Intrasession Article: Nephrology

Question 1

To differentiate hematuria from myoglobinuria, order a _________________.

Answer 1

UA with microscopy; the microscopy shows RBCs

Question 2

If you suspect myoglobinuria, what blood test could you order to confirm that?

Answer 2

Creatine kinase

Question 3

Proteinuria can be falsely positive if _____________.

Answer 3

you are dehydrated

Question 4

You shouldn’t have any protein in your urine in the ______________.

Answer 4

first-morning void

Question 5

In post-infectious glomerulonephritis, you need to check ______________.

Answer 5

potassium levels

Question 6

List two laboratory tests that can diagnose PSGN.

Answer 6

• ASO

* Low C3 and C4

Question 7

Where is the extra fluid in nephritic syndrome?

Answer 7

• Intravascular ECF (causing HTN)

* Extravascular ECF (causing edema)

Question 8

__________ syndrome is not HTN.

Answer 8

Nephrotic

Question 9

The fluid in nephrotic syndrome is _______________.

Answer 9

in the interstitial tissues (causing edema)

Note: the vascular ECF goes down.

Question 10

For the first month of life, creatinine levels reflect ______________.

Answer 10

maternal GFR

Question 11

Wide wrists and frontal bossing are signs of ______________.

Answer 11

vitamin D deficiency

Question 12

Briefly go through the types of RTA.

Answer 12

• Type 1: distal RTA; cannot secrete H+
• Type 2: proximal RTA; cannot reabsorb HCO3-
• Type 4: aldosterone-deficiency; cannot absorb K+