CKD

Question 1

Modifiable risk factors for CKD

Answer 1

Diabetes
Hypertension 
Hyperlipidemia
Tobacco use
Proteinuria
History of AKI

Question 2

Non-modifiable risk factors of CKD

Answer 2

Age >60
Family history of kidney disease
Ethnicity: African American, Hispanic, Asian/Pacific Islander, American Indian

Question 3

Common causes of CKD

Answer 3

Hypertension (1)
Diabetes
AKI

Question 4

Diagnosis for CKD

Answer 4

Must be present for >3 months

• eGFR: < 60 mL/min/1.73 m^2
• UACR: >30 mg/g
• Markers of kidney damage

Question 5

normal urine ACR

Answer 5

<30mg/g

Question 6

microalbuminuria

Answer 6

Urine ACR 30-300mg/g

Question 7

macroalbuminuria

Answer 7

Urine ACR > 300mg/g

Question 8

Stage 1 CKD

Answer 8

kidney damage with normal kidney function

GFR 90 or higher

90-100% of kidney function

Question 9

Stage 2 CKD

Answer 9

kidney damage with mild loss of kidney function

GFR 89 to 60

89-60% of kidney function

Question 10

Stage 3a CKD

Answer 10

mild to moderate loss of kidney function

GFR 59 to 45

59-45% of kidney function

Question 11

Stage 3b CKD

Answer 11

moderate to severe loss of kidney function

GFR 44 to 30

44-30% of kidney function

Question 12

Stage 4 CKD

Answer 12

severe loss of kidney function

GFR 29 to 15

29-15% of kidney function

Question 13

Stage 5 CKD

Answer 13

Kidney failure

GFR less than 15

less than 15% of kidney function

Question 14

Modifying progression of CKD

Answer 14

Control hyperglycemia
Control HTN
Control Hyperlipidemia
Tobacco cessation

Question 15

common complications of stage 4 and 5 include

Answer 15

CKD mineral and bone disorder
renal osteodystophy
anemia of CKD

Question 16

CKD-MBD clinical presentation

Answer 16

increase in Phosphate, Calcium-Phosphate product, PTH, bone specific Alk Phos, osteocalcin

decrease in Calcium, Vitamin D, bone mineral density

Calcifications can be seen on imaging