Comlex Review Renal

Front 1

Horseshoe kidney traped by this structure

Back 1

Inferior mesenteric artery

Front 2

Hyperfiltration injury later in life due to this

Back 2

Unilateral renal agenesis

Front 3

Bilateral renal agenesis leads to this

Back 3

Oligohydramnios, Potter sequence: lung hypoplasia, flat face, low set ears, limb problems.

Front 4

Cysts and abnormal tissue (cartilage) in the renal parenchyma.

Back 4

Dysplastic kidney(s)

Front 5

Bilateral enlarged kidneys in renal cortex, medulla. Presents in infants..."baby with portal HTN"

Back 5

Autosomal Recessive Polycystic Kidney Disease

Hint 5

Cysts in kidney, cysts in liver. Cysts in liver leads to hepatic fibrosis and portal hypertension.

Front 6

Bilateral enlarged kidneys in the renal cortex and medulla presenting in the young adult with hypertension. Associated with berry aneurysm.

Back 6

Autosomal Dominant Polycystic Kidney Disease

Hint 6

Cysts develop over time. Increased plasma renin.
"Cysts in liver, kidney, brain"

Front 7

Shrunken kidney with cysts in medullary collecting ducts

Back 7

Medullary Cystic Kidney Disease

Front 8

Proteinuria >3.5g; Hodgkin's disease, responsive to steroids

Back 8

Minimal Change Disease

Hint 8

Effacement of foot podocytes

Front 9

Nephrotic syndrome associated with HIV, Sickle Cell, Heroin

Back 9

Focal Segmental Glomerular Sclerosis

Front 10

Spike and dome, granular Immunofluorescence

Back 10

Membranous Nephropathy: immunce complex deposition (sub-epithelial)

Front 11

Tram track appearance

Back 11

Membranoproliferative Glomerulonephritis

Front 12

Associated with HBV and HCV

Back 12

Type I membranoproliferative glomerulonephritis

Front 13

Associated with C3 nephritic factor

Back 13

Type II membranoproliferative glomerulonephritis

Front 14

Kimmelstiel Wilson nodules

Back 14

Diabetes Mellitus

Front 15

Apple Green Birefringence under polarized light

Back 15

Systemic Amyloidosis

Front 16

Virulence factor for Post Streptococcal Glomerulonephritis

Back 16

M Protein from Group A beta Hemolytic Strep infection (skin and pharynx)

Front 17

What fills the crescents in Bowman's Space in Rapidly Progressive Glomerulonephritis

Back 17

Fibrin and Macrophages

Front 18

Goodpasture's syndrome lab findings and clinical picture

Back 18

Linear IF
Antibasement antibody
Hematuria and hemoptysis in young adult males

Front 19

Most common type of renal disease in SLE

Back 19

Diffuse proliferative glomerulonephritis

Front 20

Wegener's glanulomatosis findings

Back 20

c-ANCA
Hematuria, hemoptysis, upper respiratory

Front 21

p-ANCA kidney differential

Back 21

Microscopic polyangiitis
Churg-Strauss syndrome

Front 22

Churg Strauss defining features

Back 22

Granulomatous inflammation
Eosinophilia
Asthma

Front 23

X-linked, Hematuria, Sensory Hearing Loss, Oxular Disturbance

Back 23

Alport Syndrome

Front 24

Mechanism for hydrochlorothiazide use with calcium oxalate nephrolithiasis

Back 24

Acts on the DCT to decrease Ca+2 excretion

Front 25

Organisms that cause Ammonium Magnesium Phsophate Stones (Staghorn caliculi)

Back 25

Urease positive organisms like Proteus and Klebsiella

Front 26

Gout associated with these stones

Back 26

Uric Acid Nephrolithiasis

Front 27

Kidney stones in children

Back 27

Cysteine stones

Front 28

Sterile Pyuria indicates what type of infection with what types of bugs

Back 28

Urethritis with Chlamydia trachomatis or Neisseria gonnorrhea

Front 29

Cystitis bugs

Back 29

E. coli, S. saprophyticus, Proteus, Klebsiella

Front 30

Pyelonephritis symptoms

Back 30

Flank pain
WBC Casts
Leukocytosis

Front 31

Congenital defect associated with chronic pyelonephritis

Back 31

Vesicoureteral reflux, which is largely due to what?

Hint 31

Angle of ureters into bladder

Front 32

Thyroidization of kidney, waxy casts

Back 32

Chronic pyelonephritis

Front 33

Cells that produce erythropoietin

Back 33

Renal peritubular interstitial cells

Front 34

Clinical features of Chronic Renal Failure

Back 34

Uremia
Hypertension from Na H2O Retention
Hyperkalemia with metabolic acidosis
Anemia

Front 35

Renal neoplasia associated with tuberous sclerosis

Back 35

Angiomyolipoma

Front 36

Renal Cell Carcinoma classic triad

Back 36

Hematuria, Palpable mass, Flank pain

Front 37

Paraneoplastic syndromes associated with Renal Cell Carcinoma

Back 37

Polycytemia from inc. EPO
Hypertension from inc. renin
Hypercalcemia from inc PTHrP
Cushing syndrome from inc ACTH

Front 38

Left sided varicocele

Back 38

Renal Cell Carcinoma

Front 39

Gene in Renal Cell Carcinoma

Back 39

Loss of VHL tumor suppressor gene

Front 40

Kidney tumor in child

Back 40

Wilms Tumor

Front 41

Wilms tumor associated mutation

Back 41

WT1

Front 42

WAGR syndrome

Back 42

Wilms Tumor
Aniridia
Genial abnormalities
Retardation (mental and motor)

Front 43

Beckiwth-Wiedemann syndrome

Back 43

Wilms tumor
Neonatal Hyopglycemia
Muscular hemihypertrophy
Organomegaly

Front 44

Two pathways for Urothelial Cell Carcinoma

Back 44

Flat
Papillary

Front 45

Flat pathway of urothelial cell carcinoma asociated with this mutation

Back 45

p53 (early mutations)

Front 46

Squamous Cell carcinoma risk factors

Back 46

Chronic cystitis
Schistosoma hematobium
Long standing nephrolithiasis

Front 47

Malignant proliferation arising from urachal remnant

Back 47

Adenocarcinoma