Chronic Kidney Disease (CKD): ABFM practice questions

12 board-style questions on chronic kidney disease (ckd) in the PulseMD family medicine question bank, written against current guidelines with the reference cited on each question. Two free samples below; the full set with answers, explanations, and spaced review is free to start.

Sample question 1

A 59-year-old man with type 2 diabetes and stage 3b chronic kidney disease (eGFR 38 mL/min) is on metformin 1000 mg twice daily with an HbA1c of 8.4%. He has albuminuria (UACR 350 mg/g). His blood pressure is 138/86 mmHg on lisinopril 20 mg daily. He has no history of heart failure. According to ADA guidelines, which medication should be added to improve both glycemic and renal outcomes?

1. Insulin glargine 10 units at bedtime
2. Sitagliptin 50 mg daily
3. Pioglitazone 30 mg daily
4. Dapagliflozin 10 mg daily

Sample question 2

A 68-year-old man with bilateral knee osteoarthritis has been managing his symptoms with acetaminophen 1000 mg three times daily and regular walking, but his pain has progressively worsened and now limits his daily activities. He has a history of stage 3 CKD (eGFR 38 mL/min) and a prior GI bleed from an NSAID-related gastric ulcer 2 years ago. His BMI is 28 kg/m2. What is the most appropriate next step in pharmacologic management?

1. Add glucosamine and chondroitin supplementation
2. Start tramadol 50 mg every 6 hours as needed
3. Prescribe topical diclofenac gel to the affected knees
4. Switch to celecoxib 200 mg daily with a proton pump inhibitor

Create a free PulseMD account to answer these, see the explanations, and practice five minutes a day.

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