Hypertension in Medicine / Internal Medicine — 82yo Woman | Endocrinology | SMLE Q#12090
SMLE Question #12090
Medicine / Internal Medicine
Endocrinology
Objective: OBJ-ADDISON-DOSE-1
Last updated: February 2026
An 82-year-old woman with hypertension and osteoarthritis is brought to the emergency department for 12 hours of agitation and confusion. She was previously independent with normal cognition. She started hydrochlorothiazide 1 week ago. She is disoriented to time and place but follows simple commands. There are no focal neurologic deficits, no seizures, and no carpopedal spasm. ECG shows no QT prolongation. What is the most appropriate next step in management?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.