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Orthostatic hypotension — ABFM Board MCQ

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EasyCardiovascularOrthostatic hypotensionABFM Board

An 81-year-old man reports dizziness when standing from bed. His medications include hydrochlorothiazide and tamsulosin. Blood pressure is 142/76 mm Hg supine and 112/64 mm Hg after standing for 2 minutes. Which of the following is the most appropriate next step?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Review and reduce contributing medications

Orthostatic hypotension is supported by the postural blood pressure drop; medication review is a key initial management step.

Reference: American Family Physician clinical reviews and AAFP guidance: https://www.aafp.org/pubs/afp.html