Primary Adrenal Insufficiency Is in Medicine / Internal Medicine — 45yo Woman | Endocrinology | SMLE Q#12217

SMLE Question #12217

Medicine / Internal Medicine Endocrinology

Objective: OBJ-ADDISON-DOSE-1

Last updated: February 2026
A 45-year-old woman with primary adrenal insufficiency is scheduled for elective laparoscopic cholecystectomy. She takes hydrocortisone 20 mg each morning and 10 mg each evening, and fludrocortisone 0.1 mg daily. Surgery is uncomplicated, and she is awake and stable in the recovery room. What is the most appropriate immediate postoperative corticosteroid management?

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