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Lesson 40 Certification Review Quiz

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Question 1 of 10

1. Question
What characterizes kidney damage?
- a. Increased urinary albumin excretion
- b. Decreased kidney function (via EGFR) for three or more months
- c. Unregulated hormone production
- d. A & B
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Question 2 of 10

2. Question
Since uric acid is a purine byproduct, restricting foods high in purines lowers uric acid levels and is the primary method to prevent attacks.
- a. True. Foods like organ meat, shellfish, and red meat are the highest in purines and should be eaten in moderation.
- b. False. Consumption of both dietary purines and protein increases the excretion of uric acid, suggesting that the body can regulate purine levels.
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Question 3 of 10

3. Question
What are the top two causes of chronic kidney disease?
- a. Use of NSAIDs and ACE inhibitor drugs
- b. Kidney stones and urinary obstruction
- c. Type 2 diabetes and hypertension
- d. Hypotension and fluid loss via diarrhea and vomiting
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Question 4 of 10

4. Question
What is one possible cause of slightly elevated creatinine alone?
- a. Dehydration
- b. Increased muscle mass
- c. Obesity
- d. Heart failure
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Question 5 of 10

5. Question
What nutritional consideration(s) need to be made in chronic kidney disease?
- a. Ensuring adequate magnesium intake
- b. Balancing fat-soluble vitamin intake
- c. Reducing sodium intake in sensitive patients
- d. All of the above
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Question 6 of 10

6. Question
Excess fructose intake is a potential trigger of gout, so avoiding fruits is advised for these patients.
- a. True. All fructose is known to have uric acid-elevating effects.
- b. False. Research has shown that fructose in whole foods like fruit does not significantly contribute to metabolic disease.
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Question 7 of 10

7. Question
What micronutrient imbalance(s) may trigger gout?
- a. Excess vitamin A
- b. Vitamin C deficiency
- c. Iron overload
- d. B & C
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Question 8 of 10

8. Question
Rhabdomyolysis, which involves a rapid breakdown of skeletal muscle tissue, is a rare and very serious condition that is detectable by which biomarker abnormality?
- a. Very high creatinine levels
- b. Increased creatinine kinase (CK)
- c. Very low LDH, AST, and ALT
- d. High interleukin 6 and CRP
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Question 9 of 10

9. Question
Which of the following are part of the follow up testing for impaired kidney function?
- a. Cystatin C
- b. UA with microscopy
- c. Urine microalbumin/creatinine ratio
- d. All of the above
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Question 10 of 10

10. Question
What is the most common cause of BUN elevation in the absence of other markers of kidney dysfunction?
- a. Dehydration
- b. High salt intake
- c. High protein intake
- d. A & C
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