1 MCQs in Medicine for NEET PG
A 56-year-old man with a 18-year history of type 2 diabetes mellitus, hypertension, and chronic kidney disease (eGFR 28 mL/min/1.73m²) presents with progressive fatigue and dyspnea on exertion. Laboratory investigations reveal hemoglobin 8.2 g/dL, serum creatinine 3.8 mg/dL, serum potassium 5.8 mEq/L, and serum phosphate 5.2 mg/dL. Peripheral blood smear shows normocytic, normochromic red cells. Which of the following is the MOST appropriate next step in management?
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