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Chronic kidney disease risk stratification — RCPSC IM MCQ

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ModerateNephrologyChronic kidney disease risk stratificationRCPSC IM

A 64-year-old man with diabetes and hypertension has an incidental eGFR of 46 mL/min/1.73 m2. Urinalysis is bland and albumin-creatinine ratio is 3 mg/mmol. Creatinine was similar 8 months earlier. He asks whether he has kidney disease. What is the most appropriate investigation?

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

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Correct answer: B — Immediate dialysis education

CKD evaluation requires persistence of reduced eGFR or kidney damage markers and risk stratification using eGFR and albuminuria. Repeat measurement and albuminuria assessment guide management and referral.

Reference: KDIGO 2024 CKD guideline