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Free Practice Quiz Question List

7 Integrated Renal Practice Questions Online Quiz Questions

Use this free practice quiz with 20 questions to review 7 Integrated Renal, test your knowledge, and prepare for your next test or exam.

20 questions
01
True or false
1 point

True or false: Kidney abnormalities must persist for at least 6 months to meet the chronicity requirement for chronic kidney disease.

  1. A

    True

  2. B

    False

02
True or false
1 point

True or false: A single elevated potassium result always proves a true elevation and requires the same treatment in every patient.

  1. A

    True

  2. B

    False

03
Written response
1 point

Kidney abnormalities must persist for at least how many months to establish the chronicity requirement for CKD? Enter the duration in months.

04
Written response
1 point

A patient on peritoneal dialysis develops abdominal pain and fever, and the drained fluid looks cloudy. What complication should be suspected?

05
Choose one
1 point

A patient cannot urinate, has severe lower abdominal discomfort, a markedly distended bladder, bilateral hydronephrosis, and elevated creatinine. What is the best immediate action?

  1. A

    Restrict all fluids and reassess the next day.

  2. B

    Arrange prompt catheter drainage and evaluate the cause of obstruction.

  3. C

    Begin dialysis before relieving the obstruction.

  4. D

    Treat presumed infection without addressing the retention.

06
Choose one
1 point

A patient has had an eGFR of 38 mL/min/1.73 m² for 5 months and a UACR of 450 mg/g. How should the results be classified?

  1. A

    CKD G3b A3

  2. B

    CKD G2 A1

  3. C

    Acute kidney injury only; chronicity cannot be established

  4. D

    Kidney failure requiring dialysis based on eGFR alone

07
Choose one
1 point

A patient has had vomiting and diarrhea for 2 days. Creatinine increased from 0.9 mg/dL to 1.4 mg/dL, the patient is dizzy on standing with dry mucous membranes, and they have taken ibuprofen while continuing an ACE inhibitor. Which interpretation and initial approach is best?

  1. A

    This is not AKI because the creatinine is below 2 mg/dL; continue current medicines.

  2. B

    This meets an AKI criterion; address likely volume depletion, review potentially harmful medicines, and monitor urine output and laboratory results.

  3. C

    This confirms CKD; begin long-term fluid restriction.

  4. D

    Start dialysis based on the creatinine value alone.

08
Choose all
1 point

A patient with advanced CKD has hemoglobin 9.1 g/dL, bicarbonate 17 mmol/L, elevated phosphate, and potassium 5.6 mmol/L. Select all accurate statements about interpreting these findings.

  1. A

    Anemia can be associated with CKD.

  2. B

    Low bicarbonate can reflect metabolic acidosis.

  3. C

    Elevated phosphate can be a CKD-related abnormality.

  4. D

    Potassium-related risk should be assessed, with treatment individualized to the clinical situation.

09
Choose all
1 point

A hospitalized patient with worsening kidney function has potassium 6.8 mmol/L, peaked T waves on ECG, increasing oxygen needs, and pulmonary crackles. Select all appropriate priorities.

  1. A

    Wait for a repeat creatinine before intervening.

  2. B

    Treat the hyperkalemia as an emergency and stabilize the patient.

  3. C

    Urgently involve the renal team to assess for dialysis given the dangerous electrolyte disturbance and fluid overload.

  4. D

    Give oral fluids to increase urine output.

10
Choose one
1 point

A patient receiving maintenance hemodialysis is 2.8 kg above the prescribed postdialysis weight before the next session. The patient has ankle edema but no breathlessness or chest pain. Which response is most appropriate?

  1. A

    Assess volume status and follow the individualized dialysis and sodium/fluid plan.

  2. B

    Advise unrestricted fluid intake because dialysis will remove any excess.

  3. C

    Assume the gain is body fat and ignore it.

  4. D

    Change the dialysis prescription without assessment or consultation.

11
Choose one
1 point

A clinician is considering dialysis for a patient with kidney dysfunction. Is an elevated creatinine value alone sufficient to determine that dialysis is needed?

  1. A

    Yes. An elevated creatinine value alone is sufficient to determine that dialysis is needed.

  2. B

    No. The need for dialysis is assessed in the context of the patient's clinical problems, such as dangerous electrolyte, acid–base, or fluid issues.

12
Open ended
1 point

A patient has vomiting and diarrhea, signs of volume depletion, and a creatinine increase from 0.9 mg/dL to 1.4 mg/dL within 48 hours. Explain why the creatinine value should not be dismissed as too low to indicate acute kidney injury, and outline an appropriate initial approach.

13
Choose one
1 point

A patient cannot urinate and has severe lower abdominal discomfort. A bladder scan shows a markedly distended bladder, imaging shows bilateral hydronephrosis, and creatinine is elevated. What is the best immediate action?

  1. A

    Restrict fluids and reassess the next day.

  2. B

    Arrange prompt catheter drainage and evaluate the cause of the obstruction.

  3. C

    Start dialysis before relieving the obstruction.

  4. D

    Treat a presumed urinary infection without addressing the retention.

14
Written response
1 point

For kidney abnormalities to establish chronic kidney disease, how long must they persist at minimum?

15
Written response
1 point

A patient has an eGFR of 38 mL/min/1.73 m². What GFR category does this value fall into?

16
Choose one
1 point

A patient with persistent kidney abnormalities has a UACR of 450 mg/g. Which albuminuria category does this result indicate?

  1. A

    A1

  2. B

    A2

  3. C

    A3

  4. D

    G3b

17
Choose one
1 point

Before a scheduled hemodialysis session, a patient is 2.8 kg above the prescribed postdialysis weight and has ankle edema but no breathlessness or chest pain. What is the most appropriate response?

  1. A

    Assess volume status and follow the patient's prescribed dialysis and sodium/fluid plan.

  2. B

    Encourage unrestricted fluids because dialysis will remove any excess.

  3. C

    Assume the gain is body fat and disregard it.

  4. D

    Change the dialysis prescription without assessment or consulting the dialysis team.

18
True or false
1 point

True or false: A creatinine value by itself is enough to determine that a patient must start dialysis.

  1. A

    True

  2. B

    False

19
Fill in the blank
1 point

A patient with advanced CKD has a bicarbonate level of 17 mmol/L. This finding can reflect .

20
Fill in the blank
1 point

A patient with advanced CKD has a hemoglobin of 9.1 g/dL. The result may reflect anemia, but by itself it does not prove .