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Chronic Kidney Disease Management Practice Test
•15 QuestionsQuestion
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Q1
A 66-year-old man has CKD stage 5 for 9 years from diabetes; he is stable and not on dialysis. He takes insulin, carvedilol 12.5 mg twice daily, amlodipine 10 mg daily, torsemide 40 mg daily, and sevelamer with meals. He reports decreased appetite and mild nausea but no dyspnea or confusion. BP is 148/84 mm Hg. Exam shows 1+ edema. Labs: creatinine 6.2 mg/dL, eGFR 9 mL/min/1.73 m², K 5.1 mEq/L, HCO3 18 mEq/L, Ca 8.6 mg/dL, phosphate 6.4 mg/dL, Hgb 10.1 g/dL. Renal ultrasound shows small echogenic kidneys. Which referral is most appropriate for this patient?
A 66-year-old man has CKD stage 5 for 9 years from diabetes; he is stable and not on dialysis. He takes insulin, carvedilol 12.5 mg twice daily, amlodipine 10 mg daily, torsemide 40 mg daily, and sevelamer with meals. He reports decreased appetite and mild nausea but no dyspnea or confusion. BP is 148/84 mm Hg. Exam shows 1+ edema. Labs: creatinine 6.2 mg/dL, eGFR 9 mL/min/1.73 m², K 5.1 mEq/L, HCO3 18 mEq/L, Ca 8.6 mg/dL, phosphate 6.4 mg/dL, Hgb 10.1 g/dL. Renal ultrasound shows small echogenic kidneys. Which referral is most appropriate for this patient?