ABFM Practice Test 4

10 free ABFM practice questions in the real exam format, covering the official content areas, with an explanation for every answer.

ABFM Practice Test 4Tutor mode

Question 1 of 10

Chronic Care Management

A 57-year-old man with type 2 diabetes mellitus returns for follow-up. He had a myocardial infarction 3 years ago. He takes metformin 1,000 mg twice daily, atorvastatin 80 mg, aspirin, lisinopril and metoprolol succinate. He has no heart failure symptoms. He has gained 4 kg this year despite dietary counseling. Blood pressure is 126/78 mm Hg and BMI is 37 kg/m². Laboratory results are shown. Which one of the following changes to his regimen is most appropriate?

Laboratory results
TestResult
Hemoglobin A1C8.4%
Creatinine0.9 mg/dL
eGFR88 mL/min/1.73 m²
Urine albumin-to-creatinine ratio12 mg/g
ALT30 U/L