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Acute kidney injury

A practice question in the style of the PLAB 1 exam. Choose your answer to see the explanation.

A 70-year-old man has AKI with fever, loin pain and an ultrasound showing a dilated, infected kidney. What is the most urgent management?

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The answer is C: Urgent nephrostomy or stenting, within 12 hours of diagnosis.

An infected obstructed kidney (pyonephrosis) needs drainage within 12 hours of diagnosis, together with antibiotics.

This question comes from Week 5 of PLAB Vault: Kidneys, fluids and blood. That week has 124 more exam-style questions like it, 5 short lessons and 154 flashcards. The course starts free with Week 1 and reaches this topic in week 5, as part of a four-month plan with full mock exams along the way.

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