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Edited by Yimaitong, please do not reprint without authorization.
Challenge yourself and accumulate knowledge.
What, another exam? NO! This is just a playoff game.
The Endocrinology Department of Yimaitong has set up a column of "Passing Customs' Secret Language", which aims to help everyone consolidate or update endocrine-related knowledge in a relaxed and pleasant learning atmosphere.
Each issue contains about 5 multiple-choice questions.
The content is mainly based on authoritative guides/consensus at home and abroad.
References or links to related articles will be marked in the analysis part for everyone to review and review.
The content of this quiz is based on the "Chinese Guidelines for Clinical Diagnosis and Treatment of Diabetic Kidney Disease" published in the Chinese Journal of Nephrology in March this year.
Get ready and let's answer the questions together.
Multiple choice questions 1.
What is the gold standard for DKD diagnosis? A: eGFR<60ml/min/1.
73m^2, lasting more than 3 months B: Kidney pathology examination C: Diabetic fundus changes appear, click on the blank space below to get the answer (slideable) Answer: B Analysis: "Guide" indicates diabetes Ocular fundus changes can be used as an auxiliary basis for judgment, but renal pathological examination is the "gold standard" for the diagnosis of DKD.
True or False Question 2.
DKD can be diagnosed in diabetic patients with UACR>30mg/g or UAER>30mg/24h.
A: Right B: Wrongly click the blank space below to get the answer (slideable) Answer: B Analysis: The "Guide" points out: The patient meets the diagnostic criteria for DM and has a clear history of DM, and there is a causal relationship with urine protein and renal function changes, and Excluding other primary and secondary glomerular diseases and systemic diseases, DKD can be diagnosed if one of the following conditions is met: ➤UACR>30mg/g or UAER>30mg/24h, and repeat the examination within 3-6 months UACR or UAER, 2 out of 3 times reached or exceeded the critical value; and other interfering factors such as infection were excluded; ➤eGFR<60ml/min/1.
73m^2, lasting for more than 3 months; ➤Kidney biopsy meets DKD pathological changes. True or False Question 3.
Patients with diabetic nephropathy will definitely decrease eGFR and increase urine albumin.
A: Right B: Wrongly click the blank space below to get the answer (slideable) Answer: B Resolution: The "Guide" points out: The clinical diagnosis of DKD is usually based on increased urine albumin excretion and/or decreased eGFR, and excludes kidney damage caused by other reasons However, clinically, a considerable part of DM patients only show reduced eGFR, while urine albumin is within the normal range, which is called "normal albuminuria diabetic nephropathy.
"
Multiple choice question 4.
Regarding the English abbreviation of "Normal Albuminuria Diabetic Nephropathy", what are the recommendations of the "Guide"? A: ZCDKDB: NADNC: NADKD Click on the blank space below to get the answer (slideable) Answer: C Resolution: "Guide" mentions: The current naming of albuminuria DKD varies according to literature reports.
For a unified understanding, it is recommended to use NADKD is used as the name of this special clinical type of DKD.
True or False 1.
"Normal albuminuria diabetic nephropathy" is very rare in clinical practice.
A: Right B: Wrongly click on the blank space below to get the answer (slideable) Answer: B Analysis: "Guide" mentions: There are a considerable number of patients with DM in the clinic that only show reduced eGFR, while urine albumin is within the normal range.
With the increase in the prevalence of diabetes, this situation will become more and more common.
It has been reported in the literature that the incidence of NADKD in T2DM patients is 10%-50%.
Reference material: Expert Group of Nephrology Branch of Chinese Medical Association.
Chinese Guidelines for Clinical Diagnosis and Treatment of Diabetic Nephropathy[J].
Chinese Journal of Nephrology, 2021, 37(3): 255-304.
Challenge yourself and accumulate knowledge.
What, another exam? NO! This is just a playoff game.
The Endocrinology Department of Yimaitong has set up a column of "Passing Customs' Secret Language", which aims to help everyone consolidate or update endocrine-related knowledge in a relaxed and pleasant learning atmosphere.
Each issue contains about 5 multiple-choice questions.
The content is mainly based on authoritative guides/consensus at home and abroad.
References or links to related articles will be marked in the analysis part for everyone to review and review.
The content of this quiz is based on the "Chinese Guidelines for Clinical Diagnosis and Treatment of Diabetic Kidney Disease" published in the Chinese Journal of Nephrology in March this year.
Get ready and let's answer the questions together.
Multiple choice questions 1.
What is the gold standard for DKD diagnosis? A: eGFR<60ml/min/1.
73m^2, lasting more than 3 months B: Kidney pathology examination C: Diabetic fundus changes appear, click on the blank space below to get the answer (slideable) Answer: B Analysis: "Guide" indicates diabetes Ocular fundus changes can be used as an auxiliary basis for judgment, but renal pathological examination is the "gold standard" for the diagnosis of DKD.
True or False Question 2.
DKD can be diagnosed in diabetic patients with UACR>30mg/g or UAER>30mg/24h.
A: Right B: Wrongly click the blank space below to get the answer (slideable) Answer: B Analysis: The "Guide" points out: The patient meets the diagnostic criteria for DM and has a clear history of DM, and there is a causal relationship with urine protein and renal function changes, and Excluding other primary and secondary glomerular diseases and systemic diseases, DKD can be diagnosed if one of the following conditions is met: ➤UACR>30mg/g or UAER>30mg/24h, and repeat the examination within 3-6 months UACR or UAER, 2 out of 3 times reached or exceeded the critical value; and other interfering factors such as infection were excluded; ➤eGFR<60ml/min/1.
73m^2, lasting for more than 3 months; ➤Kidney biopsy meets DKD pathological changes. True or False Question 3.
Patients with diabetic nephropathy will definitely decrease eGFR and increase urine albumin.
A: Right B: Wrongly click the blank space below to get the answer (slideable) Answer: B Resolution: The "Guide" points out: The clinical diagnosis of DKD is usually based on increased urine albumin excretion and/or decreased eGFR, and excludes kidney damage caused by other reasons However, clinically, a considerable part of DM patients only show reduced eGFR, while urine albumin is within the normal range, which is called "normal albuminuria diabetic nephropathy.
"
Multiple choice question 4.
Regarding the English abbreviation of "Normal Albuminuria Diabetic Nephropathy", what are the recommendations of the "Guide"? A: ZCDKDB: NADNC: NADKD Click on the blank space below to get the answer (slideable) Answer: C Resolution: "Guide" mentions: The current naming of albuminuria DKD varies according to literature reports.
For a unified understanding, it is recommended to use NADKD is used as the name of this special clinical type of DKD.
True or False 1.
"Normal albuminuria diabetic nephropathy" is very rare in clinical practice.
A: Right B: Wrongly click on the blank space below to get the answer (slideable) Answer: B Analysis: "Guide" mentions: There are a considerable number of patients with DM in the clinic that only show reduced eGFR, while urine albumin is within the normal range.
With the increase in the prevalence of diabetes, this situation will become more and more common.
It has been reported in the literature that the incidence of NADKD in T2DM patients is 10%-50%.
Reference material: Expert Group of Nephrology Branch of Chinese Medical Association.
Chinese Guidelines for Clinical Diagnosis and Treatment of Diabetic Nephropathy[J].
Chinese Journal of Nephrology, 2021, 37(3): 255-304.