A 62-year-old with persistent hypertension on lisinopril has UACR 210 mg/g and eGFR 68. Which next step is guideline-concordant?...

Question

A 62-year-old with persistent hypertension on lisinopril has UACR 210 mg/g and eGFR 68. Which next step is guideline-concordant?

Accepted Answer

Add thiazide-like diuretic and continue ACE inhibitor

Answer

Stop lisinopril due to albuminuria

Answer

Add direct renin inhibitor aliskiren to ACE inhibitor

Answer

Switch to ARB and stop ACE inhibitor; no diuretic

Answer

Avoid additional BP meds until UACR

us-usmle-step-3 MCQ (SBA): Hypertension in CKD