Chronic Kidney Disease Overview
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Questions and Answers

What is Chronic Kidney Disease (CKD)?

  • Abnormalities in kidney structure or function lasting 3 months or longer (correct)
  • A type of cancer
  • Sudden kidney failure
  • Temporary kidney dysfunction

    • How is CKD classified?

  • By age and gender
  • By Glomerular Filtration Rate (GFR) and Albumin-to-Creatinine Ratio (uACR) (correct)
  • By family history
  • By symptoms only

    • End-Stage Renal Disease (ESRD) is defined as:

  • Chronic pain in the kidneys
  • GFR < 30 mL/min/1.73 m²
  • Temporary loss of kidney function
  • GFR < 15 mL/min/1.73 m² or requiring dialysis/kidney transplantation (correct)

    • What factors influence the prognosis of CKD?

    <p>Cause of kidney disease, GFR at diagnosis, and albuminuria level</p> Signup and view all the answers

    Which of the following is a clinical risk factor for CKD?

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

    Which sociodemographic factor is NOT a risk for CKD?

    <p>Blood type</p> Signup and view all the answers

    What is a key component of ESRD pathophysiology?

    <p>Nephron loss</p> Signup and view all the answers

    What are common symptoms in stages 4-5 of CKD?

    <p>Fatigue, weakness, breathlessness</p> Signup and view all the answers

    Which of the following is a general goal for CKD treatment?

    <p>Delay or prevent progression</p> Signup and view all the answers

    What lifestyle modification is recommended for CKD patients?

    <p>Smoking cessation</p> Signup and view all the answers

    First-line therapy for proteinuria management in diabetic CKD often includes:

    <p>ACE inhibitors or ARBs</p> Signup and view all the answers

    Sodium-Glucose Co-Transporter-2 (SGLT-2) inhibitors are used to:

    <p>Slow progression and reduce GFR decline</p> Signup and view all the answers

    Annual diabetes testing is recommended for which group?

    <p>All CKD patients</p> Signup and view all the answers

    Target blood pressure for CKD patients is:

    <p>&lt;140/90 mm Hg</p> Signup and view all the answers

    What is a common intervention for anemia of CKD?

    <p>Iron therapy</p> Signup and view all the answers

    What is the target hemoglobin level for CKD patients on dialysis?

    <p>11-12 g/dL</p> Signup and view all the answers

    Which medication is used to manage secondary hyperparathyroidism in CKD?

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

    What is the primary use of phosphate-binding agents in CKD?

    <p>Manage hyperphosphatemia</p> Signup and view all the answers

    Which of the following is a calcium-based phosphate binder?

    <p>Calcium acetate</p> Signup and view all the answers

    What is a potential drawback of calcium-based binders?

    <p>Risk of hypercalcemia</p> Signup and view all the answers

    Sevelamer is classified as:

    <p>A non-calcium-based binder</p> Signup and view all the answers

    What is a common side effect of phosphate binders?

    <p>Gastrointestinal discomfort</p> Signup and view all the answers

    Calcitriol is a form of:

    <p>Vitamin D</p> Signup and view all the answers

    Which vitamin D analog is associated with a lower risk of hypercalcemia?

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

    Calcimimetics work by:

    <p>Decreasing PTH levels</p> Signup and view all the answers

    What is the target BP for CKD patients?

    <p>&lt;140/90 mm Hg</p> Signup and view all the answers

    Which medication is primarily used for cardiovascular complications in CKD?

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

    What lifestyle factor significantly increases the risk of CKD?

    <p>Low physical activity</p> Signup and view all the answers

    Which is NOT a traditional risk factor for cardiovascular disease related to CKD?

    <p>Young age</p> Signup and view all the answers

    The risk of cardiovascular disease in CKD patients is associated with:

    <p>Non-traditional risk factors</p> Signup and view all the answers

    Which of the following is a non-traditional risk factor for CVD in CKD?

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

    What is the recommended management for lipid levels in CKD patients?

    <p>Use statins based on age and risk factors</p> Signup and view all the answers

    KDIGO guidelines recommend which of the following for newly diagnosed CKD patients?

    <p>Fasting lipid profile</p> Signup and view all the answers

    What type of anemia is common in CKD?

    <p>Anemia of chronic disease</p> Signup and view all the answers

    What is the primary goal in managing anemia in CKD?

    <p>Increase oxygen-carrying capacity</p> Signup and view all the answers

    What should be monitored during iron therapy for CKD?

    <p>Ferritin and transferrin saturation levels</p> Signup and view all the answers

    Which of the following should be avoided to prevent iron overload?

    <p>Iron therapy</p> Signup and view all the answers

    What is the recommended starting dose for Cinacalcet?

    <p>30 mg daily</p> Signup and view all the answers

    Which is a common side effect of calcimimetics?

    <p>Nausea and vomiting</p> Signup and view all the answers

    What is the most common cause of morbidity in CKD patients?

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

    Which of the following is NOT a symptom of CKD?

