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Which of these may be seen in an individual with Chronic Kidney Disease?W. Oedema in lungs and periphery due to increased protein (albumin) production.X.  Anaemia due to reduced EPO production.Y.  Uraemia due to reduced excretion of waste and toxins.Z.  Decreased bone mineralisation due to loss of vitamin D production.Question 21Select one:a.if only W, X and Y are correctb.if only W and Y are correctc.if only X and Z are correctd.if only Z is correcte.if all are correct

Question

Which of these may be seen in an individual with Chronic Kidney Disease?W. Oedema in lungs and periphery due to increased protein (albumin) production.X.  Anaemia due to reduced EPO production.Y.  Uraemia due to reduced excretion of waste and toxins.Z.  Decreased bone mineralisation due to loss of vitamin D production.Question 21Select one:a.if only W, X and Y are correctb.if only W and Y are correctc.if only X and Z are correctd.if only Z is correcte.if all are correct

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Solution

The correct answer is c. if only X and Z are correct.

Explanation:

W. Oedema in lungs and periphery due to increased protein (albumin) production. This is incorrect. In Chronic Kidney Disease (CKD), there is actually a decrease in albumin production which can lead to oedema, not an increase.

X. Anaemia due to reduced EPO production. This is correct. In CKD, the kidneys can't make enough erythropoietin (EPO), a hormone that helps red blood cells carry oxygen to the body. This can lead to anaemia.

Y. Uraemia due to reduced excretion of waste and toxins. This is incorrect. Uraemia is indeed a condition that can occur in CKD, but it's due to the kidneys' inability to filter waste and toxins from the blood, not due to reduced excretion.

Z. Decreased bone mineralisation due to loss of vitamin D production. This is correct. In CKD, the kidneys are less able to convert vitamin D into its active form, which can lead to decreased bone mineralisation.

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