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Arab Board IM Final Written Practice Questions - Arab Board Internal Medicine Final Written Examination Exam

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A 58-year-old woman with ischemic cardiomyopathy and heart failure with reduced ejection fraction (LVEF 28%, NYHA functional class II) is evaluated in the clinic. Her current medications include guideline-target doses of enalapril and bisoprolol. Her vital signs are: BP 118/74 mmHg, HR 64 bpm. Laboratory evaluation shows serum sodium 139 mEq/L, potassium 4.2 mEq/L, and eGFR 68 mL/min/1.73 m2. Which of the following medications should be added next to improve survival according to guideline-directed medical therapy (GDMT)?
Correct Answer:
Empagliflozin

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