    <p>Increased energy</p> Signup and view all the answers

    What dietary modification is recommended for CKD patients?

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

    What is the main function of the kidneys?

    <p>Filter waste products from the blood</p> Signup and view all the answers

    Which of the following is a potential drawback of non-calcium-based binders?

    <p>More expensive and can cause gastrointestinal discomfort</p> Signup and view all the answers

    What is a common complication associated with CKD-MBD?

    <p>Bone disease</p> Signup and view all the answers

    What is the role of vitamin D in CKD management?

    <p>Enhance intestinal calcium absorption</p> Signup and view all the answers

    What is the primary mechanism of action of calcimimetics?

    <p>Enhance calcium receptor sensitivity</p> Signup and view all the answers

    Which of the following is a major contributor to the progression of CKD?

    <p>Persistent risk factors like diabetes and hypertension</p> Signup and view all the answers

    What is the typical progression of CKD over time?

    <p>Slow progression from category 1 to 5</p> Signup and view all the answers

    What is the recommended treatment for hypertension in CKD?

    <p>Use of ACE inhibitors or ARBs</p> Signup and view all the answers

    Which of the following is a common side effect of ESA therapy?

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

    What should be monitored when using SGLT-2 inhibitors?

    <p>All of the above</p> Signup and view all the answers

    The use of statins in CKD patients is primarily for:

    <p>Lipid management</p> Signup and view all the answers

    What is the effect of hyperphosphatemia in CKD?

    <p>Both B and C</p> Signup and view all the answers

    What dietary recommendation is given to CKD patients regarding protein intake?

    <p>Low protein intake</p> Signup and view all the answers

    What is the effect of kidney disease on erythropoiesis?

    <p>Decreased red blood cell production</p> Signup and view all the answers

    What is a common method to assess kidney function?

    <p>GFR calculation</p> Signup and view all the answers

    What is one of the most important aspects of CKD management?

    <p>Medication adherence</p> Signup and view all the answers

    Which of the following is NOT a symptom of advanced CKD?

    <p>Increased energy</p> Signup and view all the answers

    What is the target HbA1c for diabetic CKD patients?

    <p>&lt;7%</p> Signup and view all the answers

    What is a common complication of untreated hypertension in CKD?

    <p>Heart failure</p> Signup and view all the answers

    What is the main purpose of dietary phosphate binders?

    <p>Prevent absorption of dietary phosphate</p> Signup and view all the answers

    What is the benefit of using erythropoiesis-stimulating agents (ESAs)?

    <p>Increase hemoglobin levels</p> Signup and view all the answers

    Which medication is NOT typically used in CKD management?

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

    What should be done if a CKD patient experiences worsening anemia?

    <p>Start iron therapy or ESAS</p> Signup and view all the answers

    What is the importance of monitoring potassium levels in CKD patients?

    <p>Avoids hyperkalemia</p> Signup and view all the answers

    What is a common effect of CKD on bone health?

    <p>Bone disease</p> Signup and view all the answers

    Which nutrient is crucial for bone health in CKD patients?

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

    What is the role of potassium in CKD?

    <p>Can cause cardiac issues if elevated</p> Signup and view all the answers

    What should be the focus of lifestyle changes for CKD patients?

    <p>Adopt a healthy, balanced diet</p> Signup and view all the answers

    What is the consequence of untreated CKD?

    <p>Progression to ESRD</p> Signup and view all the answers

    What is a critical aspect of CKD management?

    <p>Regular follow-ups and monitoring</p> Signup and view all the answers

    What is a common effect of CKD on the cardiovascular system?

    <p>Increased risk of heart disease</p> Signup and view all the answers

    Which of the following is a common complication of CKD-MBD?

    <p>All of the above</p> Signup and view all the answers

    What is the primary function of erythropoietin in the body?

    <p>Stimulate red blood cell production</p> Signup and view all the answers

    What is the optimal way to administer phosphate binders?

    <p>With meals</p> Signup and view all the answers

    Which type of CKD patient should not initiate statin therapy according to KDIGO guidelines?

    <p>Dialysis-dependent CKD patients</p> Signup and view all the answers

    What is the primary goal of managing cardiovascular disease in CKD patients?

    <p>Reduce overall mortality risk</p> Signup and view all the answers

    Study Notes

    Chronic Kidney Disease (CKD) Questions and Answers

    • Definition of CKD: Abnormalities in kidney structure or function lasting 3 months or longer. It is not a type of cancer, nor is it temporary kidney dysfunction.

    • CKD Classification: Classified by Glomerular Filtration Rate (GFR) and Albumin-to-Creatinine Ratio (uACR).

    • End-Stage Renal Disease (ESRD): Defined as GFR less than 15 mL/min/1.73 m² or requiring dialysis/kidney transplant.

    • CKD Prognosis Factors: Cause of the disease, GFR at diagnosis, and albuminuria level influence prognosis significantly. Age, gender, and family history alone are not comprehensive predictors.

