skip to main content

Stable CKD metabolic acidosis — USMLE Step 3 MCQ

Instant feedback + full explanation. One question, done properly.

ModerateInternal Medicine (chronic management)Stable CKD metabolic acidosisUSMLE Step 3

A 58-year-old man with CKD stage 4 has bicarbonate 17 mEq/L on two visits. He has no volume overload and blood pressure is controlled. Which of the following would you recommend at the follow-up visit?

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

Reveal the answer and explanation

Correct answer: B — Treat chronic metabolic acidosis with oral alkali if appropriate

Chronic metabolic acidosis in CKD is treated with oral alkali when appropriate to reduce complications and progression risk.

Reference: KDIGO chronic kidney disease guidance