A pregnant woman has asymptomatic bacteruria, you:
treat immediately to prevent premature labour. (Would do nothing in a non pregnant woman)
A pregnant woman finds out on US that she has dilated ureters and some mild hydronephrosis, you:
leave it alone, normal.
How does the normal for proteinuria differ between pregnancy and non-pregnancy
Pregnancy < 300mg/24hours Normal < 150 mg/24hours
Renal plasma flow and GFR peak at ____ weeks gestation so you would expect _____ to go down.
In pregnancy, serum bicarb [increases|decrease], so as such mild metabolic __________ is normal. That said, respiratory ________ is also normal and will further drive _______ bicarb, the end result being .
decreases mild metabolic acidosis alkalosis, drives down normal respiratory alkalosis, with bicarb down by 4
In pregnancy the thirst threshold is ______ resulting in a lower normal for _______.
Lower thirst threshold Serum osmolarity and [Na+] (130-140)
In pregnancy blood pressure ______.
Drops by 10-15mmHg (think that 75 then could be normal)
a 27F with proteinuria as a result of T1DM comes in to discuss her blood pressure. You presrcribe an ACEi, and with your hand on the doorknob, she mentions she's trying to get pregnant. You.
Splash iodine in your eyes and prescribe a CCB or BB.
The mainstay of pharmacologic treatement for overactive bladder is_________ side effects of which are:
T/F: Erectile dysfunction is primarily a result of low testosterone.
False. Poor vascularization.
Medications that may result in ED
#1 Thiazide diuretics (opposite effect of Viagra PDE5...) Beta blocker
Erection is governed by the _________ whereas ejaculation the _______.
Erection: Parasympathetic (S2,3,4 keeps your penis off the floor) Ejaculation: Sympathetic (L1, L2)
T/F: Viagra in men without ED will help to enhance sexual performance?
False, only side effects. e.g. headache, flushing
You are seeing a 67M post MI in your family practice. He says he wants to return to sexual activity with his wife but can't get an erection. He's worried it might put him at risk of a heart attack. You respond _____, then ask if he is taking _______.
No additional risk unless you can't excercise. Any nitrate drug (CONTRAINDICATED)
The number one risk factor for bladder cancer is ______. Except in Egypt where it is ______.
Everything from the calyces to the urethra is lined with ________.
State the normal PSA values for men 40s 50s 60s 70s
40s < 2.5 50s < 3.5 60s < 4.5 70s < 6.5
What happens to PSA if you: are asian are african are taking propecia/proscar/avagar
less at risk more at risk halves your PSA (so need to double in these cases)