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SPEX VIP Clinical Competency Practice Exam II
SPEX — The SPEX (Special Purpose Examination) is administered by the Federation of State Medical Boards (FSMB); it is a 200-question, computer-based clinical competency examination given over a single 8-hour session, used to assess physicians seeking medical license reinstatement or endorsement across U.S. jurisdictions.
30
Questions
480m
Time Limit
75.00%
To Pass
Question 1 of 30👑 VIP
A 58-year-old man with a history of hypertension and type 2 diabetes presents to your office for follow-up. He takes metformin, lisinopril, and amlodipine. Today his BP is 148/92 mmHg and fasting glucose is 186 mg/dL. His most recent HbA1c was 8.4%. Urinalysis shows microalbuminuria (albumin-to-creatinine ratio 45 mg/g). eGFR is 61 mL/min/1.73m². Which medication adjustment is most appropriate to slow progression of diabetic kidney disease?
Questions 2–30 and full explanations are VIP-exclusive.