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Chronic kidney disease – Part 1: The paradigm shift from late diagnosis to earlier diagnosis and even prediction! (Crystal ball?)
Présenté par Søren Boysen D.M.V., Dipl. ACVECC, Serge Chalhoub B. Sc., D.M.V., Dipl. ACVIM (médecine interne des animaux de compagnie)
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Chronic kidney disease – Part 1: The paradigm shift from late diagnosis to earlier diagnosis and even prediction! (Crystal ball?)
Nom
Prénom
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Nom de famille
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Numéro de permis
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Province où situe votre clinique
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Courriel
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Questions
1. Concerning creatinine as a biomarker of renal function, which statement is most accurate?
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Creatinine is a very reliable indicator of early kidney dysfunction
BUN is more sensitive than creatinine for detection of kidney disease
Once elevated, creatinine is relatively specific for decreased GFR
USG is by far the most reliable measure of changes in GFR
2. Concerning the prediction of CKD in cats, which of the following has not been shown to be helpful?
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Proteinuria
High-normal creatinine
Diet
Recent anesthesia
3. Considering the pathophysiology of CKD, what is the current model of likely development of most chronic kidney dysfunction in cats?
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Chronic RAAS activation
Ureteroliths
Glomerular disease
Multiple active kidney injury
4. Which of the following is not an early biomarker or tool used to diagnose kidney disease prior to azotemia?
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RenalTech
SDMA
FGF-23
fPLI
5. Of the following dietary components, which would be most beneficial to reduce for an early CKD diet?
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Phosphorus
Chloride
Potassium
Omega-3 fatty acids
6. Renal azotemia is generally identified when what percentage of nephron mass is already lost?
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33%
50%
66%
75%
7. What percentage of cats over 10 years of age are thought to have CKD?
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25%
30–40%
75%
80–90%
8. If an Antech RenalTech result from a feline patient is “positive,” we can say that:
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The patient definitively has CKD
The patient is highly likely to develop CKD within 2 years
The patient is highly unlikely to develop CKD within 2 years
The patient definitively does not have CKD
9. A 15-yo FS cat presents for her one-year CKD recheck. Owner reports she is doing quite well but is eating less and has lost weight. Labs indicate creatinine of 330 umol/L (slightly higher than 1 year ago) and SDMA of 40 mg/dL. What is her stage of CKD?
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Stage 1
Stage 2
Stage 3
Stage 4
10. Please fill in the blanks: Serum ________, but not ________, is impacted by a decrease in lean body mass.
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SDMA, creatinine
SDMA, phosphorus
Creatinine, SDMA
Creatinine, phosphorus
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Animaux
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