Nephrology Quiz

A 50 y/o male is admitted to the hospital with a BUN of 40 mg/dL and a SCr of 2.5 mg/dL. His PMH includes HTN, DM, CAD, and CKD, with a baseline SCr of 1.5 mg/dL. He is 62 inches tall and weighs 90 kg. A foley catheter was placed and his urine output over the last 6 hours is 180 mL. The most appropriate classification of his acute kidney injury(AKI) is:

A 63 y/o female is admitted for a two day history of nausea, vomiting, and diarrhea. PMH includes gout, depression, and hyperlipidemia. Initial labs are: Na 130 mEq/L; K 5 mEq/L; Cl 100 mEq/L; BUN 34 mg/dL, SCr 1.6 mg/DL, UrNa: 10 mEq/L; UrCr: 20 mg/dL. The correct classification of her AKI is:

The most appropriate treatment for the above patient’s AKI is:

A 38 y/o male is admitted for AKI, pulmonary congestion, and pitting edema. Has been self-treating a back injury with ibuprofen 800 mg q6hr for the past 10 days. He has no other significant PMH. His SCr is 2.5 mg/dL and BUN is 25 mg/dL. His FENA is calculated at 3% and his urine contains muddy brown casts. The correct classification of his AKI is:

The most appropriate treatment is:

The correct combination of cause and treatment for postrenal AKI is:

Which of the following statements is true regarding radiographic contrast media nephrotoxicity

A 58 y/o male with DM and HTN was recently diagnosed with ischemic cardiomyopathy with an EF of 30%. His cardiologist started him on metoprolol XL 25 mg daily and lisinopril 20 mg daily. His SCr has increased from 0.9 mg/dL to 1.2 mg/dL over two weeks. His K is 4.8 mEq/dL. His BP is 115/70 mmHg and his HR is 62. What should be done to address the increase in SCr?

A 35 y/o female with history of UC is admitted for abdominal pain, nausea, vomiting, and diarrhea. She has been unable to keep any food or water down for the last 48 hr. A CT scan of the abdomen shows a possible abscess. She is 64 inches tall and weighs 52 kg. Her SCr is 2 mg/dL and her urine output over the last 6 hours is 100 mL. Which antibiotic regimen is most appropriate?

What is the mechanism of ACE inhibitor or ARB induced AKI?

Which statement is false regarding hemodialysis

Which organsims are most likely the cause peritonitis in a PD patient

Which statements are true regarding Continuous Renal Replacement Therapy (CRRT)

A 48 y/o male with ESRD on HD is admitted to the hospital. He receives epoetin alfa with dialysis. His epoetin is converted to darbepoetin upon admission. When verifying the order, you see that his hemoglobin on admission is 11.2 g/dL. The appropriate action to take is:

Identify the true statement regarding iron therapy in a patient with ESRD on HD

Calcium acetate is often used in patients with CKD because

Vitamin D analogs are used in patients with CKD to

Which of the following is true regarding dose adjustments in kidney disease

i. Estimated CrCl using the Cockcroft-Gault equation should only be used in patients with stable kidney function

ii. Recommended renal dose adjustments for medications are usually based off of CrCl using the Cockcroft-Gault equation

iii. The MDRD equation can be a useful equation to adjust medications for patients with CKD

iv. Medication pharmacokinetic and pharmacodynamics properties should always be used to guide renal dose adjustment decisions

Which of the following group of medications would need renal dose adjustments in a patient with chronic kidney disease?

Which of the following does not affect drug removal during dialysis?