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Peritoneal Dialysis Selection — RACP Adult Medicine MCQ

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ModerateNephrologyPeritoneal Dialysis SelectionRACP Adult Medicine

A 45-year-old woman with ESKD chooses home-based dialysis. She works full-time, has good manual dexterity, and has no abdominal adhesions from prior surgery. She prefers treatment flexibility. What is the most appropriate long-term dialysis modality?

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Correct answer: B — Peritoneal dialysis via Tenckhoff catheter

Peritoneal dialysis (PD) is ideal for patients preferring home-based, flexible therapy who work full-time. Automated PD (APD) allows overnight exchanges during sleep. Advantages: preserved residual renal function, independence, no vascular access needed, and lower initial cost. Contraindications include extensive abdominal adhesions, active peritoneal infection, and inadequate peritoneal membrane.

Reference: KHA-CARI – 2024 – Peritoneal Dialysis; ISPD 2024