A 59-year-old with CKD has UACR 220 mg/g and eGFR 52 mL/min/1.73 m². BP averages 134/82 mm Hg. Which intervention slows kidney disease progression?...

Question

A 59-year-old with CKD has UACR 220 mg/g and eGFR 52 mL/min/1.73 m². BP averages 134/82 mm Hg. Which intervention slows kidney disease progression?

Accepted Answer

Start ACE inhibitor or ARB

Answer

Start thiazide diuretic only

Answer

Avoid RAAS blockade unless UACR >300 mg/g

Answer

Start SGLT2 inhibitor only

Answer

No pharmacologic therapy indicated

us-usmle-step-2 MCQ (SBA): CKD with Albuminuria