AFRAN Monthly Quiz - November 2021 - English Version
Quiz developed by:
Mohammed Abdel Gawad (Egypt), Niakhaleen Keita (Senegal), NZANA Victorine ( Cameroon), Yannick Nlandu (Democratic republic of congo)

Find our previous quizzes at https://afran.org/quiz/
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Q1- A 55-year-old woman with type 2 diabetes mellitusand GERD is referred forfurther evaluation of progressive CKD. She hadmoderate dyspepsia 5 years ago but has had nosymptoms since starting esomeprazole.Her medicationsinclude metformin 500 mg twice daily, and captopril 25 mg daily. Her eGFR has declinedsteadily from 60 ml/min per 1.73 m2 1 year ago(serum creatinine 1.1 mg/dl) to 49 ml/min per1.73 m2 (serum creatinine 1.4 mg/dl). Her BP is 125/80 mmHg. She hasbackground diabetic retinopathy.There is noedema. Laboratory studies show serum sodium of138 mEq/L, potassium level of 4.2 mEq/L. The urine albumin-to-creatinine ratio is 100 mg/g. Which ONE of the following is the MOST appropriatemanagement? *
1 分
Q2- You are evaluating an 82-year-old woman with stage 3bCKD. Over the past 5 years, she has experiencedworsening kyphoscoliosis and vertebral bodycollapse. Laboratory studiesshow a serum PTH level of 420 pg/ml (referencerange 12–72 pg/ml), calcium level of 9.4 mg/dl,phosphorus of 5 mg/dl, alkaline phosphataselevel of 160 U/ml (reference range 36–92 U/ml). A DEXA scan shows a T scoreof 22.8 at the hip and 22.9 at the lumbarspine.Which ONE the following is true about the evaluation and managementof bone disease in CKD stage G3a–G5D? *
1 分
Q3- A 50-year-old man with ESRD who has beenreceiving maintenance hemodialysis for 6 monthsis evaluated during weekly dialysis rounds. Laboratoryvalues are calcium 11 mg/dl, phosphorus8 mg/dl, PTH 950 pg/ml (reference range 12–72pg/ml), and alkaline phosphatase 315 U/ml (referencerange 36–92 U/ml). He has been taking maximum dose ofcalcium acetate with each meal.Which ONE of the following statements regardingcinacalcet is CORRECT? *
1 分
Q4- A 33 year old from Central Africa presents with sudden onset of loin pain and haematuria. She explains that she is HIV positive and being treated with various medicines from a genitourinary clinic, including indinavir and Zidovudine.What is the most likely diagnosis? *
1 分
Q5- A 67year old man is referred to the acute medical team. He has complained of feeling unwell for 2weeks with fever,anorexia and purple rash on his legs. Blood tests performed by his general practitioner have shown a rise in creatinine from 127 to 254µmol/L (normal< 115µmol/L), together with an elevated erythrocyte sedimentation rate of 72. He has a past medical history of ischaemic heart disease, peptic ulceration and diverticulitis and had also undergone diagnostic coronary angiography 1 month previouslyWhat is the most likely diagnosis? *
1 分
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