You Are Monitoring a Patient in Your Nephrology Clinic Whose

Multiple Choice

You are monitoring a patient in your nephrology clinic whose serum creatinine concentration has risen from 1.0 to 4.0 mg/dL over a period of 5 years. Which of the following additional changes, compared with normal, would you expect to find in this patient? Assume steady-state conditions and that he has maintained the same diet.

A) Decreased filtered load of creatinine
B) Decreased renal sodium excretion
C) Decreased maximal urine concentrating ability
D) Alkalosis
E) Increased renal blood flow