Chronic Kidney Disease

Question 1

more proteinuria is associated with

Answer 1

worse kidney damage

Question 2

what stage of kidney disease do symptoms begin

Answer 2

stage 4

Question 3

symptoms of CKD

Answer 3

tiredness
malaise
difficulty thinking clearly
a poor appetite
weight loss
dry, itchy skin
muscle cramps
fluid retention causing swollen feet and ankles
puffiness around the eyes
a need to pass urine more often than normal
pallor due to anaemia
nausea
electrolyte imbalance
bone thinning and fracture (due to calcium and phosphate imbalance)

Question 4

describe stage 1 kidney disease

Answer 4

normal kidney function but signs of kidney damage

Question 5

describe stage 2 kidney disease

Answer 5

mildly reduced kidney function and signs of kidney damage

Question 6

describe stage 3 kidney disease

Answer 6

moderately reduced kidney function
with/without kidney damage

Question 7

describe stage 4 kidney disease

Answer 7

severely reduced kidney function
with/without kidney damage

Question 8

describe stage 5 kidney disease

Answer 8

very severely reduced kidney function
with/without kidney damage

Question 9

management of stage 3 CKD

Answer 9

regular GP monitoring of blood and urine tests
preventative treatment
referral to specialist if signs of stage 4

Question 10

cause of CKD

Answer 10

hypertension
diabetes
ageing
medications (NSAIDs and others)
glomerulonephritis
renal artery stenosis
repeated infection
and others

Question 11

prevention of progression includes

Answer 11

blood pressure control
monitoring medications
diet in stages 4-5

Question 12

what vaccines are recommended in what satges of CKD

Answer 12

3-5 pneumococcus and flu jab
4 hep b

Question 13

what are you more likely to get rather than end stage kidney failure

Answer 13

CVD