Quiz ภาวะไตเสียหายเฉียบพลัน(Acute kidney injury)
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ชื่อ-นามสกุล *
เลขประกอบวิชาชีพ *
1. A 6-year-old girl presents with vomiting and bloody diarrhea for 2 days. Physical examination reveals T 37.80C, PR 120/min, BP 128/90 mmHg, dry lips. Initial investigations show Hb 9 g/dL, WBC 18,000 (N 80, L 20%), platelets 80,000/cu mm, 2+ schistocytes; UA: sp gr 1.020, 2+ protein, RBC 10-20, WBC 5-10/HPF; BUN 35, and Cr 2 mg/dL.Which of the following is the most likely diagnosis? *
1 point
2. A 5-year-old boy presents with massive GI bleeding for one day. His serum creatinine is 2.0 mg/dL.Which of the following is the most likely cause of acute kidney injury? *
1 point
3. An 8-year-old girl has been hospitalized due to cellulitis of the right leg 5 days ago. On admission, cloxacillin was initiated. Physical examination reveals T 37.80C, BP 128/90 mmHg, generalize maculopapular rash at trunk and extremities. Initial investigation shows Hb 12 g/dL, WBC 8,000 (N 60, L 30, E10%), platelets 150,000/cu mm; BUN 45, Cr 2.5 mg/dL; UA: sp gr 1.015, 1+ protein, RBC 10-20/HPF and WBC casts 5-10/LPF.Which of the following pathophysiologic process is the most likely involved? *
1 point
4. Which of the following indicates that fluid bolus should be given in a critically ill oliguric patient? *
1 point
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