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GU 2 (Kidney d/o)

Step-2

QuestionAnswer
What infectious agent is most likely responsible for the following diarrheal illness: diarrhea in an AIDS pt cryptosporidium or Isospora
What infectious agent is most likely responsible for the following diarrheal illness: diarrhea after a course of antibiotics c. diff
What infectious agent is most likely responsible for the following diarrheal illness: diarrhea from seafood vibrio species
What infectious agent is most likely responsible for the following diarrheal illness: rice-water stools vibrio cholerae or entertoxogenic e coli
What infectious agent is most likely responsible for the following diarrheal illness: mild intestinal infection that can become neurocysticercosis Taenia solium
What infectious agent is most likely responsible for the following diarrheal illness: diarrhea + pink eye adenovirus
What infectious agent is most likely responsible for the following diarrheal illness: food poisoning resulting from reheated rice (Chinese food) Bacillus Cereus
A 2 month old presents with non-bilious projectile emesis. What is the first step in the management? correct any metabolic abnormalities, US, pyloromyotomy
What's the most likely cause of active lower GI bleed in patients >40yrs? diverticulosis
What bacteria typically cause pyelonephritis? e coli, staph saprophyticus, klebsiella, proteus
What are the dietary recommendations in the treatment of nephrolithiasis? adequate dietary calcium, increase fluid intake, decrease Na+ intake, decrease dietary protein and oxalate
What is the treatment for uric acid renal stones? Alkalinize the urine with oral sodium bicarb or sodium citrate
What size calcium renal stones has a 50% likelihood of passing without surgical intervention? 8-9mm
What are 5 etiologies of temporary hematuria? UTI, nephrolithiasis, exercise, trauma, endometriosis
A young black man presents with painless hematuria. What should you suspect? sickle cell trait
What are the signs and symptoms of pyelonephritis? flank pain, chills, n/v, urinary frequency, dysuria, urgency, fever, CVA tenderness
What is the mc site of renal stone impaction? uretero-vesical junction
How can you tell if a patient has pain from nephrolithiasis or peritonitis? Patients with impacted stones will be in pain and will shift position frequently in unsuccessful attempt to find a comfortable postion, whereas patients with peritonitis will remain rigid
Which renal stones are unable to be visualized on AXR? uric acid stones
Which labs should be obtained in a patient with hematuria? UA, CBC, Chem 8, PSA (men >40)
Which imaging modality should be used to evaluate hematuria? CT scan of abdomen/pelvis with out contrast to r/o renal stone. If no stone, then CT ab/pelvis with contrast and post-CT plain fild KUB(equivalent of IVP) to view any radiopaque stones.
A 50 y/o patient with hematuria, smoker, and FH of bladder cancer is evaluated in your office. What should he w/u consist of? UA, CBC, Chem 8, PSA, send urine for cytology and perform cystoscopy.
Created by: shelybel