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Question 1: A 76 year old female with chronic kidney disease has recurrent gout flares. She is also being treated for hypertension with HCTZ, hyperlipidemia with Lipitor and heart failure. What would be the appropriate treatment regimen?


  1. Probenecid and stopping Hydrochlorothiazide

  2. Allopurinol and stopping Hydrochlorothiazide

  3. Allopurinol and continuing Hydrochlorothiazide

  4. Pegloticase and stopping Hydrochlorothiazide

  5. Colchicine and continuing Lipitor


Reference: December 15, 2014, Volume 90, Number 12, article “Diagnosis, Treatment, and Prevention of Gout” pp 831-835

Question 2: A 75-year-old male with Non-insulin dependent diabetes mellitus comes to the clinic to establish care. You calculate his glomerular filtration rate to be 37. According to the Kidney Disease Outcome Quality Initiative (KDOQI), in what stage of chronic kidney disease is he?


  1. Stage 1

  2. Stage 2

  3. Stage 3

  4. Stage 4

  5. Stage 5


Reference: 1. Kerri Cavanaugh, MD: Diabetes Management Issues for Patients with Chronic Kidney Disease, Clinical Diabetes 25, No. 3 : 90, 2007. 2. Levey AS, Coresh J, Balk E, Kausz AT, Levin A, Steffes MW, Hogg RJ, Perrone RD, Lau J, Eknoyan G: National Kidney Disease Foundation Practice Guidelines for Chronic Kidney Disease: Evaluation, Classification, and Stratification. Ann Intern Med 139: 140, 2003. 3.Ibid.

Nephrology Question Bank


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