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GU 3 (Kidney d/o 2)
Step-2
| Question | Answer |
|---|---|
| PFTs show decreased FEV1/FVC ratio. What is the dx? | obstructive lung dz |
| What ethical problem exists when a doctor refers a patient for an MRI at a facility he owns? | Conflict of interest |
| What are the mcc of acute pancreatitis? | Gallstones and alcohol |
| What renal pathology can result from uncorrected severe benign prostatic hypertrophy? | b/l hydronephrosis |
| What hepatic abnormality is associated with ADPKD? | Hepatic cysts |
| What intracranial abnormality is associated with ADPKD? | intracranial aneurysm (Berry aneurysm) |
| What cardiac abnormalities are associated with ADPKD? | mild mitral valve prolapse or aortic regurg. |
| What causes polycythemia and increase EPO? | renal cell carcinoma, HCC, pheochromocytoma, hemangioblastoma, lung dz/hypoxia, high altitude, and polycythemia vera (this one does not increase EPR) |
| What is the biggest risk factor for RCC? | smoking |
| A pt involved in a motor vehicle accident has a crushed thigh. Your resident advises you to make sure to give the patient enough IV fluids to maintain a high urine output of 100-200 ml/hr. Why did she advise this? | To prevent interstitial nephropathy (b/c there is a lot of myoglobin released when the thigh was crushed) |
| What is the mcc of interstitial nephropathy/nephritis? | medications |
| A 60 y/o male smoker is found to have a varicocele that does not empty when the patient is recumbent. What sound you be suspicious of in this pt? | RCC |
| A 58 y/o male smoker presents with flank pain, weight loss, hematuria, and polycythemia. What is the next step in the management? | US, MRI or CT |
| What PE and lab findings is characteristic of AIN? | rash, fever, increase Cr, eosinophilia |
| List the causes of eosinophilia. | "DN-AAACP": Drugs, Neoplasm, Allergic causes, Addisons dz, AIN, collagen vascular dz, parasitic infection |
| What is the treatment of AIN? | stop offending agent, supportive care until renal recovery, corticosteroids may be beneficial in refractory cases. |
| What are the complications of AIN? | acute tubular necrosis (ATN), acute or chronic renal failure, renal papillary necrosis, end-stage renal dz |
| Patient has a solid mass on renal US, should a biopsy be performed? | No, do not perform biopsy. A nephrectomy or renal-sparing resection with lymph node dissection should be performed because biopsy can cause cancer cells to spill into the abdominal cavity |
Created by:
shelybel
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