A 57-year-old man with type 2 diabetes diagnosed 4 years ago comes for routine follow-up. Hemoglobin A1c is 7.4%. Blood pressure is 128/76 mm Hg. He

Question

A 57-year-old man with type 2 diabetes diagnosed 4 years ago comes for routine follow-up. Hemoglobin A1c is 7.4%. Blood pressure is 128/76 mm Hg. He has no edema or urinary symptoms. Which of the following is the most appropriate screening recommendation?

Accepted Answer

Annual urine albumin-to-creatinine ratio and estimated GFR

Answer

Urinalysis when urinary symptoms develop

Answer

Renal CT angiography annually

Answer

Delay kidney screening until insulin is required

Answer

Kidney biopsy every 5 years

Diabetic kidney disease screening — USMLE Step 3 MCQ

A 57-year-old man with type 2 diabetes diagnosed 4 years ago comes for routine follow-up. Hemoglobin A1c is 7.4%. Blood pressure is 128/76 mm Hg. He has no edema or urinary symptoms. Which of the following is the most appropriate screening recommendation?