CSR CSR Dialysis Nutrition & Renal Replacement Therapy

Question 1

What is the recommended daily protein intake for a stable adult hemodialysis patient per KDOQI guidelines?

Accepted Answer

1.2–1.4 g/kg/day

Answer

0.6–0.8 g/kg/day

Answer

0.8–1.0 g/kg/day

Answer

1.5–2.0 g/kg/day

Question 2

Which dialysis modality results in greater continuous protein and amino acid losses due to membrane permeability?

Accepted Answer

Peritoneal dialysis

Answer

Conventional hemodialysis (3×/week)

Answer

High-flux hemodialysis

Answer

Intermittent hemodiafiltration

Question 3

Intradialytic parenteral nutrition (IDPN) is clinically indicated for hemodialysis patients who have which condition?

Accepted Answer

Inadequate oral/enteral intake despite dietary counseling

Answer

Hyperphosphatemia unresponsive to binders

Answer

Hyperkalemia requiring dietary restriction

Answer

Fluid overload between sessions

Question 4

What is the typical recommended dietary phosphorus range for dialysis patients to prevent hyperphosphatemia?

Accepted Answer

800–1000 mg/day

Answer

Less than 500 mg/day

Answer

1200–1500 mg/day

Answer

No restriction needed

Question 5

Which hemodialysis frequency allows the greatest dietary fluid liberalization due to more frequent fluid removal?

Accepted Answer

Daily hemodialysis (6×/week)

Answer

Conventional hemodialysis (3×/week)

Answer

Peritoneal dialysis (4 exchanges/day)

Answer

CRRT in ICU setting

Question 6

In dialysis patients, 'dry weight' is best defined as:

Accepted Answer

The estimated post-dialysis weight representing euvolemia without excess fluid

Answer

Body weight after a 24-hour fast

Answer

Weight measured in the morning before eating

Answer

Post-exercise weight after fluid losses