BP Target CKD No Albuminuria — ESENeph MCQ

Correct answer: D — Refer for specialist kidney assessment while considering the person’s wishes and comorbidities

The best answer is “Refer for specialist kidney assessment while considering the person’s wishes and comorbidities”. A UK-validated 4-variable Kidney Failure Risk Equation result greater than 5% at 5 years is a NICE referral criterion. Referral supports diagnosis review, risk reduction and timely kidney-failure planning while respecting wishes and comorbidities. “Continue primary-care follow-up because referral begins at a 10% 5-year risk” is less appropriate because the NICE referral threshold is greater than 5% “Refer based on a 2-year equation from another country instead of the UK-validated equation” is less appropriate because NICE specifies the UK-validated 4-variable 5-year Kidney Failure Risk Equation “Start dialysis because the calculated risk exceeds 5%” is less appropriate because the threshold prompts specialist assessment, not immediate kidney replacement therapy “Ignore risk prediction when eGFR is stable” is less appropriate because NICE uses the 5-year risk to identify people who may benefit from timely specialist assessment

Reference: NICE NG203: CKD assessment and management: https://www.nice.org.uk/guidance/ng203/chapter/Recommendations