ROSH REVIEW Genitourinary Practice Questions and Answers
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Course
ROSH
Institution
ROSH
ROSH REVIEW Genitourinary Practice
Questions and Answers
Which of the following is the most common solid renal tumor of childhood?
Adenocarcinoma
Leiomyoma
Nephroblastoma
Renal lipoma - Answer️️ -Correct Answer ( C )
Explanation:
Nephroblastoma, or Wilms tumor, is the most common solid ...
than 25 years, previous STIs, illegal drug use, incarceration at a correctional facility or
juvenile detention facility, intercourse with sex workers, and meeting sexual partners on
the internet. The United States Preventive Services Task Force (USPSTF) recommends
annual screening for Neisseria gonorrheae and Chlamydia trachomatis infection in
sexually active women under the age of 25 years.
A 67-year-old man presents to his primary care provider with dyspnea and fatigue. He
has a past medical history of hypertension, diabetes mellitus, and stage 3 chronic
kidney disease. A CBC shows a hemoglobin of 9 g/dL, hematocrit of 28%, total iron-
binding capacity of 220 mcg/dL, mean corpuscular volume of 80 fL, mean corpuscular
hemoglobin concentration of 31 g/dL, and ferritin of 310 ng/dL. A peripheral blood
smear shows normocytic, normochromic red blood cells with few reticulocytes. Which of
the following is the most appropriate management?
Cyanocobalamin
Darbepoetin
Ferrous gluconate and darbepoetin
Red blood cell transfusion - Answer✔️✔️-Correct Answer ( B )
Explanation:
The man in this case has anemia of chronic disease and should be managed with
darbepoetin. Anemia in chronic kidney disease (CKD) is primarily due to decreased
production of erythropoietin by the diseased kidney. Almost all of patients with
glomerular filtration rate less than 30 mL/min have some degree of anemia.
Erythropoietin is produced by the kidney in response to decreased blood oxygen levels.
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