Chronic kidney disease Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 63-year-old woman presents to the emergency department due to two weeks of worsening fatigue, decreased urination, and lower extremity swelling. The patient was previously seen one year ago in the clinic, but she did not follow up at that time. She takes no medications. Temperature is 37.4 ºC (99.3 ºF), pulse is 84/min, and blood pressure is 146/88 mmHg. On physical examination, there is mild pitting edema bilaterally up to the proximal tibia. Urinalysis shows no white blood cells. Bloodwork is obtained and results are shown below. CT of the abdomen and pelvis without contrast shows no acute abnormalities. Which of the following should be ordered next to help make a diagnosis in this patient?  

Serum Test
Lab Value
Reference Range
Hemoglobin
9.8 g/dL (12.0 g/dL one year ago)
12-16 g/dL
Sodium
131 mEq/L
1366-146 mEq/L
Potassium
6.6 mEq/L
3.5-5 mEq/L
Chloride
90 mEq/L
95-105 mEq/L
Bicarbonate
18 mEq/L
22-28 mEq/L
BUN
60 mg/dL
0.6-1.2 mg/dL
Creatinine
2.2 mg/dL (baseline: 1.8 mg/dL)
0.6-1.2 mg/dL

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