CKD Complications By Alaina Darby

Which of the following is not a common complication of CKD? Cardiovascular disease Anemia Metabolic alkalosis Hypertension c

JL has had a GFR of 75 mL/min with severe albuminuria after her last lupus attack 4 months ago. Which of the following would be of least concern at this point? Uremia Hypothyroidism Hypoglycemia Anemia None of these are a concern because she does not have CKD a

Which of the following is not treated with dialysis? Metabolic acidosis Electrolyte abnormalities Vitamin deficiencies Bleeding c

AK has a GFR of 25 mL/min, K+ of 5, and hypoalbuminemia AK has a GFR of 25 mL/min, K+ of 5, and hypoalbuminemia. Which diuretic should be used to manage her edema? Furosemide Spironolactone Hydrochlorothiazide Eplenerone a

If JD has hyperkalemia, what should be done acutely to manage his increased K+? Discontinue lisinopril Discontinue spironolactone Administer metoprolol Administer insulin d

If JD has hyperkalemia, which of the following would prevent arrhythmia but not treat the hyperkalemia? Ca gluconate Hemodialysis Polystyrene sulfonate with sorbitol Albuterol a

Which of the following patients should receive an ACE/ARB? Patient with BP 150/90, GFR 10, K+ 3 Patient with BP 150/90, GFR 30, K+ 5 Patient with BP 110/80, GFR 10, K+ 3 Patient with BP 110/80, GFR 30, K+ 3 d

Which of the following patients would not be indicated for a statin? 60 y/o with GFR 70 and DM 35 y/o with GFR 20 and no comorbid conditions 60 y/o with GFR 20 and no comorbid conditions 35 y/o with GFR 70 and DM b

Which of the following lab values would not be accurate for CKD patients? Hgb LDL a

AH has a Hgb of 9.5. What is the likely cause? B12 deficiency Blood loss Aluminum toxicity Iron deficiency d

AH has a Hgb of 9.5. What would be his least likely presentation? Pica Fatigue Bradycardia Cold sensitivity c

AH has a Hgb of 9. 5. AH is female AH has a Hgb of 9.5. AH is female. How much is her risk of LVH increased? 5% 15% 25% 35% b

JD has a stable GFR of 28. How often should Hgb be measured? Annually Biannually Every 3 months Every month b

HR has a serum ferritin of 40 and TIBC of 400. Should iron be initiated? Yes No a

HR has a serum ferritin of 40 and TIBC of 400. What is the TSAT? 10% 20% 30% 40% a

HR has a serum ferritin of 40 and TIBC of 400 HR has a serum ferritin of 40 and TIBC of 400. Which of the following should HR receive? PO ferrous sulfate (200 mg elemental) taken with meals PO ferrous gluconate (400 mg elemental) taken with meals PO ferrous sulfate (400 mg elemental) separated from meals PO ferrous gluconate (200 mg elemental) separated from meals d

Which of the following conditions is most indicated for IV iron as opposed to PO? PD-CKD HD-CKD ND-CKD b

Which of the following requires a test dose before administration? Iron dextran Iron sucrose Ferumoxytol Ferric gluconate a

Which of the following has the advantage of being able to be given in a large dose? Iron dextran Iron sucrose Ferumoxytol Ferric gluconate c

AH has a Hgb of 9. 5. She is not currently on dialysis AH has a Hgb of 9.5. She is not currently on dialysis. Which of the following is preferred ESA for this patient? IV epoetin alfa SQ darbepoetin alfa IV methoxy PEG epoetin beta ESA is not indicated b

AH has a Hgb of 9. 5. She is not currently on dialysis AH has a Hgb of 9.5. She is not currently on dialysis. After initiating SQ darbepoetin, Hgb increased to 10 in 2 weeks. What should be done? Increase dose 25% No change is needed at this time Decrease dose 25% Give extra iron b

Which of the following is a concern for AH after initiation of ESA? Bleeding Hyperparathyroidism Hypertension Inflammatory conditions c

Which of the following is not a reason that someone should not receive ESA based on past history? Stroke Cancer Seizure Controlled hypertension d

Which of the following least contributes to calcium deficiency? Increased PTH Decreased phosphorus elimination Decreased vitamin D Increased fibroblast growth factor a

For someone who is also taking ciprofloxacin for a recent infection, which of the following would be a suitable phosphate binder? Lanthanum carbonate Sevelemer acetate Sucroferric oxyhydroxide Ferric citrate c

Which of the following would be the best candidate for cinacalcet? Calcium 9 mg/dL taking amitriptyline Calcium 9.5 mg/dL taking duloxetine Calcium 8.5 mg/dL taking flecainide Calcium 8 mg/dL takin lisinopril b