    • CKD Risk Factors: Diabetes and socioeconomic status are clinical risk factors. Age, ethnicity, and socioeconomic status are all sociodemographic risk factors. Blood type is NOT a risk.

    • ESRD Pathophysiology Key Component: Nephron loss is a key aspect of ESRD pathophysiology.

    • CKD Stages 4-5 Symptoms: Fatigue, weakness, and breathlessness are common symptoms. Energy and vitality are not common symptoms during these stages

    • CKD Treatment Goal: Delay or prevent progression of the disease. Curing the disease isn't a realistic goal.

    • Lifestyle Modifications for CKD Patients: Smoking cessation is highly recommended.

    • Proteinuria Management: ACE inhibitors or ARBs are the first-line therapy for managing proteinuria in diabetic CKD.

    • SGLT-2 Inhibitors in CKD: SGLT-2 inhibitors are used to slow CKD progression and reduce GFR decline.

    • Annual Diabetes Testing: All CKD patients should undergo annual diabetes testing.

    • Target Blood Pressure in CKD: The target blood pressure for CKD patients is less than 140/90 mm Hg.

    • Anemia of CKD Intervention: Iron therapy is a common intervention for anemia associated with CKD.

    • Target Hemoglobin Level in Dialysis: The target hemoglobin level for CKD patients on dialysis is 11-12 g/dL.

    • Secondary Hyperparathyroidism Management: Calcitriol is a medication used to manage secondary hyperparathyroidism in CKD.

    • Phosphate-Binding Agents: Used to manage hyperphosphatemia in CKD.

    • CKD-related Cardiovascular Risk: Hypertension, smoking, and obesity are traditional risk factors for cardiovascular disease in CKD patients.

    • CKD Management for Lipid Levels: Using statins, based on age and risk factors, is a recommended management strategy for lipid levels in CKD patients.

    • CKD Patient Screening: Fasting lipid profiles are recommended for newly diagnosed CKD patients.

    • CKD Anemia Type: The type of anemia commonly seen in CKD patients is anemia of chronic disease.

    • Anemia Management Goal: Increase oxygen-carrying capacity.

    • Iron Therapy Monitoring: Monitoring ferritin and transferrin saturation levels is essential during iron therapy in CKD patients

    • CKD-related Cardiovascular Complications: Prevention/management of cardiovascular disease is critical due to the increased risk in CKD patients.

    • CKD-related Dietary Recommendations: Low-sodium and low-protein diets are commonly recommended.

    • CKD-related Kidney Function Assessment: Glomerular Filtration Rate (GFR) calculation is a common means of assessing kidney function in CKD.

    • CKD-related Statin Therapy: Dialysis-dependent CKD patients should not initiate statin therapy.

    • CKD-related Cardiovascular Management: Reducing overall mortality risk due to cardiovascular diseases is a key goal when managing cardiovascular conditions associated with CKD.

    • CKD-related IV Iron Therapy Complications: Iron overload is a potential complication of IV iron therapy in CKD.

    • Cinacalcet Starting Dose: The recommended starting dose for Cinacalcet is 30 mg daily.

    • Calcimimetics Side Effects: Nausea and vomiting are common side effects of calcimimetics.

    • Morbidity Cause in CKD: Cardiovascular disease is the most common cause of morbidity in CKD patients.

    • CKD Dietary Modification: A low-sodium diet is a recommended dietary modification.

    • Kidney Function: The kidneys filter waste products from the blood.

    • Non-Calcium Phosphate Binders Drawbacks: Potential drawbacks of non-calcium phosphate binders include higher cost and gastrointestinal discomfort.

    • Vitamin D Analog Risk: Paricalcitol is a vitamin D analog associated with a lower risk of hypercalcemia.

    • ESAs (Erythropoiesis-Stimulating Agents) Benefit: ESAs are used to increase hemoglobin levels.

    • Hyperphosphatemia Impact: Hyperphosphatemia increases cardiovascular risks and reduces bone density in CKD.

    • Protein Intake in CKD: Low protein intake is recommended to manage kidney disease.

    • Erythropoiesis Effect: Kidney disease reduces red blood cell production.

    • Statin Therapy Risk in CKD Patients: Dialysis-dependent CKD patients should not initiate statin therapy.

    • Iron Therapy Risk: Iron overload is a potential complication of IV iron therapy in CKD.

    • Cardiovascular Disease in CKD: Hypertension, smoking, and obesity are traditional cardiovascular disease risk factors.

    • Goals of Managing CVD in CKD: The primary goal is to reduce overall mortality risk.

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    Group 2 Questions: Chronic Kidney Disease PDF

    Description

    Test your knowledge on Chronic Kidney Disease (CKD) with this comprehensive quiz. It covers definitions, classifications, prognosis factors, risk factors, and symptoms related to CKD and End-Stage Renal Disease (ESRD). Ideal for students and healthcare professionals wanting to deepen their understanding.

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