10 free PANRE practice questions in the real exam format, covering the official content areas, with an explanation for every answer.
PANRE Practice Test 5Tutor mode
Question 1 of 10
Renal System
A 62-year-old woman with type 2 diabetes mellitus and chronic kidney disease comes to the office for follow-up. She takes metformin 500 mg twice daily and lisinopril 40 mg daily. Temperature is 36.7°C (98.1°F), heart rate 74/min, respirations 14/min, blood pressure 128/76 mmHg, and oxygen saturation 98% on room air. Examination shows trace ankle edema. Laboratory studies show a hemoglobin A1C of 7.4%, estimated GFR of 42 mL/min/1.73 m² (stable for 1 year), urine albumin-to-creatinine ratio of 610 mg/g, serum potassium of 4.6 mEq/L and bicarbonate of 24 mEq/L. Which of the following is the most appropriate addition to her regimen?