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# COMPREHENSIVE CLINICAL REASONING EXAMINATION 
 
## Advanced Primary Care: Cardiovascular, Respiratory, and Multisystem Disorders (Part 3) 
 
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**Target Question Count: 80** 
 
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### Question 1 
 
A 72-year-old male with a history of hypertensi
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---59June 20262025/2026A+
- # COMPREHENSIVE CLINICAL REASONING EXAMINATION 
 
## Advanced Primary Care: Cardiovascular, Respiratory, and Multisystem Disorders (Part 3) 
 
--- 
 
**Target Question Count: 80** 
 
--- 
 
### Question 1 
 
A 72-year-old male with a history of hypertension, type 2 diabetes, and CKD stage 3 presents with a blood pressure of 168/94 mmHg. He is currently taking lisinopril 20 mg daily and hydrochlorothiazide 25 mg daily. His serum creatinine is 1.8 mg/dL. Which medication adjustment is most appropr...
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