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CKD Hypertension — ESENeph MCQ

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EasyHypertensionCKD HypertensionESENeph

A 35-year-old man with CKD G2A2, urine ACR 8 mg/mmol and clinic BP 142/88 mmHg has no diabetes. Which initial antihypertensive strategy best reflects UK practice?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Start an ACE inhibitor or ARB and monitor creatinine and potassium

Albuminuria provides a renal indication for ACE-inhibitor or ARB treatment when blood pressure is raised. Check creatinine and potassium after initiation and titration and avoid dual renin–angiotensin blockade. UK clinic blood-pressure targets depend on albuminuria and comorbidity; a KDIGO standardised systolic target should not be copied directly into an ordinary clinic reading.

Reference: https://www.nice.org.uk/guidance/ng203