MKSAP – Nephrology Questions And Answers 2023/2024 Graded A+

MKSAP – Nephrology Questions And Answers 2023/2024 Graded A+ 1. Required to make diagnosis of glomerulopathy associated with nephrotic syndrome - Correct Ans-Kidney biopsy 2. KDIGO recommendations for metabolic acidosis in patients with CKD - Correct Ans-alkali therapy (sodium bicarb) if serum bicarb is chronically < 22 3. According to KDIGO guidelines treatment of metabolic acidosis with alkali therapy in patients with CKD when serum bicarbonate is chronically below what level? - Correct Ans-< 22 4. First-line therapy for primary minimal change glomerulopathy - Correct Ans-glucocorticoids 5. Standard treatment of nephrotic syndrome (3 meds) - Correct Ans-- ACEI/ARB - diuretics for edema - cholesterol-lowering medication if total cholesterol > 200 mg/dl 6. Hallmark for treating IgA nephropathy and is the most proven therapy - Correct Ans-ACEI/ARB 7. Risk for disease progression in the setting of reduced kidney function appears to be significantly increased when patients have proteinuria at what level? - Correct Ans-> 1000 mg/24h 8. Urine osmalility in isovolemic hypotonic hyponatremia - Correct Ans-< 100 mOsm/kg H20 9. Causes of Isovolemic Hypotonic Hyponatremia - Correct Ans-- impaired dilution of urine - water intake that exceeds the kidney's ability to excrete dilute urine (psychogenic polydipsia) 10. Can be be used to help prevent calcium oxalate stones in patients with chronic diarrhea and malabsorption - Correct Ans-potassium citrate 11. 2 best predictors for presence of diabetic nephropathy - Correct Ans-- duration of DM for more than 8 years