CPPD Pseudogout Dialysis — ESENeph MCQ

Correct answer: D — Refer when calculated five-year kidney-failure risk exceeds 5%

The best answer is “Refer when calculated five-year kidney-failure risk exceeds 5%”. A 5-year kidney-failure risk above 5% is a NICE referral criterion, enabling earlier specialist assessment even when eGFR has not fallen below 30 mL/min/1.73m². “Refer when eGFR decline meets the NICE progression criterion” is less appropriate because NICE also uses validated kidney-failure risk, not eGFR alone “Refer when persistent ACR reaches the specified high-risk threshold” is less appropriate because that is one possible criterion but not the only route “Refer when persistent potassium abnormality remains inadequately controlled” is less appropriate because hyperkalaemia is not the sole referral criterion “Use validated kidney-failure risk alongside other UK referral criteria” is less appropriate because NICE explicitly incorporates a UK-validated KFRE pathway

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