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renal/GU

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
When performing a rectal examination, prostatic massage is contraindicated in   show
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show diabetic nephropathy  
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show magnesium-ammonium phoshate  
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show Amlodipine (Norvasc)  
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In which of the following cases would renal biopsy be most recommended?   show
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Which of the following is a cause of acute kidney failure due to prerenal azotemia?   show
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An increased BUN to creatinine ratio is seen in all of the following conditions EXCEPT:   show
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show oral sodium polystyrene sulfonate  
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show <10  
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show prerenal azotemia  
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A 50 year old black female presents with Left sided CVA pain-temperature of 105 degrees and nausea and vomiting and pain on urination you should   show
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infrarenal aortic aneurysm, rising creatinine, abdominal discomfort and lower extremity erythema in a mottled net-like pattern   show
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show BUN/creat ration >10:1  
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show distal tubule  
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show adult poly cystic kidney disease  
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show Urinary sodium of 8 mEq/L  
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Nephrotic range proteinuria in adults is defined as greater than:   show
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show decreased  
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In a patient with oliguric renal failure a standard treatment is to   show
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show eosinophiles  
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The most frequent electrolyte disturbance encountered in the hospitalized patient is   show
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show diabetes mellitus  
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show white cell casts  
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The most common type of kidney stone contains:   show
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show increase fluid intake  
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It is later discovered that the patient has bilateral renal artery stenosis. Which of the following do you suspect as the cause?   show
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show reaction to pharmaceuticals esp antibiotics  
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show small kidney on renal ultrasound  
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show Diabetes and HTN  
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A low serum Sodium (hyonatremia) is dangerous when the Sodium level is below:   show
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show proximal convoluted tubule  
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show magnesium ammonium phosphate  
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show sterile pyuria  
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Find the TRUE statement about testicular cancer:   show
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Which of the following conditions is MOST likely to cause microscopic hematuria?   show
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serum sodium of 125 mmol./L (135-147) can commonly be seen in all of the following clinical conditions EXCEPT:   show
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show Mg ammonium phos  
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show erythropoetin and IV iron  
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show collecting duct  
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show ceftriaxone  
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pH 7.18, pO2 98 mmHg, pCO2 22 mmHg, and HCO3 8 mEq/L. B   show
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show calcium oxalate  
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Uremia is best described as   show
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The site of action of anti diuretic hormone on the kidney is   show
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Which of the following types of kidney stones occur secondary to infections due to urease-producing bacteria?   show
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Labs include Na 132 mEq/L, K 5.6 mEq/L, and Cl 127 mEq/L. Arterial blood gas reaveals pH 7.28, PO2 98 mmHg, PCO2 22 mmHg, and HCO3 13mEq/L. What is the most likely acid-base status?   show
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A patient develops acute renal failure. Which of the following would be a prerenal cause?   show
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Painless hematuria in male patient with history of tobacco use should always include which of the following in the differential diagnosis?   show
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Nephrotic syndrome includes which of the following combinations of clinical findings?   show
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A chronic renal failure patient on dialysis presents to the E.D. pale with a hemoglobin of 6 gm. The expected etiology of the low hemoglobin would be?   show
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A 64 y/o Caucasian male with a history of hypertension, hyperlipidemia, and nephrolithiasis presents with a complaint of dark-colored urine. He has been taking Mevacor (lovastatin) for elevated cholesterol.   show
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show obstruction  
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Hyperkalemia is characterized by a serum Potassium level   show
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A 25-year-old patient presents with gross hematuria, flank pain, hypotension, and a palpable abdominal mass. What is the most likely diagnosis?   show
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show interstitial nephritis  
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The anion gap can be used to characterize acid-base disturbances. A patient present with the following laboratory values: Na 140 Cl 120 HCO3 20. What is the patient's anion gap based on the available laboratory values?   show
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The SIADH (syndrome of inappropriate ADH) is characterized by   show
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show Hematocrit falls below 33 (Hg B < 11 grams)  
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show ACE-I  
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Select the type of kidney stone that is associated with fat malabsorption or jejuno-ileal bypass surgery:   show
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show hypertonic saline  
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Stimulus for ADH synthesis and release would be   show
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show endocrine manipulation remains the primary treatment for patients with advanced disease  
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show SIADH  
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About 3wk ago,had sore throat, but did not seek medical attention. Recently she noted some blood in her urine and some swelling in her hands and feet. On examination, she has significant edema of the hands and feet and her blood pressure is 159/94 mm Hg.   show
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show Acute Glomerulonephritis  
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show ace-i  
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show Bun and creatinine & urinalysis  
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What glomerular structure is affected in virtually all diabetics, irrespective of the presence of proteinuria?   show
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show potassium  
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show renal biopsy  
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show kayexalate PO  
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show sum total of all osmotically active particles in the blood  
