Q:

46 year old man, known case of chronic GN presents to OPD. He feels well. BP 140/90mmHg. Urine dipstick: protein ++, blood ++ and serum creatinine 106mmol/L. Which medication can prevent the progression of this disease?

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46 year old man, known case of chronic GN presents to OPD. He feels well. BP 140/90mmHg. Urine dipstick: protein ++, blood ++ and serum creatinine 106mmol/L. Which medication can prevent the progression of this disease? 


  1. ACEi
  2. Diuretics
  3. Cytotoxic meds
  4. Longterm antibiotics
  5. Steroids

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The key is A. ACEI. [renal impairment is delayed by ACEI]. 

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