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Patient that's 4 years old comes in with a painless abdominal mass on the left side.
The patients pee is a pink color. The patient also came in with a low grade fever of
99.0F. Which of the following could be the patients condition?
A. Wilms tumor
B. Kidney stone
C. Urinary Tract Infection
D. Acute Pyelonephritis - ✔✔✔- - ANSWER: - A. Wilms tumor
Why is a chest X-ray taken when you suspect Wilms tumor? -
✔✔✔- - ANSWER: - The lungs are the initial location of metastasis
Which of the following drugs is the drug of choice for patients with Hypertension
and Chronic Kidney Disease?
A. Olmesartan
B. Amlodipine
C. HCTZ
D. Metoprolol - ✔✔✔- - ANSWER: - A. Olmesartan
ACEs and ARBs are first line drugs for patients with chronic kidney diseases and
hypertension. Beta blockers and calcium channel blockers are added if needed
,You just got your patient with CKDs labs back. Which of the following is
indicative of macrovascsular renal disease?
A. An abuminuria greater than 100mg/gram B: An abuminuria greater than
300mg/gram
C: An abuminuria greater than 200mg/gram
D. An abuminuria greater than 50mg/gram - ✔✔✔- - ANSWER: - B. An
abuminuria greater than 300mg/gram
You just got your patient with CKDs labs back. Which of the following is
indicative of microvascsular renal disease?
A. An abuminuria greater than 100mg/gram
B: An abuminuria greater than
300mg/gram
C. An abuminuria between 30-300
D. An abuminuria less than 30 - ✔✔✔- - ANSWER: - C. An abuminuria
between 30-300
You patient has had nausea and vomiting for 2 days. Which of the following would
indicate stage 1 Acute Kidney Injury:
A. Creatinine increases 2-3 time baseline
B. Anuria for 12 hours
C. Creatinine increase of greater than or equal to 0.3 milligrams per deciliter
,D. Urine output of less than 0.5 milliliters per kilogram - ✔✔✔
- ANSWER: > C. Creatinine increase of greater than or equal to
0.3 milligrams per deciliter
Patient has a history of poorly controlled diabetes and hypertension. She has a
GFR of 75. As her primary care provider, you would:
A. Check her blood sugar
B. Check her HbA1c
C. Prescribe a calcium channel blocker
D. Check her urine for albumin - ✔✔✔- - ANSWER: - D. Check her urine for
albumin
Which of the following lab results is associated with Hypothyroidism?
A. TSH Elevated, T4 Low
B. TSH Elevated, T4 Normal
C. TSH Elevated, T4 high
D. TSH Normal, T4 and T3 high
E. TSH Normal T3 high - ✔✔✔- - ANSWER: - A. TSH
Elevated, T4 Low
Which of the following lab results is associated with Subclinical Hypothyroidism?
A. TSH Elevated, T4 Low
B. TSH Elevated, T4 Normal
, C. TSH Elevated, T4 high
D. TSH Normal, T4 and T3 high
E. TSH Normal T3 high - ✔✔✔- - ANSWER: - B. TSH
Elevated, T4 Normal
Which of the following lab results is associated with Hyperthyroidism?
A. TSH Elevated, T4 Low
B. TSH Low, T4 Normal
C. TSH Low, T4 high
D. TSH Normal, T4 and T3 high
E. TSH Normal T3 high - ✔✔✔- - ANSWER: - C. TSH Low, T4 high
Which of the following lab results is associated with Subclinical Hyperthyroidism
?
A. TSH Elevated, T4 Low
B. TSH Low, T4 Normal
C. TSH Low, T4 high
D. TSH Normal, T4 and T3 high
E. TSH Normal T3 high - ✔✔✔- - ANSWER: - B. TSH Low, T4 Normal
REFER OUT
A 45 year old woman presents with increasing fatigue for several months. She has
gained 10lbs, despite a decrease in her appetite. She currently takes no