Exam (elaborations)
AG-ACNP – Renal: Questions & Accurate Solutions
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AG-ACNP – Renal: Questions & Accurate Solutions
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AG-ACNP – Renal: Questions & Accurate SolutionsUpper UTI Right Ans - Pyelonephritis
Renal Abscess
Lower UTI Right Ans - Cystitis
Urethritis
UTI Right Ans - Inflammation and infection - kidneys, ureters, bladder
and/or urethra
Most common etiology UTI women Right Ans - E. coli
Most common etiology UTI men Right Ans - Proteus
Lower UTI s/s Right Ans - DYSURIA
Frequency
Urgency
Hematuria - 40-60% patients
Urgency
First test you order with a male presenting with s/s BPH? Right Ans - UA
Key symptom of lower UTI Right Ans - Dysuria
Lower UTI treatment Right Ans - Bactrim
ciprofloxacin (Cipro)
amoxicillin/clavulantate (Augmentin)
Three day course abx for lower UTI
Lower UTI treatment during pregnancy Right Ans - amoxicillin
nitrofurantoin (Macrobid)
cephalexin (Keflex)
7-10 days of abx
Upper UTI s/s Right Ans - Flank, lower back pain
Fever, chills
, AMS elderly
AMS causes in elderly Right Ans - UTI
TIA
Drug interactions
PNA/pulmonary infections
Diagnostic tests for Lower UTI Right Ans - UA
Nitrate dipstick
Esterase dipstick
Upper UTI treatment Right Ans - 14 day course vs. 6 week course
Bactrim
ciprofloxacin (Cipro)
amoxicillin/clavulante
Hospitalization is indicated for which UTI patient Right Ans - Upper UTI -
pyelonephritis with nausea and vomiting
Renal Insufficency Right Ans - Decrease renal function
Decrease GFR
Reduction in clearance of solutes
Renal Insufficiency causes Right Ans - HTN nephrosclerosis
DM nephropathy
Glomerulonephritis
comorbidities associated with renal insufficiency Right Ans - HTN
DM
Systemic changes evident in renal insufficiency Right Ans - renal function is
<20-25% of normal
Acute Renal Insufficiency Right Ans - Sudden impairment
BUN is out of proportion to creatinine
Reversible
Acute Renal Insufficiency causes Right Ans - obstruction
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