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WorksheetsAcute Kidney Injury and Chronic Kidney Disease
Total questions: 10
Worksheet time: 5mins
What are NOT the indications for dialysis?
Refractory and severe hyperkalaemia
Fluid overload with pulmonary oedema, refractory to diuretics.
Severe metabolic alkalosis.
Uremic encephalopathy
What are the possible causes of acute kidney injury?
Upper GI bleeding
Renal stones
Sepsis
Cardiogenic shock
Acute kidney injury is recognised by
Accumulation of waste products (urea, creatinine)
Metabolic acidosis
Reduction in urine output (oliguria), usually
All of the above
Which is the correct treatment for hyperkalemia
Oral kalimate 15g tds
IV actrapid 20u stat
IV calcium gluconate 10% 20mls over 1 hour
IV D50% 50cc
You are reviewing laboratory results of a patient with acute renal failure. Which of the following should be acted upon immediately?
Potassium of 5.2
Urea of 20
Creatinine of 300
HCO3 of 9
Complications of uremia include the following EXCEPT
Symptoms such as nausea and vomiting
Confusion
Pericardial effusion
Hypertension
Which of the following is NOT the possible complications of renal replacement therapy in acute kidney injury?
Catheter-related infection
Hypotension during dialysis
Bleeding due to heparin use
Femoral fracture due to catheter insertion
Which of the following does NOT point to renal impairment being likely chronic rather than acute?
Deranged renal function for at least 3 months
Normocytic anaemia, hypocalcemia with hyperphosphatemia
Small kidney size on ultrasound
Renal function worsened after initiation of ACE-I two weeks ago
In patient with chronic kidney disease, these statements are correct, EXCEPT
Good diabetes and hypertension control can delay progression of chronic kidney diseas
To avoid any nephrotoxic drugs including NSAIDs
Supplementary medications can be used to treat chronic kidney disease
Referral to nephrology centre should be done once they are at stage 3
A 50-year-old gentleman presents with left back pain and reduced urine output. His urinalysis is normal. His RP came back as urea 24, Na 140, K 4.5, Cr 200. Ultrasound of the kidneys showed dilated calyx of the left kidney. What is the most likely diagnosis?
Chronic renal disease
Acute kidney injury due to prerenal cause
Acute kidney injury due to postrenal cause
Acute glomerulonephritis
