A 61-year-old with hypertension (UACR 120 mg/g, eGFR 70 mL/min/1.73 m²) has no diabetes. BP is 146/88 mm Hg on amlodipine alone. Which change is recom...

Question

A 61-year-old with hypertension (UACR 120 mg/g, eGFR 70 mL/min/1.73 m²) has no diabetes. BP is 146/88 mm Hg on amlodipine alone. Which change is recommended to slow CKD progression?

Accepted Answer

Start an ACE inhibitor or ARB

Answer

Add thiazide only

Answer

Start an SGLT2 inhibitor only

Answer

Add spironolactone despite normal K⁺

Answer

No change; albuminuria is benign at this level

us-abfm MCQ (SBA): CKD with Albuminuria

A 61-year-old with hypertension (UACR 120 mg/g, eGFR 70 mL/min/1.73 m²) has no diabetes. BP is 146/88 mm Hg on amlodipine alone. Which change is recommended to slow CKD progression?