Usmle Renal High Yield Clinical Vignettes

Front 1

3 year old boy presents with facial edema, malaise, and proteinuria. What is appropriate treatment?

Back 1

steroids for minimal change disease.

Front 2

Woman presents with UTI positive for Proteus vulgaris. What type of kidney stone is she at risk for?

Back 2

Ammonium magnesium phosphate (Struvite)

Front 3

Patient describes a 2 year history of acetaminophen use. What is she at risk for?

Back 3

Renal papillary necrosis.

Front 4

X-ray films shows massively enlarged kidneys bilaterally. What is the diagnosis?

Back 4

Adult polycystic kidney disease

Front 5

Patient taking enalapril complains of constant coughing. What is an appropriate alternative drug?

Back 5

Losartan-Angiotensen II receptor blocker

Front 6

Patient with CHF needs diuretic therapy but has a sulfa allergy. What is an appropriate alternative drug?

Back 6

Ethacrynic acid

Front 7

Patient is diagnosed with horseshoe kidney. What artery keeps it low in the abdomen?

Back 7

IMA

Front 8

Patient presents with hypertension, hypokalemia, metabolic alkalosis, low plasma renin. What is the diagnosis and how do you treat it?

Back 8

Conn's syndrome (primary hyperaldosteronism) Treat with Spironoactone