CKD
Glomermular and other kidney disease
CKD Progression
CKD complications
Renal Replacement Therapy
100
In the US, which racial group has the highest incidence of Stage 5 CKD
What are African Americans?
100
This previously healthy patient has been admitted for treatment of bacterial meningitis and now has a rash and rising creatinine. The likely cause is
What is acute interstitial nephritis (AIN)?
This is the same disorder as "acute tubulointerstitial nephritis". The clue is the rash and acute nature.
100
Earliest sign of diabetic kidney disease
What is microalbuminuria (or UACr>30)?
100
Earliest sign of bone disease of CKD (renal osteodystrophy)
What is decreased Vitamin D
Followed closely by elevated PTH
P.S. it is really important to tune in to this. If your patient gets a transplant, and we hope they will, they will live a long time, and they will need bones to hold them up!
100
The preferred method of vascular access for hemodialysis
What is AV fistula?
200
The most common cause of CKD in the US
What is Diabetes?
200
This is the most common form of cystic kidney disease
What is Autosomal Dominant Polycystic Kidney Disease (ADPKD)?
200
Antihypertensive medication that has been shown to slow the progression of diabetic kidney disease
What is ACEI/ARB?
200
Medication used to treat anemia of CKD
EPO or erythropoeitin
200
The form of renal replacement therapy with the best outcomes
What is transplant from a living donor?
300
The second most common cause of CKD in the US
What is Hypertension?
300
This 30 year old has rising creatinine and hemoptysis, so you suspect this disorder
What is Goodpasture's syndrome?
Sudden onset and hits kidneys and lungs.
300
Diabetes medications that have been shown to slow the progression of diabetic nephropathy
What are SGLT2 inhibitors?
300
The most common cause of death in people with CKD?
What is cardiovascular disease?
(this includes arrhythmia)
300
What is the biggest disadvantage to home peritoneal dialysis?
What is risk of infection?
also:
•Respiratory difficulties (ie. Pleural effusion), Hypotension, Hypoalbuminemia, Hemoperitoneum, hyperglycemia
400
Which electrolyte is often low in CKD?
What is calcium?
400
This most common of the nephrotic syndrome disorders occurs in 5th to 6th decade and has prognosis of 1/3 get better without tx, 1/3 respond to immunosuppressive tx, and 1/3 get ESRD
What is membranous GN?
400
Types of food that people with CKD stage 4 are advised to limit
What are proteins, phosphorus, potassium?
P.S. AND (if they have DM) refined carbohydrates, and (if they have high cholesterol or DM or heart disease) saturated and trans fats.
this is a real problem because there is not much left!
400
In late CKD (stage 4 and 5), this form of Vitamin D should be supplemented
What is the active form, 1,25OHD, also called calcitriol?
400
When can patients be referred to the renal transplant list?
What is when GFR<20?
500
The general term for the bone disease of CKD
What is renal osteodystrophy?
500
This 14 year old has nephrotic syndrome. The most likely cause
What is minimal change disease?
(because this is a nephrotic disorder that can occur in children or adults)
500
General symptoms of advanced (stage 4, 5) CKD
What are malaise, fatigue, anorexia, pruritis, dysgeusia?
P.S Occasionally, people begin to feel bad in Stage 3, especially stage 3b, but they often feel pretty good until stage 4.
500
In late CKD (stage3B, 4), this lab parameter should be monitored to prevent tissue calcification
What is Calcium – phosphorus product (should be <55).
It can be bad....look below: 
500
The length of time recommended to allow for vascular access to be developed in a patient
What is one year?