4 Chronic Kidney Disease Practice Questions Free Online FlashCards

What establishes CKD rather than a temporary abnormality?

CKD is established by reduced eGFR or another marker of kidney damage that persists for at least 3 months; one abnormal result may be temporary.

What do eGFR and UACR each assess?

eGFR estimates kidney filtering function, while UACR measures urine albumin, a marker of kidney damage and risk.

Why assess both eGFR and albuminuria in CKD?

Both reduced eGFR and increased albuminuria matter for risk and follow-up. Their results do not, by themselves, predict an individual’s exact course.

What UACR level is described as severely increased?

A UACR above 300 mg/g is classified as severely increased albuminuria.

What should be monitored after starting or increasing an ACE inhibitor?

Check blood pressure, serum creatinine, and potassium within about 2–4 weeks, as clinically appropriate.

How should a modest early eGFR decline after treatment be viewed?

A modest early eGFR change can be expected with some kidney-protective medicines. Assess the context rather than stopping treatment automatically.

What eGFR decline after a hemodynamically active treatment warrants evaluation?

An eGFR decline greater than 30% after starting a hemodynamically active treatment warrants evaluation.

Can an SGLT2 inhibitor benefit some people with CKD who do not have diabetes?

SGLT2 inhibitors may protect kidney and cardiovascular health in eligible people with CKD, including some people without diabetes.

Which two test-result trends may suggest CKD is progressing?

A sustained eGFR decline or a persistent rise in UACR may suggest progression.

Why are kidney test trends more informative than one measurement?

Temporary illness, hydration, medicines, and normal test variability can affect measurements, so repeated results are more informative than one result.

Why are fluid and dietary restrictions not identical for everyone with CKD?

Fluid and food recommendations depend on kidney function, lab results, medicines, symptoms, and other health conditions; they should be tailored.

What should a person with CKD do before using over-the-counter NSAIDs?

Ask the care team before using over-the-counter pain medicines such as NSAIDs, which may pose a risk to kidney health.