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Chronic Kidney Disease — ESENeph MCQ

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ModerateNephrologyChronic Kidney DiseaseESENeph

A 55-year-old with CKD has eGFR 25 mL/min/1.73 m² and UACR 520 mg/g. Which threshold mandates nephrology referral per guidance?

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Correct answer: D — eGFR <30 mL/min/1.73 m² and/or UACR ≥300 mg/g

KDIGO suggests referral for eGFR <30 and/or severely increased albuminuria (UACR ≥300 mg/g), rapid decline, refractory hypertension, or other specific indications. Less severe categories can be managed initially in primary/specialty care.

Reference: KDIGO Guideline (2024): Evaluation and Management of Chronic Kidney Disease