ESRD in the hiz-ouzz
Needing a new one
My foot is effaced
Chem Test
Know your Nephrologist
100
This is our preferred vascular access type if an ESRD patient (or stage IV CKD patient) needs long-term IV access?
What is a Hohn catheter?
100
At what GFR are patients eligible to be active on the deceased donor kidney transplant list?
What is eGFR <= 20 mL/min/1.73m2?
100
This nephrotic/nephritic syndrome should be suspected in a patient who chronically develops tea-colored urine 2-3 days after developing URI symptoms.
What is IgA nephropathy?
100
This describes the mechanism of action of Calcium in stabilizing the cardiac membrane in hyperkalemia.
What is increasing the threshold potential?
Calcium restores the normal difference between the resting and threshold potential, since hyperkalemia increases the resting potential.
100
This nephrologist's "Gamer" name is Maximal Change.
Who is Tim Yau?
200
This phosphorus binder is the only one that comes in the form of "granules".
What is sevelamer?
200
These are three common sensitizing events that can lead to alloimmunization, making it more difficult to find a donor match.
What are pregnancy, blood transfusions, and previous transplants?
200
This serologic test should be checked when suspecting primary membranous nephropathy.
What is PLA2R-Ab?
200
This metabolic byproduct of acetaminophen can cause high anion gap metabolic acidosis (HAGMA) in chronic acetaminophen use.
What is 5-oxoproline (pyroglutamic acid)?
200
This nephrologist was a recipient of the WashU 2023 Knowlton Incentive for Excellence Award.
Who is Morgan Schoer?
300
This is the purpose of "Rena-vite" in chronic dialysis patients (also known as nephrocaps, renalcaps, renal vitamin).
What is, to replete water soluble vitamins removed with dialysis? (They contain B complex, Folic Acid, Vitamin C, biotin as main components; some also contain niacin, pantothenic acid)
300
This virus should be suspected when a kidney transplant recipient presents with obstruction and ureteral stenosis.
What is BK Virus?
300
This nephrotic syndrome in adults is often associated with Hodgkin lymphoma and NSAID usage.
What is minimal change disease?
300
These volatiles ingestion should be suspected in a pt presenting with blindness, high osmolar gap, anion gap metabolic acidosis.
What is methanol?
300
This nephrologist has served as the co-concertmaster for the Saint Louis Philharmonic Orchestra.
Who is Steven Cheng?
400
Peritoneal dialysis bags with this "color" cap is used when patients are volume overloaded.
What is the "red" bag? (Red bag - pulls the most fluid, green bag - in the middle, yellow bag - pulls the least amount of fluid; related to glucose concentration of the PD fluid)
400
These are common side effects of calcineurin inhibitors, which are commonly used for immunosuppression in kidney transplant recipients. (list at least 4)
What are: 1) tremor, 2) seizure, 3) headache, 4) glucose intolerance, 5) hyperkalemia, 6) nephrotoxicity (acute and chronic), 7) alopecia (tacro), 8) hirsutism (cyclosporine), 9) gingival hyperplasia (cyclosporine)
400
Solid tumors can cause a secondary form of this nephrotic syndrome.
What is membranous nephropathy?
400
The likely cause of a non-anion gap metabolic acidosis when the urine anion gap is negative.
What are GI losses (bicarbonate-rich diarrhea, pancreatic losses).
Remember "ne-GUT-ive"
Urine anion gap = URINE [Na+] + URINE [K+] - URINE [Cl-]
400
This nephrologist was a civil engineering and architecture major in college.
Who is Patricia Kao?
500
These are situations when CVVHDF is preferential over IHD (Name at least 3 clinical scenarios).
What are: hypotension, toxic ingestion of large molecule, risk for cerebral edema, rhabdo, lithium toxicity.
500
This antimetabolite should be avoided or heavily dose-reduced when given with allopurinol or febuxostat.
What is azathioprine?
500
Sickle cell disease can cause a secondary form of this type of nephrotic syndrome.
What is Focal Segmental Glomerulosclerosis (FSGS)?
500
This is the “Rule of Thumb” in evaluating metabolic acidoses.
What is: Cover the “7” on the pH with your thumb, and that number is the expected compensatory PaCO2.
–For example, if the pH is 7.32, the PaCO2 should be 32 mmHg
500
This nephrologist owns this car.
Who is Seth Goldberg?