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show B. increased Calcium reabsorption C. increased Phosphate excretion  
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show 11-12 grams  
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A 73 year-old male with chronic renal failure due to longstanding hypertension and diabetes is being discharged from the hospital today. Which dietary recommendation should be made to prevent further complications and progression of his renal disease?   show
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A 34 year-old male presents with symptoms of painful urethral discharge. History reveals recent (7 days ago) intercourse with a new partner. A Gram stain is negative for intracellular diplococci. antibiotic of choice?   show
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Initial lab results reveal a serum BUN 76 mg/dL, serum creatinine 4.4 mg/dL and potassium 7.8 mEq/L. An EKG reveals ventricular ectopy. Which of the following is the most appropriate initial intervention?   show
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show sodium  
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Halitosis (bad breath) is commonly found in Uremia-it is caused by   show
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Which of the following therapies are not beneficial in treating diabetic kidney disease:   show
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The major intracellular cation is:   show
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The most common cause of Nephrotic Syndrome in Adults is   show
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Aldosterone has which of the following effects on the distal renal tubules?   show
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Polycythemia (erythrocytosis) can be seen in patients with:   show
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show iron deficiency  
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show 24 hr after afebrile  
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All of the following types of renal stones are radiopaque EXCEPT:   show
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show membranous glomerulopathy  
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An increased BUN to creatinine ratio is seen in all of the following conditions EXCEPT:   show
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show dehydration  
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show adult polycystic kidney disease  
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show salt  
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show 0.9% NaCl  
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show nephritic syndrome  
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show ACE-I  
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Which of the following is a cause of prerenal azotemia?   show
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The urine specific gravity is a measure of which of the following renal functions?   show
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The predominant protein excreted in most renal disease states is:   show
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A low serum Sodium (hyonatremia) is dangerous when the Sodium level is below:   show
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show increase in hydration  
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show hyperfiltration and microalbuminuria  
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show percutaneous nephrolithotomy  
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show culture, abc for 10=14  
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Metabolic Acidosis is best described as   show
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show 150 milligrams protein/24hr  
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In rhabdomyolysis induce Acute Kidney failure the ARF is caused by   show
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show IgA nephropathy  
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The most abundant extracellular cation is:   show
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Which of the following is an indication for urgent initiation of dialysis in a patient with acute renal failure?   show
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show % kidney function  
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show oliguric, diuretic, recovery  
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Which of the following is NOT considered nephrotoxic?   show
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The most common cause of nephrotic syndrome in children under 8 years of age is   show
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The site of action of anti diuretic hormone on the kidney is   show
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show 7-10 days after transplant  
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The urine sodium level in pre renal azotemia is usually   show
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Treatment of asymptomatic hyponatremia includes:   show
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show patient with recently diagnosed SLE, proteinuria, and creatinine 1.7 mg/dL  
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Which of the following complications may occur in a patient with advanced chronic kidney disease?   show
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show 15-20 years of diabetes  
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The renal artery arises from   show
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show uremic symptoms  
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Which of the following is often described as feeling like a "bag of worms" on testicular exam?   show
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show renal ultrasound  
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A 68 year-old woman comes to the office for evaluation of urinary incontinence. For the past few months, she has had an intense urgency to urinate, followed by leakage of urine.   show
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show epo deficiency  
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A 73 year-old male with chronic renal failure due to longstanding hypertension and diabetes is being discharged from the hospital today. Which dietary recommendation should be made to prevent further complications and progression of his renal disease?   show
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show 60%  
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If the urine dipstick for blood is positive, but no red blood cells are seen by urine sediment microscopy, a diagnosis to strongly consider is:   show
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A 35 year-old male presents to the ED with nausea and right flank pain with radiation to the right testicle. Urinalysis reveals 50-100 RBCs, 0-1 WBCs and many calcium oxalate crystals. Which of the following is the most appropriate intervention?   show
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Correction of the Anemia of CRF should begin when   show
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The cells that form the main supporting structure of the glomerulus are called   show
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show decreased  
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show maintaining BP less than 130/80  
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show lost both salt and water, but more water than salt  
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show levofloxacin (levaquin)  
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The most appropriate treatment for a 48 year old patient presenting with status seizure activity and a measured Na of 106 mEq/L would be?   show
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What glomerular structure is affected in virtually all diabetics, irrespective of the presence of proteinuria?   show
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Select a drug that requires major dosage modification in patients with chronic renal failure:   show
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In the normal individual, the daily excretion of sodium in the urine is determined mainly by which of the following?   show
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show distal nephron  
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Select the TRUE statement regarding treatment of urinary tract infection:   show
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