Chronic Kidney Disease And Complications Practice Test

A 68-year-old man with a 20-year history of type 2 diabetes mellitus and hypertension presents for a routine follow-up. His medications include metformin, lisinopril, and atorvastatin. His blood pressure is 135/85 mm Hg. Laboratory studies show a serum creatinine of 2.0 mg/dL. Three months ago, his creatinine was 1.9 mg/dL. A 24-hour urine collection shows 500 mg of albumin. His estimated glomerular filtration rate (eGFR) is calculated to be 35 mL/min/1.73 m².

A 55-year-old woman with stage 4 chronic kidney disease due to autosomal dominant polycystic kidney disease is brought to the emergency department for evaluation of generalized weakness and palpitations. An ECG is obtained and shows peaked T waves and a widened QRS complex. Her medications include lisinopril and sevelamer.