MEDICINE MCQ
RENAL MEDICINE
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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When do you consider acute kidney injury?
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Decrease 0.5 mg creatinine (vs basal) or Increase 50% TFG
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0.5 mg creatinine increase (vs baseline) or 50% GFR decrease
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TFG <10%
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Serum creatinine >1 mg
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Explanation:
Detailed explanation-1: -According to the guidelines from KDIGO, AKI is defined as an increase in creatinine of at least 26.5 µmol/L within 48 hours or a 1.5-fold increase in creatinine, which is known or presumed to have occurred within 7 days (4).
Detailed explanation-2: -Stage 3a: Moderate reduction in GFR (45-59 mL/min/1.73 m2) Stage 3b: Moderate reduction in GFR (30-44 mL/min/1.73 m2) Stage 4: Severe reduction in GFR (15-29 mL/min/1.73 m2) Stage 5: Kidney failure (GFR < 15 mL/min/1.73 m2 or dialysis)
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