A 58-year-old with CKD G3a (eGFR 50 mL/min/1.73 m²) and albuminuria (UACR 420 mg/g) has BP 122/76 mm Hg. Best renoprotective therapy to initiate?...

Question

A 58-year-old with CKD G3a (eGFR 50 mL/min/1.73 m²) and albuminuria (UACR 420 mg/g) has BP 122/76 mm Hg. Best renoprotective therapy to initiate?

Accepted Answer

ACE inhibitor (or ARB) for albuminuria reduction

Answer

Thiazide diuretic

Answer

SGLT2 inhibitor only

Answer

No therapy because BP is normal

Answer

Calcium channel blocker only

us-usmle-step-2 MCQ (SBA): Chronic Kidney Disease (Albuminuric)