🏥 USMLE Exam Prep

Prerenal acute kidney injury is characterized by:

A Kidney stone obstruction
B Decreased renal perfusion leading to elevated BUN/creatinine ratio greater than 20:1 with low fractional excretion of sodium
C Glomerulonephritis
D Drug toxicity

✓ Correct Answer: Option B

Prerenal AKI: decreased renal blood flow (dehydration, CHF, shock). BUN:Cr >20:1, FENa <1%, concentrated urine (high specific gravity). Kidneys are intrinsically normal — respond to volume resuscitation.

Related USMLE Exam Prep Questions