COMLEX Level 3 Practice Questions - COMLEX-USA Level 3 Exam

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A 65-year-old man in your residency clinic with NYHA class II HFrEF (EF 30%) is on lisinopril 20 mg, carvedilol 25 mg BID, and furosemide 40 mg daily. His K is 4.5, Cr 1.1, BP 118/72. What is the most appropriate next step to optimize GDMT?

Add digoxin Switch lisinopril to sacubitril-valsartan, add spironolactone, and add dapagliflozin Add amlodipine Increase furosemide dose

Correct Answer:

Switch lisinopril to sacubitril-valsartan, add spironolactone, and add dapagliflozin

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