LEK Exam: 2017 sesja wiosenna, subject: Interna, question nr: 36

Which of the following is an urgent indication for the initiation of chronic renal replacement therapy - dialysis?

A. decrease in glomerular filtration rate < 15 ml/min/1.73 m2 without signs and symptoms of uremia.

B. significant fluid retention with dyspnoea and crepitations at the bases of both lungs, despite the use of loop diuretics in high doses in a patient with chronic renal insufficiency (glomerular filtration rate < 15 ml/min/1.73 m2 ).

C. moderate hyperkalemia (6.3 mmol/l) in a subject with the glomerular filtration rate of about 20 ml/min/1.73 m2 , not receiving loop diuretics on the daily basis.

D. moderate hyperuricemia (8.5 mg/dl) in a patient with the glomerular filtration rate of about 20 ml/min/1.73 m2 receiving allopurinol on the daily basis.

E. moderate anemia (hemoglobin concentration 9.0 g/dl) in a patient with diabetic nephropathy and the glomerular filtration rate of about 20 ml/min/1.73 m2 .

Dział: Interna

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