Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Interactive:
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Quiz
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Exams
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map

Clinical Review Quiz

  Chronic Kidney Disease: A New Classification and Staging System: Review Questions

Mark A. Perazella, MD, FACP

Dr. Perazella, the Editor of our series on chronic kidney disease, is an Associate Professor of Medicine, Section of Nephrology, Department of Medicine, Yale University School of Medicine, New Haven, CT; and a member of the Hospital Physician Editorial Board.

The questions below are based on the March 2003 cover article, “Chronic Kidney Disease: A New Classification and Staging System“

Choose the single best answer for each question.


1. Which of the following measures of kidney function is most important for defining and classifying chronic kidney disease (CKD)?
  1. Blood pressure
  2. Glomerular filtration rate (GFR)
  3. Presence or absence of hematuria
  4. Renal imaging results
  5. Urine protein level
Click here to compare your answer.


2. The serum creatinine concentration is a suboptimal measure of kidney function because it is affected by each of the following EXCEPT:

  1. Body and muscle mass
  2. Certain drugs
  3. Diet
  4. Laboratory analytical methods
  5. Serum lipid levels
Click here to compare your answer.

3. Which of the following is the gold standard test for measuring GFR?
  1. Cockcroft Gault equation
  2. Creatinine clearance (24-hour urine collection)
  3. Inulin clearance
  4. Iothalamate clearance
  5. MDRD equation
Click here to compare your answer.


4. Which of the following is the GFR cutoff that identifies diabetic patients who meet criteria for initiation of renal replacement therapy?
  1. 25 mL/min
  2. 20 mL/min
  3. 15 mL/min
  4. 10 mL/min
  5. 5 mL/min
Click here to compare your answer.


5. Each of the following maneuvers has been employed to reduce the progression of renal disease EXCEPT:
  1. Blood pressure control
  2. High protein diet
  3. Lipid control
  4. Modulation of the renin-angiotensin system with angiotensin-converting enzyme inhibitors and angiotensin receptor blockers
  5. Tight glycemic control in diabetic patients with nephropathy
Click here to compare your answer.


6. Which of the following is an urgent indication for initiation of renal replacement therapy?
  1. Advanced anemia of chronic kidney disease
  2. Hyperphosphatemia
  3. Profound hypoalbuminemia
  4. Severe hyperkalemia
  5. Symptomatic hypocalcemia
Click here to compare your answer.




Click here to read more about Chronic Kidney Disease: A New Classification and Staging System (Requires Adobe Acrobat Reader)






Check our archives to test your knowledge in other featured articles:

Clinical Review Quiz Archive



If you do not already have Acrobat Reader, simply click on the icon below, scroll down to the "Get the Free Acrobat Reader" heading and follow the instructions to install the program. Acrobat enables you to convert any document into an Adobe Portable Document Format (PDF) file for easy viewing.

Download Adobe Acrobat Reader


Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 1/04/08 • kkj