Arab Board Family Medicine Final Written Practice Questions - Arab Board Of Health Specializations (ABHS) Family Medicine Final Written Examination Exam

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A 66-year-old man is diagnosed with heart failure with reduced ejection fraction (HFrEF; LVEF 32%). He is currently asymptomatic at rest but experiences dyspnea when climbing one flight of stairs (NYHA Class II). His blood pressure is 128/78 mmHg, heart rate is 72 bpm, serum creatinine is 1.1 mg/dL, and potassium is 4.4 mEq/L. Which combination constitutes the four foundational pillar drug classes of guideline-directed medical therapy (GDMT) for HFrEF?

ACE inhibitor, Loop Diuretic, Digoxin, and Hydralazine ARNI (or ACEi/ARB), Evidence-based Beta-Blocker, MRA, and SGLT2 inhibitor Calcium Channel Blocker, Beta-Blocker, ARB, and Thiazide Diuretic ARNI, Loop Diuretic, Calcium Channel Blocker, and Potassium Sparing Diuretic

Correct Answer:

ARNI (or ACEi/ARB), Evidence-based Beta-Blocker, MRA, and SGLT2 inhibitor

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