?
Definition
PKD
Term
Which of the following types of renal calculi is associated with an infectious cause?
Definition
Struvite
Term
61yof pt, smoker. Microscopic hematuria. Next step?
Definition
Send her urine for cytology and refer to urologist
Term
The larger the stone the more pain?
Definition
False
Term
What is the chief symptom associated with bladder cancer?
Definition
hematuria
Term
65yow with blood in urine. Denies general symptoms. + for tobacco. Likely Dx?
Definition
Bladder cancer
Term
32yof with "another UTI". Dysuria, ab !, and increased frequency. Denies fever/chills. What next?
Definition
Tx the pt with nitrofurantoin and refer
Term
Child admitted with Dx of Wilm's tumor stage II. Describe.
Definition
Tumor extended beyond the kidney, but was completely resected
Term
2yo child brought to the pediatric clinic because of hematuria. Exam reveals HTN and an abdominal mass. A tumor is localized to the R kidney, and Bx reveals a stroma containing smooth, striated muscle, bone, cartilage and fat with areas of necrosis. The gene for this disorder has been localized to which of the following chromosomes?
Definition
11
Term
Wilm's tumor has been recognized for its association with a number of congenital malformations that include cryptochorchidism, hypospadias, and hemihypertrophy. Another congenital malformation that has also been associated with Wilms tumor is?
Definition
Aniridia
Term
61yof smoker. Micro hemturia. Next step?
Definition
Send for urine cytology and refer to urologist
Term
68yom with difficulty urinating, nocturia and lower back pain. Prostate enlarged. U/A normal. Dx?
Definition
Prostate cancer
Term
Most serious hematuria is going to be 2/2?
Definition
All of the above
Term
Which individual is more likely to develop bladder cancer?
Definition
67yowm, retired rubber factory worker with a 20ppy H/o smoking
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