Pregnancy and Kidney Disease

Which of the following confers the HIGHEST risk for developing Pre-eclampsia?

• Systemic Lupus Erythematosus

• Kidney Disease

• Chronic Hypertension

• Diabetes Mellitus

• Multiple gestation

What happens to the total body potassium and sodium during pregnancy?

• Both Na and K increase

• Na increases, K decreases

• Na decreases, K increases

• Both Na and K decrease

A 25 year old female at 21 weeks gestation presents with 0.4 g/g proteinuria and a serum creatinine of 1.1 mg/dl. She has no baseline medical problems. What is the most likely diagnosis?

• Pre-Eclampsia

• Gestational Hypertension

• Chronic Hypertension

• HELLP Syndrome

• Systemic Lupus Erythematosus

What is the hallmark histologic finding of Pre-Eclampsia?

• Podocyte Effacement

• Endotheliosis

• Crescent Formation

• Sub-epithelial deposits

• Tubular Necrosis

You are taking care of a patient with CKD Stage 3B and Systemic Lupus Erythematosus. There is no baseline proteinuria and BP is 110/70. She is in the 2nd trimester. What drug would you recommend to start?

(a)  

Which 3 of the following anti-hypertensive drugs is safe to ingest in pregnancy?

• Nifedipine XL

• Minoxidil

• Clonidine

• Furosemide

• Losartan

A previously healthy patient at 32 weeks gestation develops urosepsis from pyelonephritis. The blood pressure is 80/40. Despite appropriate treatment, she develops AKI. Three months later, she remains dialysis dependent. What was the most likely diagnosis?

• Renal Cortical Necrosis

• HELLP

• Systemic Lupus Erythematosis

• Pre-Eclampsia

• Eclampsia

Screening for SSA/Ro and SSA/La antibodies is important in pregnant patients with lupus because it can predict _______.

• Renal Dysplasia

• Complete Heart Block

• Pulmonary Atresia

• Childhood Lupus

• Posterior Urethral Valves

A pregnant patient in her 3rd trimester develops thrombocytopenia and hemolysis. The ADAMTS-13 is < 10% and you start plasma exchange. What is the most likely diagnosis?

• AFLP

• HELLP

• aHUS

• TTP

Which of the following is true in pregnant patients on dialysis?

• Target BUN is < 50 mg/dl

• Erythropoetin Stimulating Agents are contraindicated

• HCG is a less useful marker due to reduced clearance

• Fertility is rare