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Diabetic kidney disease — ABFM Board MCQ

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HardEndocrine/MetabolicDiabetic kidney diseaseABFM Board

A 67-year-old man with type 2 diabetes has A1c 8.1%, estimated GFR 68 mL/min/1.73 m², blood pressure 142/84 mm Hg, and no urinary symptoms. He has not had kidney assessment this year. Which of the following screening tests is indicated?

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

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Correct answer: D — Urine albumin-creatinine ratio with estimated GFR

Adults with diabetes should be screened for chronic kidney disease with estimated GFR and urine albumin-creatinine ratio at least annually. Albuminuria guides renoprotective treatment.

Reference: ADA Standards of Care in Diabetes, 2026; KDIGO Diabetes in CKD Guideline