Shilpa J renal

Question 1

How to manage uraemic bleeding?

Answer 1

1. Dialysis
2. Correct anaemia
3. DDAVP- corrects 30-50%, takes hours

NOT platelets as uraemic proteins are still present and will make useless

Question 2

What things give you linear staining?

Answer 2

Anti GBM disease
membranous sometimes- more granular
albumin in diabetic nephropathy

Question 3

Citrate chelates…

Answer 3

calcium

Question 4

poor prognosis lupus nephritis on biopsy

Answer 4

glomerulosclerosis

Question 5

Best for GFR?

Answer 5

Timed albumin excretion

Question 6

Strongest predictor of mortality on dialysis?

Answer 6

Albumin

Question 7

BP target CKD diabetic?

Answer 7

125/80

vs 130/80 non

Question 8

Minimal change more common in what people?

Answer 8

Atopic

Question 9

Urinalysis in ATN?

Answer 9

Tamms horsfall (hyaline)

Question 10

Calcitriol does what to phosphate in gut?

Answer 10

Increase reabsorption

Question 11

CV risk if normal eGFR and microalb?

Answer 11

double CV Risk

Question 12

In PCKD is it number or size of cysts for prognosis?

Answer 12

Number

Question 13

AIN most common urinalysis

Answer 13

bland

Question 14

Greatest RR increase cancer post transplant? Most common

Answer 14

RR kaposi sarcoma

Overall scc then lymphoma

Question 15

How does ureteric reflux present?

Answer 15

In adults with hypertension
and Proteinuria
Grade 1- just in ureter
Grade 2- to renal pelvis
Grade 3- dilatation of renal pelvis
Grade 4- tortuous ureter, dilated, blunt fornices but preserved papilalry impression
Grade 5- crazy dilated and just a blob, no papillary impression

Question 16

Pathophysiology of reflux….

Answer 16

After birth, its not really the anatomical reflux from the incompetent valve, but risk of renal impairment directly related to the number of UTIs