Module 4A: GI/GU, CSA #4 Questions With Complete
Solutions
What is the normal daily protein excretion amount?
0.15-2 g
What is the most common primary protein loss?
Albumin
Primary or secondary glomerulopathy are categorized by:
Protein quantity
Nephrotic range proteinuria of >4.5 g/day is always:
Glomerular disease
The normal mean albumin excretion rate is:
5-10 mg/day
Moderate increased albuminuria (microalbuminurea) is:
30-300 mg/day
Increased albuminuria (macroalbuminuria) is:
>300 mg/day
A positive protein result means that a micro albumin level of
___ has been exceeded
300 mg
What are causes of 1+ protein on UA more than 2 times in 3
months?
,Drug-induced, genetic/hereditary, immune, infectious,
metabolic, vascular, increased production
Clinical presentation of proteinuria:
Soapy urine, edema, thirst, infection symptoms
Complications of proteinuria include:
Renal failure, nephrotic syndrome, increased cardiovascular
mortality/morbidity
Proteinuria, low serum albumin, hypercholestolemia,
hypertriglyceridemia, increased embolic risk due to
hypercoaguability, and edema (anasarca) are indicative of:
Nephrotic syndrome
A butterfly rash may be present in patients with:
Proteinuria
Proteinuria is considered transient when:
<2 dipsticks in 3 months are positive
Proteinuria is considered persistent when:
>1 protein on dipstick more than 2 times in 3 months
Proteinuria is considered postural/orthostatic when:
3 early morning dipsticks are without protein
Urine for Bence Jones Proteins should be assessed for:
Multiple myeloma
Non-nephrotic proteinuria is less than:
,3.5 mg/day
Proteinuria is considered nephrotic when it is greater than:
3.5 mg day
3.0-3.5 g/day of protein excretion is indicative of:
Nephrotic syndrome
What is an abnormal BUN?
>20 mg/dL
What is an abnormal creatinine for a woman?
>1.2 mg/dL
What is an abnormal creatinine for a man?
>1.4 mg/dL
What diagnostics should be ordered if glomerulonephritis is
suspected?
ASO titer, complement (C3, C4 for SLE, immunoglobin
nephropathy), ESR (SLE), renal US, renal biopsy
A eGFR is abnormal when:
<90
African Americans normally have increased BUN/Creatinine
ratio due to:
Increased muscle mass
What bp medications reduce proteinuria by decreasing systemic
arterial pressure and the intraglomerular infiltration pressure?
, ACE inhibitors or ARBs
Comorbidities with proteinuria should be managed with:
Statins, Pentoxifylline, DM meds
New onset proteinuria in a pregnant woman requires urgent
referral to evaluate for:
Eclampsia
Treatment for prostatitis if patient has normal renal function:
Bactrim 160/800 mg 1 tablet PO twice daily or
Ciprofloxacin 500 mg PO twice daily for at least 2 weeks
(possibly 4-6 weeks)
Chronic bacterial prostatitis is commonly caused by:
E. coli, other GNRs, enterococcus, STI pathogens (C.
trachamotis)
What does the prostate feel like upon palpation in chronic
bacterial prostatitis?
Enlarged, boggy, and tender - but could be normal
C. trachamotis and mycoplasma coverage should be considered
in the treatment of prostatitis with:
Levofloxacin, a macrolide, or doxycycline
A urologic referral is indicated in prostatitis if symptoms persist
to rule out:
Abscess
Solutions
What is the normal daily protein excretion amount?
0.15-2 g
What is the most common primary protein loss?
Albumin
Primary or secondary glomerulopathy are categorized by:
Protein quantity
Nephrotic range proteinuria of >4.5 g/day is always:
Glomerular disease
The normal mean albumin excretion rate is:
5-10 mg/day
Moderate increased albuminuria (microalbuminurea) is:
30-300 mg/day
Increased albuminuria (macroalbuminuria) is:
>300 mg/day
A positive protein result means that a micro albumin level of
___ has been exceeded
300 mg
What are causes of 1+ protein on UA more than 2 times in 3
months?
,Drug-induced, genetic/hereditary, immune, infectious,
metabolic, vascular, increased production
Clinical presentation of proteinuria:
Soapy urine, edema, thirst, infection symptoms
Complications of proteinuria include:
Renal failure, nephrotic syndrome, increased cardiovascular
mortality/morbidity
Proteinuria, low serum albumin, hypercholestolemia,
hypertriglyceridemia, increased embolic risk due to
hypercoaguability, and edema (anasarca) are indicative of:
Nephrotic syndrome
A butterfly rash may be present in patients with:
Proteinuria
Proteinuria is considered transient when:
<2 dipsticks in 3 months are positive
Proteinuria is considered persistent when:
>1 protein on dipstick more than 2 times in 3 months
Proteinuria is considered postural/orthostatic when:
3 early morning dipsticks are without protein
Urine for Bence Jones Proteins should be assessed for:
Multiple myeloma
Non-nephrotic proteinuria is less than:
,3.5 mg/day
Proteinuria is considered nephrotic when it is greater than:
3.5 mg day
3.0-3.5 g/day of protein excretion is indicative of:
Nephrotic syndrome
What is an abnormal BUN?
>20 mg/dL
What is an abnormal creatinine for a woman?
>1.2 mg/dL
What is an abnormal creatinine for a man?
>1.4 mg/dL
What diagnostics should be ordered if glomerulonephritis is
suspected?
ASO titer, complement (C3, C4 for SLE, immunoglobin
nephropathy), ESR (SLE), renal US, renal biopsy
A eGFR is abnormal when:
<90
African Americans normally have increased BUN/Creatinine
ratio due to:
Increased muscle mass
What bp medications reduce proteinuria by decreasing systemic
arterial pressure and the intraglomerular infiltration pressure?
, ACE inhibitors or ARBs
Comorbidities with proteinuria should be managed with:
Statins, Pentoxifylline, DM meds
New onset proteinuria in a pregnant woman requires urgent
referral to evaluate for:
Eclampsia
Treatment for prostatitis if patient has normal renal function:
Bactrim 160/800 mg 1 tablet PO twice daily or
Ciprofloxacin 500 mg PO twice daily for at least 2 weeks
(possibly 4-6 weeks)
Chronic bacterial prostatitis is commonly caused by:
E. coli, other GNRs, enterococcus, STI pathogens (C.
trachamotis)
What does the prostate feel like upon palpation in chronic
bacterial prostatitis?
Enlarged, boggy, and tender - but could be normal
C. trachamotis and mycoplasma coverage should be considered
in the treatment of prostatitis with:
Levofloxacin, a macrolide, or doxycycline
A urologic referral is indicated in prostatitis if symptoms persist
to rule out:
Abscess
