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Nephrology Step 3
Nepro Step 3
26
Medical
Graduate
11/30/2013

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Term
asymptomatic bacteriuria in a NONpregnant pt equals . . .
Definition
NO TREATMENT
Term
Is Bactrim contraindicated in pregnancy?
Definition
YES - it crosses the placenta and inhibits folate metabolism
Term
What are the 3 antibiotics used in pregnancy?
Definition
nitrofurantoin
ampicillin
cephalexin
(depends on the sensitivities)
Term
"tram-tracking" pattern on biopsy and low serum C3 levels
Definition
membranoproliferative disease
Term
What is the most common cause of infectious epididymitis in men UNDER the age of 35
Definition
Chlamydia
Term
What is the most common cause of infectious epididymitis in men OVER the age of 35
Definition
E. coli
Term
the management for nephrolithiasis . . .
Definition
depends on the size
Term
When is "observation with analgesia" the right answer for kidney stone management?
Definition
When the stone is smaller then 4mm
Term
What is the management of a kidney stone that is greater than 2cm?
Definition
percutaneous nephrolithotomy
Term
IgG and C3 deposit and "spike and dome" appearance
Definition
mebranous glomerulopahty
Term
What RTA has HYPERkalermia and HYPOaldosterinism?
Definition
IV
Term
Which RTA will have alkalotic urine (pH 6) and HYPOkalemia?
Definition
I
Term
Which RTA will have an increase in bicarb in the urine (and therefore low SERUM bicarb)
Definition
II
Term
All RTAs present with . . .
Definition
NON-ANION GAP HYPERCHLOREMIC METABOLIC ACIDOSIS
Term
What is the only RTA that presents with HYPERkalemia?
Definition
IV
Term
Do simple cyst require follow up?
Definition
NO
Term
What is the work-up for a complex cyst?
Definition
follow up in six months
Term
What is the treatment for a first time unilateral testicular torsion?
Definition
surgical detorsion and BILATERAL orchiopexy
Term
ATN will present with a FENa of . . .
Definition
>2%
Term
What two causes result in ATN?
Definition
nephrotoxicity
ischemia
Term
What should be decreased in urge incontinence?
Definition
caffeine
Term
antibodies against proteinase-3
Definition
aka c-ANCA
Term
testicular "bag of worms"
Definition
varicocele
Term
What is the inpatient treatment for PID?
Definition
1.gentamicin and clindamycin
2.cefoxitin/cefotetan and IV doxy OR
3. IV ampicillin/Sulbactam and IV doxy
Term
What is cause of hypocalcemia in pt with liver failure and renal failure?
Definition
Vit D deficiency ( you need the liver and the kidney to make vit D)
Term
What is the cause of hypocalcemia in someone with renal failure and healthy liver?
Definition
hyperphosphatemia
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