Nephrology: anaemia of CKD: practice question

A General Medicine question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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General Medicine · Nephrology: anaemia of CKD

Sample item

A patient on dialysis has haemoglobin of 8 g/dL with normal transferrin saturation and ferritin. What is the treatment?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Erythropoiesis-stimulating agent after ensuring iron stores

Anaemia of CKD results mainly from deficient erythropoietin production. ESAs are used once iron deficiency is corrected, with a typical target haemoglobin of 10 to 11.5 g/dL to avoid thrombotic risk. Transfusions are avoided in transplant candidates to prevent sensitisation.

Option by option

  • A. Oral vitamin B12 only

    B12 deficiency is not the cause here.

  • B. Corticosteroids

    Steroids do not treat the cause.

  • C. Repeated transfusions

    Transfusion is for emergencies, not routine.

  • D. Erythropoiesis-stimulating agent after ensuring iron stores (correct)

    Correct. ESA with adequate iron is standard.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More General Medicine questions

Questions about this General Medicine question

What is the answer to this General Medicine question?

The best answer is D, Erythropoiesis-stimulating agent after ensuring iron stores. Anaemia of CKD results mainly from deficient erythropoietin production.

Why is "Oral vitamin B12 only" not the answer?

B12 deficiency is not the cause here.

Why is "Corticosteroids" not the answer?

Steroids do not treat the cause.

Why is "Repeated transfusions" not the answer?

Transfusion is for emergencies, not routine.

What concept does this question test?

It tests Nephrology: anaemia of CKD in General Medicine. ESAs are used once iron deficiency is corrected, with a typical target haemoglobin of 10 to 11.5 g/dL to avoid thrombotic risk. Transfusions are avoided in transplant candidates to prevent sensitisation.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Nephrology: anaemia of CKD?

For each disease know the classic presentation, the best test, and the first-line treatment. Then use the flashcards and the other General Medicine questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.