Question

A 62-year-old with CKD G3b (eGFR 32 mL/min/1.73 m²) and albuminuria A3 (UACR 400 mg/g) with diabetes is on maximally tolerated ACE inhibitor and an SGLT2 inhibitor. BP controlled, K⁺ 4.6 mEq/L. Next disease-modifying addition?

Accepted Answer

Add nonsteroidal MRA (finerenone)

Answer

Stop ACE inhibitor

Answer

Start thiazide diuretic

Answer

Add calcium channel blocker

Answer

Start loop diuretic

Practice question

A 62-year-old with CKD G3b (eGFR 32 mL/min/1.73 m²) and albuminuria A3 (UACR 400 mg/g) with diabetes is on maximally tolerated ACE inhibitor and an SGLT2 inhibitor. BP controlled, K⁺ 4.6 mEq/L. Next disease-modifying addition?