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8 July 2026

Science and health research

The development of Finerenone provides a relevant example of advancements in medical technology and disease management that can be used as context in questions regarding public health and pharmaceutical innovation.

1 min read 2 questions 2 prelims

Notes

  • Finerenone is a drug that blocks inflammation and scarring in kidneys, showing efficacy in treating chronic kidney disease (CKD) beyond diabetes-related cases.
  • Studies (FIND-CKD, JAMA, The Lancet) indicate finerenone reduces protein leakage in urine, slows disease progression, and lowers the risk of kidney failure.
  • The drug's benefits are consistent across various causes of CKD, including glomerular diseases like IgA nephropathy, focal segmental glomerulosclerosis, and membranous nephropathy.
  • A major side effect is hyperkalaemia (high blood potassium); patients with potassium levels above 5 mmol/L are generally not candidates for this treatment.
  • Early detection of CKD via routine urine protein tests by primary care physicians is critical for effective management.
  • In India, finerenone costs approximately ₹80-90 per day, with potential for price reduction after patent expiry in 2028.
  • Scientific research using sophisticated climate models estimates the end of the vegetative biosphere on Earth due to solar aging in approximately 1.68 to 1.87 billion years.

Questions

  1. Discuss the significance of early diagnostic interventions in managing the rising burden of chronic kidney disease in India, particularly in the context of increasing prevalence of diabetes and hypertension. 150 words
    Attempt this — 150 words in 8 min
    0 / 150 words 8:00
  2. The shift towards combination therapies and targeted pharmacological interventions represents a significant evolution in the management of non-communicable diseases. Analyze this trend with reference to recent advancements in renal medicine and the challenges of affordability and accessibility in the Indian healthcare system. 250 words
    Attempt this — 250 words in 11 min
    0 / 250 words 11:00

Prelims

  1. Which of the following is a primary mechanism by which the drug finerenone helps in slowing the progression of chronic kidney disease?

  2. What is the primary clinical contraindication for initiating treatment with finerenone as mentioned in recent studies?