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CKD screening — RCPSC IM MCQ

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EasyNephrologyCKD screeningRCPSC IM

A 59-year-old woman with hypertension and type 2 diabetes attends annual review. Creatinine is 84 umol/L and eGFR is 71 mL/min/1.73 m2. Urine dipstick is negative for protein. Blood pressure is 132/78 mm Hg. What is the most appropriate investigation?

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Correct answer: E — Urine albumin-creatinine ratio

Albuminuria may be present despite a negative dipstick and preserved eGFR. Diabetes and hypertension warrant CKD screening with eGFR and urine albumin-creatinine ratio.

Reference: Diabetes Canada CKD in diabetes guideline; KDIGO 2024 CKD guideline