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Rhabdomyolysis-induced AKI — SCE Acute Medicine MCQ

Instant feedback + full explanation. One question, done properly.

HardAcute Renal and Metabolic EmergenciesRhabdomyolysis-induced AKISCE Acute Medicine

A 76-year-old man presents with vomiting, weakness, confusion or collapse. Relevant history includes diabetes, kidney disease, endocrine disease or a treatment trigger. On assessment, volume status and bedside physiology are abnormal. Investigations show CK 84000, dark urine, hyperkalaemia and rising creatinine. What is the most appropriate next step in management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Give aggressive intravenous crystalloid and monitor for compartment syndrome

The key discriminator is that CK 84000, dark urine, hyperkalaemia and rising creatinine, which makes Give aggressive intravenous crystalloid and monitor for compartment syndrome the single best answer. Arrange routine outpatient follow-up is less appropriate because it does not address the dominant acute risk in the vignette; Give analgesia and antiemetic therapy would fit a different presentation or later stage of care. Arrange urgent specialist referral and Provide supportive care and close monitoring are suboptimal because they would either delay time-critical treatment or follow the wrong acute pathway. Teaching point: SCE-style acute medicine questions usually test prioritisation using physiology, timing and a guideline-defined threshold, rather than isolated factual recall.

Reference: NICE NG148; UKKA AKI guidance