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GU 3 (Kidney d/o 2)

Step-2

QuestionAnswer
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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