Topics NOT tested in Uworld

[Tajima]

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I completed the Uworld bank and I don't remember seeing any questions on the following subjects:

1. Renal tubular acidoses
2. Bartter, Gitelman and other renal tubular diseases.
3. Sleep disorders with EEGs
4. Rickettsia


Anyone else know of any topics not covered by world?

 

[aspiringmd1015]

there was an erhlichia question, which is a rickettsial type disease, and RTA, im not sure but i think there was a pt who was given continuous CA inhibitors, and you had to guess what the patients urinary ph would be or something.

 

[recycledpaper]

While we're on the topic of RTAs, can someone explain why you would get an <5.5 urine pH with type 4 hyperkalemic RTA? If you're decreasing NH4+ secretion in urine, I figured it'd make sense that the urine would be >5.5. Thanks!

 

[ortnakas]

I've definitely had uworld questions on renal tubular diseases. Not sure about sleep.

 

[Auvelity]

I've definitely had uworld questions on renal tubular diseases. Not sure about sleep.

yes I remember a narcolepsy qs. no EEG though

 

[cyberchicken001]

While we're on the topic of RTAs, can someone explain why you would get an <5.5 urine pH with type 4 hyperkalemic RTA? If you're decreasing NH4+ secretion in urine, I figured it'd make sense that the urine would be >5.5. Thanks!

I think the idea is that there is less buffering capacity in the nephron due to less NH3, causing the little acid that is excreted to acidify the urine more than it would under normal circumstances.

 

[recycledpaper]

I think the idea is that there is less buffering capacity in the nephron due to less NH3, causing the little acid that is excreted to acidify the urine more than it would under normal circumstances.

Ah, that makes sense. Thanks!

 

[worldbeater]

UWorld covers 97% or more of what's going to be on the test. Don't go chasing the 1-3%; focus on the heart of the material.