A 66-year-old with CKD G2 A2 (UACR 120 mg/g) and diabetes asks about BP and albuminuria goals. Which is recommended?...

Question

A 66-year-old with CKD G2 A2 (UACR 120 mg/g) and diabetes asks about BP and albuminuria goals. Which is recommended?

Accepted Answer

Start ACE inhibitor/ARB and titrate to reduce albuminuria and control BP

Answer

Avoid ACEi/ARB if serum creatinine increases by any amount

Answer

Use beta-blocker alone for albuminuria reduction

Answer

Albuminuria level does not guide therapy

Answer

Delay therapy until UACR >500 mg/g

us-usmle-step-3 MCQ (SBA): Albuminuric CKD