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AKI is one of the most common complications occurring in elderly patients in hospital. This quiz tests your knowledge of some of the core content. Goodluck!

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APPROACH TO THE PATIENT WITH RENAL FAILURE (AKI)

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Question 1
Which of the following are not a criteria used to diagnose AKI?
A
Rise in creatinine of ≥ 25 micromol/L in 48 hours
B
Rise in creatinine of ≥ 50% in 7 days
C
Urine output of < 0.5ml/kg/hour for > 6 hours
D
Oedema and 2 positive investigations supporting a diagnosis of AKI
E
Excess urine output of 50% in 7 days
Question 2
Which of the following corresponds to RIFLE criteria Stage 3?
A
2x creatinine//>50% GFR ↓//<0.5 ml/kg/h for 12 h
B
3x creatine// >75% GFR↓//<0.5 ml/kg/h for 24 h
C
3.5 x creatine// >90% GFR↓//<0.5 ml/kg/h for 36 h
D
Persistent loss of kidney fxn requiring dialysis >4 weeks
E
Complete loss of kidney function >3 months
Question 3
Which of the following is an potential cause of pre-renal AKI?
A
Septic shock
B
Benign prostatic hyperplasia
C
Pyelonephritis
D
Minimal change disease
E
Acute tubular necrosis
Question 4
Which of the following is not considered to be a nephrotoxic medication?
A
ACE inhibitors
B
Angiotensin receptor blockers (ARBs)
C
NSAIDs
D
Codeine
E
Contrast dyes
Question 5
Which of the following is the most common cause of renal AKI?
A
Acute interstitial nephritis
B
IGA nephropathy
C
Minimal change disease
D
Acute tubular necrosis
E
Interstitial nephritis
Question 6
Which of the following is the most common cause of glomerulonephritis in children?
A
Membranous glomerular nephritis
B
IGA nephropathy
C
Minimal change disease
D
Focal segmental glomerulosclerosis
E
Goodpasture syndrome
Question 7
Which of the following is not a potential post- renal cause of AKI?
A
Kidney stones
B
Urethral stricture
C
Ovarian fibroids
D
Urinary tract infection
E
Spermatocele
Question 8
Which of the following Is not a common feature of nephrotic syndrome?
A
Hypalbuminaemia
B
Significant proteinuria
C
Lipiduria
D
Hyperlipidaemia
E
Hypertension
Question 9
Which of the following Is a defining feature of nephritic syndrome:
A
Dysmorphic RBCs and casts
B
Significant proteinuria
C
WBCs in the urine
D
Hypotension
E
Respiratory acidosis
Question 10
Which of the following is not a likely secondary cause of glomerular disease?
A
Hypertension
B
Diabetes
C
SLE
D
Infection with EBV
E
Chronic steroid use
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