Acute kidney injury: causes, diagnosis and management
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- Question 1 of 15
1. Question
Acute kidney injury (AKI) is characterised by which of the following?
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2. Question
Which of the following is at the highest risk of an AKI?
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3. Question
Which of the following is a common cause of pre-renal AKI?
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4. Question
Which of these drug classes is nephrotoxic?
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5. Question
According to KDIGO, which of the following is a definition of AKI?
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6. Question
Which of the following patients meets the criteria for AKI stage 2?
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7. Question
Abraham weighs 88 kg. What is the minimum amount of urine per hour that Abraham should produce?
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8. Question
To diagnose AKI, which of the following set of tests and imaging should be undertaken?
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9. Question
Which one the following is an appropriate treatment for a patient with a pre-renal AKI who is dehydrated?
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10. Question
You are asked about the dosing of meropenem for a patient on a surgical ward. Aleena is a 43-year-old woman with an infection following complicated appendicitis. Aleena has AKI stage 2 with a serum creatinine of 135 micromol/L and eGFR 41 mL/min/m2 (creatinine clearance 42 mL/min) Her current meropenem dose for the last 3 days has been 1 g every 8 hours. What is the most appropriate meropenem dose?
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11. Question
Which one of the following patients does not need flagging to renal (nephrology) team?
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12. Question
Geoff is a 77-year-old man who presents with reduced urine output and suprapubic discomfort. His past medical history includes benign prostate hyperplasia. He is taking doxazosin and amlodipine. Which of the following is an appropriate treatment?
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13. Question
Elizabeth is a 62-year-old female with diabetes and who had an AKI 2 during the course of her hospital stay for an elective total hip replacement. Her ramipril was discontinued. When would it be appropriate to consider restarting ramipril?
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14. Question
Which of the following medicines does not cause hyperkalaemia?
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15. Question
Surinder is a 69-year-old patient with severe COPD, bladder instability, heart failure, atrial fibrillation and type 2 diabetes mellitus. Surinder was discharged from hospital two weeks ago following an admission for urosepsis and AKI stage 3. Candesartan, metformin, furosemide were restarted. Eplerenone was withheld and apixaban reduced. You are conducting a post-discharge medication review in primary care. Surinder has not had recent renal function blood tests. What is the most appropriate action for you to take?
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