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Integrated Pharmacotherapy I

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A 55-year-old man with type 2 diabetes presents with a BP of 138/86 mmHg on two separate clinic visits. He has no history of ASCVD, CKD, or heart failure. Which of the following is the most appropriate management step?

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What is the key structural feature of

cholestyramine that allows it to bind bile acids?

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Which structural

feature of irbesartan (shown below) improves its hydrophobic interaction with

the angiotensin II receptor?

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A 65-year-old patient is prescribed captopril for hypertension. After a few weeks of treatment, the patient develops a persistent dry cough. What is the most likely reason for the dry cough in this patient taking captopril?

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A 58-year-old man presents for follow-up a week after an acute myocardial infarction. His LDL cholesterol is 95 mg/dL. He is otherwise stable with no contraindications to statins. Which is the most appropriate statin therapy for this patient?

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Which of the following factors directly affects total peripheral resistance rather than cardiac output?

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What is the primary

reason why statins with a lactone ring, such as simvastatin (shown below), are

considered prodrugs?

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A 62-year-old woman with long-standing hypertension and stage 3 chronic kidney disease (eGFR 45 mL/min/1.73m², proteinuria present) presents for follow-up. Which of the following antihypertensive class is the preferred initial choice?

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Which of the

following structural changes in clonidine (shown below) reduces its basicity,

facilitating CNS penetration?

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Which of the following is NOT a function of cholesterol in the human body?

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