Medicine Shelf Practice Questions - NBME Clinical Science Subject Exam Medicine Exam

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A 58-year-old woman with prior anterior myocardial infarction has an ejection fraction of 30% and mild exertional dyspnea. She is euvolemic and has normal potassium and renal function. Which regimen most directly improves survival?

Sacubitril-valsartan, evidence-based beta-blocker, mineralocorticoid receptor antagonist, and SGLT2 inhibitor Digoxin, furosemide, diltiazem, and aspirin Hydrochlorothiazide, verapamil, nitrates, and amiodarone Loop diuretic alone titrated to symptom relief

Correct Answer:

Sacubitril-valsartan, evidence-based beta-blocker, mineralocorticoid receptor antagonist, and SGLT2 inhibitor

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