43-year-old Woman in Medicine / Internal Medicine — 43yo Woman | Endocrinology | SMLE Q#18567

SMLE Question #18567

Medicine / Internal Medicine Endocrinology

Objective: OBJ-ADDISON-DOSE-1

Last updated: February 2026
A 43-year-old woman has 8 months of episodic pounding headaches, palpitations, and profuse sweating that occur unpredictably and last 10–20 minutes. She is not taking decongestants, caffeine tablets, or illicit stimulants. Between episodes, she feels well and her physical examination is normal. Which test is most appropriate to confirm a catecholamine-secreting tumor?

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