A 58-year-old man with CKD G3b A2 and T2D on ACEi and SGLT2 inhibitor has potassium 5.1 mEq/L. Which additional therapy best balances renal and CV ben...

Question

A 58-year-old man with CKD G3b A2 and T2D on ACEi and SGLT2 inhibitor has potassium 5.1 mEq/L. Which additional therapy best balances renal and CV benefit?

Accepted Answer

Add finerenone with careful K+ monitoring

Answer

Add spironolactone 50 mg daily

Answer

Stop SGLT2 inhibitor to reduce K+

Answer

Start NSAID for proteinuria

Answer

Add dual RAAS blockade (ACEi + ARB)

us-usmle-step-2 MCQ (SBA): CKD Combined Therapy

A 58-year-old man with CKD G3b A2 and T2D on ACEi and SGLT2 inhibitor has potassium 5.1 mEq/L. Which additional therapy best balances renal and CV benefit?