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Heart Failure Longitudinal Care Practice Test
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Q1
A 72-year-old man with heart failure with reduced ejection fraction (HFrEF, LVEF 30%) is being managed on lisinopril 20 mg daily, carvedilol 25 mg twice daily, and furosemide 40 mg daily. At a routine follow-up, you add spironolactone 25 mg daily. Two weeks later, he returns for a lab check. He reports no new symptoms. His blood pressure is 118/74 mmHg. Laboratory studies show: creatinine 1.6 mg/dL (baseline 1.3 mg/dL) and potassium 5.3 mEq/L (baseline 4.4 mEq/L). Which of the following is the most appropriate next step in management?
A 72-year-old man with heart failure with reduced ejection fraction (HFrEF, LVEF 30%) is being managed on lisinopril 20 mg daily, carvedilol 25 mg twice daily, and furosemide 40 mg daily. At a routine follow-up, you add spironolactone 25 mg daily. Two weeks later, he returns for a lab check. He reports no new symptoms. His blood pressure is 118/74 mmHg. Laboratory studies show: creatinine 1.6 mg/dL (baseline 1.3 mg/dL) and potassium 5.3 mEq/L (baseline 4.4 mEq/L). Which of the following is the most appropriate next step in management?