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Radiology · Contrast safety
Sample itemWhich patient factor increases concern for iodinated contrast-associated kidney injury and warrants risk assessment?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Severely reduced baseline renal function
Severely impaired baseline kidney function increases concern around iodinated contrast use, so the clinical benefit, alternative imaging, hydration status, medication context, and local protocol should be considered before administration.
Option by option
A. A healed finger fracture
A healed fracture does not change contrast nephrotoxicity risk.
B. Severely reduced baseline renal function (correct)
Correct: low baseline renal function is an important contrast risk factor.
C. Mild seasonal rhinitis
Seasonal rhinitis is not a typical kidney-risk factor for contrast decisions.
D. Normal visual acuity
Visual acuity does not determine iodinated contrast renal risk.
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.
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