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KSAP Volume 7 Module 1 Exam 2024
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KSAP Volume 7 Module 1 Exam 2024...
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KSAP Volume 7 Module 1 Exam 2024What are early access AVGs useful for? - ANSWER - can cannulate
within 72 hours but typically delayed for atleast 2 weeks
What is the HeRO hybrid catheter-graft decide indicated for? -
ANSWER central venous stenosis patients
What are some causes of hemolysis during HD? - ANSWER -
breakthrough of chloramine, bleach copper, nitrates or
formaldehyde
- improper mixing of the dialysate
- increased dialysate temperature
- mechanical trauma from kinking or narrowing of the dialysis blood
tubing
What is the water purification process of HD? - ANSWER 1) depth
filters remove particulate matter from muncipal water
2) carbon filters remove chloramine, chlorine and other organic
components ****
3) water softeners exchange calcium and magnesium for sodium
4) reverse osmosis removes ionic contaminants, bacteria and
endotoxins
5) deionization removes ionic contaminants -- usually only used for
water purification if reverse osmosis fails AND water must have
bacterial controls
6) bacteria and endotoxin filters
What is the ABIM range of a normal anion gap? - ANSWER 7-13
When can you use beta-blockers in cocaine users? - ANSWER You
can use mixed alpha and beta blockers (labetalol and carvedilol) in
, cocaine use patients as long as they are treated with vasodilators
When should you administer digoxin specific antibody fragments? -
ANSWER elevated digoxin concentration (>4) AND life threatening
arrythmias, hyperK, end organ dysfunction (AKI or AMS)
- HD does not work for dig toxicity
- FYI macrolides cause increase in dig concentration
How long should the total duration of immunosuppression +
combination maintenance immunosuppression for proliferative LN be
for? - ANSWER not <36 months
When does CMV typically arise post transplant? - ANSWER around
6 months after txp after oral valganciclovir has been discontinued
In patients with CMV associated conditions (pneumonitis,
meningoencephalitis, moderate to severe GI disease), what
treatment should be pursued? - ANSWER ganciclovir 5mg/kg IV BID
What is the differential for paralysis associated with hypoK -
ANSWER - autosomal dominant inherited disorders of muscle
calcium or sodium channels
- Andersen syndrome -- inherited hypoK periodic paralysis,
ventricular arrythmias, and dysmorphic features
- thyrotoxic periodic paralysis
What are some features of Bartter syndrome? - ANSWER
nephrocalcinosis, high urine calcium, hypoK, and metabolic alkalosis
What are some features of Gitelman syndrome? - ANSWER
hypocalcuria, hypoK, metabolic alkalosis. urine calcium
differentiates it from Barters
How do you diagnose latent TB in patients with CKD? - ANSWER -
TST
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