A 78-year-old woman with poorly controlled diabetes and peripheral vascular disease presents with serum creatinine 220 µmol/L, eGFR 22 mL/min/1.73 m² ...

Question

A 78-year-old woman with poorly controlled diabetes and peripheral vascular disease presents with serum creatinine 220 µmol/L, eGFR 22 mL/min/1.73 m² and persistent albuminuria. According to CKD guidance, which class of medication is recommended to slow progression of kidney disease?

Accepted Answer

ACE inhibitor or ARB titrated to maximum tolerated dose

Answer

Thiazide diuretic alone

Answer

Calcium-channel blocker only

Answer

Loop diuretic alone

Answer

No pharmacologic therapy can slow progression

ca-mccqe1 MCQ (SBA): Chronic kidney disease with albuminuria

A 78-year-old woman with poorly controlled diabetes and peripheral vascular disease presents with serum creatinine 220 µmol/L, eGFR 22 mL/min/1.73 m² and persistent albuminuria. According to CKD guidance, which class of medication is recommended to slow progression of kidney disease?