A 54-year-old with chronic kidney disease (eGFR 42 mL/min/1.73 m²; UACR 520 mg/g) and T2DM is on maximally tolerated ACE inhibitor. Which additional t...

Question

A 54-year-old with chronic kidney disease (eGFR 42 mL/min/1.73 m²; UACR 520 mg/g) and T2DM is on maximally tolerated ACE inhibitor. Which additional therapy slows CKD progression and CV events?

Accepted Answer

Add SGLT2 inhibitor if eGFR ≥20 mL/min/1.73 m²

Answer

Add DPP-4 inhibitor

Answer

Switch ACE inhibitor to direct renin inhibitor

Answer

Stop RAAS blockade due to albuminuria

Answer

Start NSAID for proteinuria reduction

us-abim MCQ (SBA): Chronic Kidney Disease

A 54-year-old with chronic kidney disease (eGFR 42 mL/min/1.73 m²; UACR 520 mg/g) and T2DM is on maximally tolerated ACE inhibitor. Which additional therapy slows CKD progression and CV events?