DaVita ICHD Clinical Training Practice Test 2025 – Complete Exam Prep

A known intra-renal cause of Acute Kidney Injury (AKI) relates to conditions that directly affect the structures of the kidneys themselves. Mismanaged diabetes mellitus can lead to intrarenal complications, primarily through mechanisms like diabetic nephropathy, which involves damage to the kidney's filtering units (glomeruli) due to high blood sugar levels. This condition can progress to kidney failure if not properly managed.

Other options describe conditions that lead to AKI but do not qualify as intra-renal causes. Urinary tract obstruction typically falls under post-renal causes as it involves blockages that prevent urine from flowing out of the kidneys. Management of chronic hypertension, while crucial for kidney health, is not directly a cause of AKI but rather a broader health issue. Chronic low blood pressure can lead to pre-renal causes of AKI, resulting in inadequate blood flow to the kidneys rather than direct damage to the kidney structures themselves. Thus, mismanaged diabetes is accurately identified as an intra-renal factor contributing to acute kidney injury.