Costanzo's Conundrums
Pharm Farm
Urine Trouble
Grumpy Gloms
Vinnikova's Vengeance
Street Struggle
Final Jeopardy round
100

Diuretic that causes decreased blood pH and hypokalemia

What is acetazolamide? (will accept CA-inhibitors)

100

This medication antagonizes ADH receptors in the collecting duct and is used to slow cyst growth in ADPKD

What is Tolvaptan?

100

This class of medications is associated with significant renal and cardiac benefits but can increase the risk of urinary tract infections

What are SGLT2 inhibitors?

100

This finding on urine microscopy is indicative of glomerulonephritis

What are dysmorphic RBCs? (Will accept acanthocytes)

100

This peptide hormone is elevated in CKD and contributes to functional iron deficiency.

What is hepcidin?

100

This potentially fatal complication can happen if severe hyponatremia is corrected too rapidly

What is osmotic demyelination? (Will accept central pontine myelinolysis)

200

Increased GFR leads to increased proximal tubule reabsorption because THIS increases in peritubular capillary blood.

What is Oncotic pressure? (will accept colloid osmotic pressure)

200

This class of antiglycemic agents, developed from Gila monster venom, is useful both for prevention and treatment of diabetic kidney disease

What are GLP1-receptor antagonists?

200

The classic threshold for diagnosing asymptomatic bacteriuria in a voided urine sample (in CFU/mL)

What is >100,000 CFU/mL?

200

THIS glomerular disease can be caused by Hepatitis B, C, syphilis or lupus



What is Membranous Nephropathy?

200

This medication class suppresses PTH by stimulating calcium-sensing receptors on parathyroid glands 

What are Calcimimetics?

200

Treatment for a patient with hyponatremia, volume overload, Urine Na <20 and Urine Osm >300

What are loop diuretics?

300

This peptide hormone causes increased PGC, increased filtration fraction, and decreased RPF

What is Angiotensin II?

300

This antibiotic can be used both for cystitis and pyelonephritis if there is no resistance, but can cause hyperkalemia

What is trimethoprim-sulfamethoxazole?

300

Urine dipstick picks up only THIS protein

What is albumin?

300

In Post-Streptococcal Glomerulonephritis, IF demonstrates lumpy-bumpy capillary loop staining for IgG and THIS immune factor


What is C3? 

300

This is the most reliable volume status marker in metabolic alkalosis

What is urine chloride?

300

THIS is the cause of hyponatremia in a marathon runner who collapses at the finish, with Na 118 and urine Osm 80

What is psychogenic polydipsia?

400

Hyperkalemia causes Type IV RTA by inhibiting this enzyme

What is glutaminase?

400

This mixed alpha and beta blocker can be used to treat hypertension in patients with cocaine use disorder

What is labetalol?

400

This is the most likely pathogen to cause cystitis in a young woman with urine dipstick positive for leukocyte esterase but negative for nitrites.

What is Staph saprophyticus?

400

This immune compex-mediated glomerulonephritis can be associated with Hepatitis C, cryoglobulinemia and lupus and is recognized by subendothelial deposits and mesangial interposition into GBM

What is MPGN?

400

This type of CAKUT is characterized by a distended bladder on prenatal ultrasound

What is Posterior Urethral Valve?

400

Impaired diluting capacity in this nephron segment is to blame for thiazide‑induced hyponatremia

What is early distal convoluted tubule? (will accept distal convoluted tubule)

500

Nephron site where TF/Posm < 1.0 and PTH increases Ca2+ reabsorption

What is Early Distal Tubule?

500

This cell-cycle inhibitor used in kidney transplantation can cause severe cytopenias in combination with allopurinol

What is azathioprine?

500

This oral antibiotic has excellent tissue penetration in pyelonephritis, but should be avoided in pregnancy based on animal toxicity data

What is Ciprofloxacin?

(will accept oral fluoroquinolones)

500

This category of glomerulonephritis is characterized by proliferation of parietal epithelial cells in response to rupture of capillary loops

What is RPGN? (Will accept crescentic GN)

500

A person with a primary metabolic alkalosis and a PCO2 of 40 mm Hg also has this disorder

What is respiratory alkalosis?

500

A patient with hypovolemic hyponatremia will have THIS urine osmolarity in response to appropriate treatment

What is <200 mOsm/L? (Will accept dilute)

500

This medication, used for immunosuppression in transplantation, blocks calcineurin pathway of T cell activation via FK-binding protein.

What is tacrolimus?