A 68-year-old woman with stage 3b chronic kidney disease (eGFR 32 mL/min/1.73 m²) and long-standing hypertension has persistent proteinuria (uACR 25 m...

Question

A 68-year-old woman with stage 3b chronic kidney disease (eGFR 32 mL/min/1.73 m²) and long-standing hypertension has persistent proteinuria (uACR 25 mg/mmol) despite maximal RAAS blockade. According to CKD management guidance, which additional intervention best slows CKD progression and reduces cardiovascular risk?

Accepted Answer

Start an SGLT2 inhibitor if no contraindications

Answer

Strict protein restriction to less than 0.4 g/kg/day

Answer

Stop ACE inhibitor to avoid hyperkalaemia

Answer

Commence high-dose NSAIDs for pain relief

Answer

Avoid statins as they worsen kidney function

au-amc MCQ (SBA): Chronic kidney disease