Chronic kidney disease Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 58-year-old man is evaluated in the primary care clinic for newly diagnosed chronic kidney disease. Past medical history is significant for dyslipidemia, gout, and hypertension. Current medications include allopurinol, atorvastatin, carvedilol, and clonidine. Temperature is 37.0 ºC (98.6 ºF), pulse is 66/min, and blood pressure is 142/91 mmHg. On physical examination, the patient has a normal cardiac exam and pulmonary examinations. No peripheral edema is present. Blood and urine samples are obtained. The patient’s estimated glomerular filtration rate is calculated as 54 mL/min. Urine albumin-creatinine ratio is 25. Which of the following medications should be started at this time?  

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