Disease Management, Exams of Advanced Education
Peritoneal dialysis (PD) differs from hemodialysis in which of the following ways? -
ANSWERPD access is by intra-abdominal catheter
The main difference between an arteriovenous shunt (AVS) and an arteriovenous fistula
(AVF) is an? - ANSWERAVF is entirely within the arm
Which of the dialyzers is used currently? - ANSWERCoil
Which of the following kidney structures connects with and delivers urine directly to
the ureter? - ANSWERPelvis
The glomerular filtration rate is an important index of renal function and in the normal
adult is approximately? - ANSWER125mL/min/1.73m2
All of the following substances are produced in the kidney (a. renin, b. aldosterone, c.
erythropoietin, d. calcitriol.)? - ANSWERB. aldosterone
The most likely cause of post-renal failure is? - ANSWERBenign prostatic hypertrophy
The most common cause of chronic kidney disease in the United States is? -
ANSWERDiabetes
, Uremia causes which of the following conditions (a. Itching, b. Edema, c. Anemia)? -
ANSWERAll of them (itiching, edema,anemia).
All of the following conditions are associated with chronic kidney failure EXCEPT,(a.
Low Hemoglobin, b. Hypoparathyroidism, c. Hyperkalemia, d. Hyperphosphatemia)? -
ANSWERB. Hypoparathyroidism.
What percentage of transplanted kidneys is functional one year after transplantation? -
ANSWER90%
Which hemodialysis schedule is likely to be the most efficient? - ANSWERShort daily
home hemodialysis,2-3 hrs a session, 5-7 days a week.
The fluid restrictions for most patients undergoing in-center hemodialysis is equal to
what urine volume/day? - ANSWER1L.(4 cups)
Failure to excrete beta2-microglobulin in patients with kidney failure predisposes to? -
ANSWERAmyloidosis
Blood test for ferritin are preformed in hemodialysis patients - ANSWERTo check for
iron stores.
What phosphate binders would best control hyperphosphatemia with the fewest side
effects in patients with end stage kidney disease (ESRD)? - ANSWERLanthanum
carbonate are prefered because there is less toxicity.
True or False: Hemodialysis patients should be taught to put in their own needles,
weigh themselves and record it, check their dialyzer settings and dialysate? -
ANSWERTrue