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CKD Risk Prediction — ESENeph MCQ

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ModerateChronic Kidney DiseaseCKD Risk PredictionESENeph

A 50-year-old man presents with an eGFR of 32 mL/min/1.73m2 and uACR of 250 mg/mmol. He has no diabetes. He is on Ramipril 10 mg and Dapagliflozin 10 mg. BP is 118/72 mmHg. The KDIGO 2024 risk prediction tool estimates a 5-year kidney failure risk of 18%. What risk category does this place him in?

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

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Correct answer: A — High risk

KDIGO 2024 recommends using validated risk prediction tools (such as the Kidney Failure Risk Equation by Tangri et al) to estimate the risk of kidney failure. An 18% 5-year risk of kidney failure is considered high risk. This guides intensity of monitoring, referral decisions (generally refer to nephrology if 5-year risk ≥5%), and treatment escalation. The risk-based approach replaces rigid eGFR thresholds for management decisions.

Reference: https://guidelines.ukkidney.org