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MKSAP – NEPHROLOGY TEST 2025...
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Tx for BP >20 above target - ANSWER Dual therapy (mono therapy will not be effective) Ability of cipro to penetrate cysts - ANSWER Good! (ex. good for PKD infection) Difference in efficacy between peritoneal and hemodialysis - ANSWER None (peritoneal may be better for lifestyle) Management of pre-hypertensive patients - ANSWER lifestyle + BP measurements every year Management of pre-hypertensive patients - ANSWER lifestyle + BP measurements every year When is the use of fomepizole indicated? - ANSWER When the osmotic gap is >10 (this would mean that there is a lot of ethanol in the blood) Toxic OD associated with calcium oxalate crystals - ANSWER ethylene glycol
What is the indication to give bicarb to an acidotic person? ANSWER pH < 7. Tx for metabolic alkalosis in hypervolemia ANSWER Acetazolamide Dx calcium elevation, renal failure, anemia, bone pain ANSWER Multiple myeloma ("CRAB") Def of resistant hypertension ANSWER Refractory to 3 antihypertensives (including 1 diuretic) Tx of severe hyponatremia (<120) in a pt who is asymptomatic - ANSWER Fluid restriction Tx of severe hyponatremia in a pt who is symptomatic (cognitive issues) - ANSWER 3% saline slowly Sequelae of decreased renal function in pregnancy - ANSWER Increased risk of eclampsia/pre-eclampsia What does urine dipstick measure? - ANSWER albumin (not really Ig, which is important for multiple myeloma will not be picked up) MCC of acute interstitial nephritis - ANSWER Hypersensitivity reaction to Rx