42 Questions
2 Views
3.6 Stars

Clin Med - Chronic Kidney Disease

This quiz covers the diagnostic criteria for chronic kidney disease (CKD) including reduced eGFR, structural abnormalities on imaging, albuminuria, and electrolyte abnormalities. It also includes information about treatment options for End-Stage Renal Disease (ESRD) such as renal replacement therapy and kidney transplantation.

Created by
@KateRCoh3
1/42
Find out if you were right!
Create an account to continue playing and access all the benefits such as generating your own quizzes, flashcards and much more!
Quiz Team

Access to a Library of 520,000+ Quizzes & Flashcards

Explore diverse subjects like math, history, science, literature and more in our expanding catalog.

Questions and Answers

Which of the following is not a major risk factor for chronic kidney disease?

Protein intake

What is the primary goal for glycemic control in patients with chronic kidney disease?

A1C less than 7%

Which of the following is the preferred agent for hypertension control in patients with chronic kidney disease?

ACEi and ARBs

What is the main reason patients with stage 4 CKD are at increased risk of anemia?

<p>Decreased production of erythropoietin</p> Signup and view all the answers

How does protein restriction affect the progression of chronic kidney disease?

<p>Protein restriction does not prevent progression of CKD, but can reduce uremic symptoms</p> Signup and view all the answers

What is the screening guideline for CKD according to the USPSTF

<p>Patients above 50 years with risk factors</p> Signup and view all the answers

Which of the following is not a component of the KDIGO classification system for chronic kidney disease?

<p>Cardiovascular risk</p> Signup and view all the answers

At what stage of chronic kidney disease (CKD) do patients generally present with manifestations of cardiovascular disease, anemia, and abnormal bone and mineral metabolism?

<p>Stage 4 and 5</p> Signup and view all the answers

What is the estimated glomerular filtration rate (eGFR) range for Stage 3 chronic kidney disease?

<p>30 to 59 mL/min</p> Signup and view all the answers

Which of the following is a recommended lifestyle change for patients with chronic kidney disease?

<p>Lower sodium diet</p> Signup and view all the answers

What is the primary reason for the increased risk of metabolic bone disease in patients with chronic kidney disease?

<p>Increased phosphorus retention (hyperphosphatemia)</p> Signup and view all the answers

Which of the following statements regarding the diagnosis of chronic kidney disease is true?

<p>A patient must have a reduced eGFR of less than 60 mL/min with one other finding for at least 3 months</p> Signup and view all the answers

Which of the following statements regarding the risk of cardiovascular disease in patients with chronic kidney disease is true?

<p>Patients with CKD are more likely to die from cardiovascular disease than to reach end-stage renal disease</p> Signup and view all the answers

According to the KDIGO guidelines, at what age should a statin medication be considered for patients with chronic kidney disease?

<p>Age 50</p> Signup and view all the answers

Which of the following statements regarding the staging of chronic kidney disease is true?

<p>Stage 5 CKD is defined as a GFR less than 15 mL/min</p> Signup and view all the answers

Which of the following statements regarding the treatment of hypertension in patients with chronic kidney disease is true?

<p>The goal range for systolic blood pressure is less than 140 and diastolic blood pressure less than 90 mmHg</p> Signup and view all the answers

What is the range of eGFR for Stage 2 chronic kidney disease?

<p>60 to 89 mL/min</p> Signup and view all the answers

According to the KDIGO guidelines, at what age should a statin medication be considered for patients with chronic kidney disease?

<p>50 years old</p> Signup and view all the answers

How does protein restriction affect the progression of chronic kidney disease?

<p>It does not affect the progression of CKD</p> Signup and view all the answers

Which type of dialysis is preferred for children with end-stage renal disease?

<p>Peritoneal dialysis</p> Signup and view all the answers

What is the primary benefit of a living donor kidney transplant compared to a deceased donor transplant?

<p>Improved patient survival rate</p> Signup and view all the answers

When is acute transplant rejection most common after a kidney transplant?

<p>Between 3-6 months post-transplant</p> Signup and view all the answers

Which of the following is true regarding a living kidney donor?

<p>They must be healthy without any medical conditions</p> Signup and view all the answers

What is the main reason patients on dialysis are at increased risk of opportunistic infections?

<p>Weakened immune system due to dialysis</p> Signup and view all the answers

Which of the following is the primary reason kidney transplant is the preferred treatment for end-stage renal disease?

<p>Longest patient survival rate with lower mortality and morbidity</p> Signup and view all the answers

Which of the following is true about acute transplant rejection?

<p>It is treated with immunosuppressant drugs if caught early</p> Signup and view all the answers

What is the primary purpose of using a non-tunnel catheter for in-patient care?

<p>To administer medications and fluids</p> Signup and view all the answers

What is the eGFR threshold at which a patient will need dialysis for End Stage Kidney Disease?

<p>15</p> Signup and view all the answers

When can a patient enter the transplant wait list according to the text?

<p>eGFR less than 20</p> Signup and view all the answers

Which arm access option for hemodialysis has the highest thrombosis and infection rates?

<p>AV graft</p> Signup and view all the answers

How long does it take for an AV graft to mature for use in a patient?

<p>2 weeks</p> Signup and view all the answers

What is the function of adding dextrose to the dialysate in hemodialysis?

<p>Improve removal of excess fluid</p> Signup and view all the answers

Which hemodialysis access option is temporary and used for emergency and urgent situations?

<p>Non-tunneled catheter</p> Signup and view all the answers

What is the difference between peritoneal dialysis and kidney transplant in terms of location?

<p>Peritoneal dialysis can take place at home; kidney transplant is performed in a hospital</p> Signup and view all the answers

Which type of donor kidney donation typically results in better outcomes and lower rejection rates?

<p>Living donor kidney donations</p> Signup and view all the answers

When is acute transplant rejection most commonly seen after a kidney transplant?

<p>3-6 months post-transplant</p> Signup and view all the answers

What condition makes a living donor ineligible to donate a kidney?

<p>Chronic Kidney Disease (CKD)</p> Signup and view all the answers

Why are patients with End-Stage Kidney Disease (ESKD) on dialysis more at risk for opportunistic infections compared to transplant patients?

<p>Dialysis increases the risk of infections</p> Signup and view all the answers

What is the preferred hemodialysis access method according to the text?

<p>Arteriovenous (AV) fistula</p> Signup and view all the answers

How long does it typically take for an arteriovenous (AV) fistula to become accessible for hemodialysis?

<p>3-4 months</p> Signup and view all the answers

Which of the following statements about arteriovenous (AV) grafts is true?

<p>AV grafts can be used when a patient's veins are too small for an AV fistula</p> Signup and view all the answers

What is one advantage of a tunnel dialysis catheter compared to other hemodialysis access methods?

<p>It can be used immediately after placement and long-term</p> Signup and view all the answers

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

More Quizzes Like This

Chronic Kidney Disease
4 questions

Chronic Kidney Disease

NourishingSilver avatar
NourishingSilver
Chronic Kidney Disease
5 questions
Chronic Kidney Disease (CKD)
10 questions
Use Quizgecko on...
Browser
Browser