Palpitations in Medicine / Internal Medicine — 38yo Man | Endocrinology | SMLE Q#19028

SMLE Question #19028

Medicine / Internal Medicine Endocrinology

Objective: OBJ-ADDISON-DOSE-1

Last updated: March 2026
A 38-year-old man has recurrent episodes of severe headache with palpitations and profuse sweating. Each episode lasts 10–20 minutes and may be triggered by stress. Between episodes, he feels well, but his blood pressure has been intermittently elevated. Which of the following is the most appropriate initial biochemical test to confirm the suspected diagnosis?

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