Which calculation BEST estimates dry weight assessment in a hemodialysis patient with persistent hypertension and edema?
Cdr Csr Nutrition Assessment
Question · Medium
A 62-year-old man on in-center hemodialysis has a serum albumin of 3.2 g/dL, BMI 21, and reports decreased appetite for 3 months. Which assessment tool is MOST validated for diagnosing protein-energy wasting (PEW) in dialysis patients?
Chapter 1: Exam Overview & Kidney Disease Foundations
1.1 CDR CSR Exam Structure, Eligibility, Logistics & the 2023 Content Outline
Study guide
Which method does KDOQI 2020 recommend for routinely assessing protein intake in maintenance hemodialysis patients?
Question · Hard
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What is the equation most commonly used to estimate GFR in adult CKD staging?
Question · Easy
A patient with eGFR of 28 mL/min/1.73 m2 and 800 mg/day of urinary albumin would be classified as which CKD stage and albuminuria category?
When measuring height in a non-ambulatory adult dialysis patient, which method is MOST appropriate?
1.2 Renal Anatomy, Physiology & Glomerular Hemodynamics
A peritoneal dialysis patient using 4 exchanges of 2 L 2.5% dextrose dialysate gains approximately how many kcal per day from glucose absorption?
Which biochemical parameter is the BEST single indicator of recent dietary phosphorus intake in a stable HD patient?
Adjusted body weight is recommended in CKD nutrition assessment when actual body weight differs from standard body weight by what threshold?
Which nutrition-focused physical exam (NFPE) finding is MOST suggestive of muscle wasting in a chronic HD patient?
1.3 CKD Etiology, KDIGO Staging & Progression Risk
Which marker reflects iron stores and is typically required to be above 200 ng/mL in HD patients receiving ESAs?
A patient on PD reports a serum sodium of 132 mEq/L. The MOST common nutrition-related cause in PD is:
Calcium-phosphorus product should be maintained below what value to minimize vascular calcification risk?
In a stable HD patient with intact PTH of 850 pg/mL, the MOST likely interpretation is:
Chapter 2: Domain 1 — Anthropometric & Body Composition Assessment
2.1 Dry Weight Determination, Fluid Assessment & Interdialytic Weight Gain
Which lab finding in a HD patient suggests inadequate dialysis dose rather than dietary protein excess?
Which finding is MOST consistent with hypervolemia in a HD patient?
A patient on hemodialysis for 5 years has handgrip strength below the 10th percentile and SGA score of B. These findings MOST strongly support which assessment?
Which finding on assessment would suggest that a CKD stage 3 patient needs evaluation for diabetic kidney disease as the primary etiology?
2.2 Anthropometric Measurement Standards (Knee Height, Skinfolds, Frame Size)
A pediatric patient on hemodialysis has a height-for-age z-score of -2.3. This finding is BEST classified as:
What is the recommended frequency of comprehensive nutrition reassessment for stable in-center HD patients per CMS Conditions for Coverage?
Which assessment finding suggests aluminum toxicity should be considered in a long-term HD patient?
Which water-soluble vitamin is MOST likely to be deficient in HD patients due to dialysate losses and dietary restriction?
2.3 Body Composition Analysis: BIA, BIS, DXA & Handgrip Dynamometry
A CKD stage 4 patient has serum bicarbonate of 19 mEq/L. KDOQI recommends maintaining serum bicarbonate at what level to slow CKD progression?
A HD patient's monthly labs show albumin 3.0 g/dL, CRP 25 mg/L, and ferritin 850 ng/mL. The MOST likely interpretation is:
What is the expected energy requirement (kcal/kg/day) for a stable adult on maintenance HD per KDOQI 2020?
An older adult with CKD G4 has unintended 7% weight loss over 3 months and reduced food intake. Which assessment finding is MOST critical to differentiate uremia-induced anorexia from depression-related anorexia?
Chapter 3: Domain 1 — Nutrition-Focused Physical Findings & PEW Assessment Tools
3.1 Protein-Energy Wasting (PEW) Diagnostic Criteria & Pathophysiology
Which laboratory pattern would BEST support a diagnosis of refeeding syndrome in a previously malnourished CKD patient who restarts oral intake?
Which clinical sign is consistent with severe hyperkalemia (>6.5 mEq/L) requiring urgent intervention?
Which assessment best reflects long-term glycemic control in a HD patient with diabetes?
Which factor would MOST appropriately raise calorie needs above the standard KDOQI estimate?
3.2 Subjective Global Assessment (7-Point SGA) in Dialysis
A patient on home hemodialysis 5x/week, 3 hours per session, will have which expected differences from standard 3x/week in-center HD?
Which patient factor would MOST likely trigger an acute reassessment outside the regular schedule?
Which item is MOST important to include when assessing food access for a dialysis patient?
What is the appropriate target serum phosphorus range for HD patients per KDIGO?
3.3 Malnutrition Inflammation Score (MIS) & Scoring Protocols
A peritoneal dialysis patient has a high transporter status on PET test. Implications for nutrition assessment include:
In a transplant candidate undergoing pre-transplant nutrition assessment, which factor is MOST important to evaluate?
A HD patient with recent 8% unintentional weight loss, BMI 19, MIS score of 12, decreased intake, and decreased grip strength MOST appropriately receives which PES statement?
Cdr Csr Nutrition Diagnosis
Which is the MOST appropriate PES statement for a HD patient with serum K of 6.2 mEq/L, daily potassium intake of 4,500 mg, and frequent consumption of bananas, oranges, and potatoes?
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