QuestionSBA
QuestionChoice
Potassium is commonly elevated in patients with CKD as there is reduced excretion from the kidney. Additionally, symptoms do not coincide with hypokalaemia.
10004174
d
Potassium
QuestionChoice
Folate deficiency can result in macrocytic anaemia and is often caused by dietary insufficiency. However, due to the presence of chronic kidney disease, a deficiency in EPO is more likely.
10004175
e
Folate
QuestionChoice
This is a hormone that is naturally produced in the kidneys. It is responsible for stimulating red blood cell synthesis. A deficiency of this hormone is commonly observed in patients with kidney disease. This results in a normocytic anaemia which is what this patient is presenting with.
10004171
a
Erythropoietin (EPO)
QuestionChoice
Vitamin B12 is essential for neurological function and red blood cell synthesis. Deficiency can cause macrocytic anaemia, however, in this case, an EPO deficiency is more likely due to chronic kidney disease.
10004172
b
Vitamin B12
QuestionChoice
Vitamin C deficiency is responsible for scurvy which may present with symptoms similar to anaemia. However, given that this patient has chronic kidney disease, and there is no particular evidence they are lacking vitamin C in their diet, this answer is unlikely.
10004173
c
Vitamin C
Concept
Chapter
2693
4243
Chronic Kidney Disease
Topic
168
Renal Physiology
13381
A 55-year-old male with stage 3b Chronic Kidney Disease (CKD) presents to A&E complaining of fatigue that is interfering with his everyday life. He also looks particularly pale.

Which of the following deficiencies is likely responsible for this presentation?
a