IgA-Dominant Infection-Related GN — ESENeph MCQ
Instant feedback + full explanation. One question, done properly.
Educational content. Not a substitute for clinical judgement or local policy.
Reveal the answer and explanation
Correct answer: E — Revisit goals while providing active symptom and complication management
The best answer is “Revisit goals while providing active symptom and complication management”. Comprehensive conservative kidney care is an active pathway that includes shared decisions, treatment of symptoms and complications, advance care planning and repeated review as circumstances change. “Withdraw kidney follow-up once dialysis is declined” abandons ongoing supportive nephrology. “Restrict care to analgesia during the final week of life” confuses conservative management with only terminal care. “Exclude transplantation discussion from all future reviews” makes a potentially revisable decision inflexible. “Transfer every decision to relatives without patient involvement” conflicts with patient-centred shared decision-making when capacity is present.
Reference: NICE NG107: renal replacement therapy and conservative management: https://www.nice.org.uk/guidance/ng107/chapter/Recommendations