A 45-year-old with CKD and hypertension on ACEI has persistent albuminuria (UACR 250 mg/g) and potassium 4.9. Which add-on is guideline-supported to r...

Question

A 45-year-old with CKD and hypertension on ACEI has persistent albuminuria (UACR 250 mg/g) and potassium 4.9. Which add-on is guideline-supported to reduce albuminuria with careful monitoring?

Accepted Answer

Finerenone

Answer

Spironolactone 100 mg daily

Answer

Thiazide diuretic only

Answer

Beta-blocker only

Answer

Stop ACEI

"us-abim" MCQ (SBA): Albuminuria Reduction

A 45-year-old with CKD and hypertension on ACEI has persistent albuminuria (UACR 250 mg/g) and potassium 4.9. Which add-on is guideline-supported to reduce albuminuria with careful monitoring?