3 Weeks Of Insomnia in Medicine / Internal Medicine — 67yo Man | Endocrinology | SMLE Q#18424
SMLE Question #18424
Medicine / Internal Medicine
Endocrinology
Objective: OBJ-ADDISON-DOSE-1
Last updated: February 2026
A 67-year-old man with atrial fibrillation, hypertension, and depression presents with 3 weeks of insomnia, irritability, heat intolerance, and worsening palpitations. His medications are amiodarone, fluoxetine, and enalapril. Examination shows a fine tremor and an irregularly irregular pulse. What is the most appropriate next step in evaluation?
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