2025/2026 UPDATED Final Exam Review
What are signs & symptoms of SIADH (Syndrome of inappropriate an diure c hormone)? -
Answers Increased produc on of ADH (an diure c hormone), hyponatremia, concentrated
urine (from excess water resorp on), elevated urine osmolality, mental status changes from
cerebral edema.
Diabetes insipidus is associated with what sodium level? - Answers Hypernatremia
Psychogenic polydipsia results in urine that is: - Answers diluted with low osmolality and
hyponatremia
How would you determine the cause of a pa ent's AKI who presents with decreased urine
output, history of neurogenic bladder, chronic foley, dark urine, and Cr increase from 1.3 to 2.1
over 3 months? - Answers Flush the foley catheter to see if urine comes out and assess the
patency of the catheter. This ac on will unblock clogged sediment or biofilm from chronic
bacteriuria.
When a female pa ent presents to the ER a4er sexual assault, what medica ons should be
offered prior to discharge? - Answers Ce4riaxone, azithromycin, Plan B, and Metronidazole.
Manifesta ons of Conn syndrome (hyperaldosteronism)? - Answers hypernatremia,
hypokalemia, and hypertension
What causes Cushing syndrome? - Answers Increased levels of glucocor coids, can be
exogenous (from therapy) or endogenous (from adenoma or neoplasm).
, Manifesta ons of Cushing syndrome? - Answers hypertension, truncal obesity, osteoporosis,
skin fragility, and hyperglycemia.
What differen ates primary adrenocor cal insufficiency from secondary adrenocor cal
insufficiency? - Answers Skin hyperpigmenta on is present in primary adrenocor cal
insufficiency
What is Trousseau's sign? - Answers A carpal spasm elicited by compression of the upper arm
with a BP cuff that indicates hypocalcemia.
What is Chovstek's sign? - Answers A hemifacial c that is induced by tapping the facial nerve
below the maxilla that indicates hypocalcemia.
What is Babinski's sign? - Answers An upward response (extension) of the hallux when the
sole of the foot is s mulated with a blunt instrument. Can iden fy spinal cord disease in adults.
What is Romberg's sign? - Answers Loss of balance in standing when eyes are closed. Usually
indica ng a loss of propriocep on or lesion in the cerebellum.
What is Homan's sign? - Answers pain on passive dorsiflexion of ankle, associated with DVT.
What is the clinical presenta on of Goodpasture's syndrome? - Answers Urinalysis: Specific
gravity: 1.020. pH 5.5, 1+ albumin and large blood present.
Chest XR posi ve for bilateral diffuse infiltrates.
BUN 30, Cr 3.0
Symptoms: dyspnea with hemoptysis
What is Goodpasture syndrome? - Answers Damage to alveolar and renal glomerular
basement membranes by cytotoxic an body.