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Medication reconciliation — USMLE Step 3 MCQ

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EasyAmbulatory Medicine / Primary CareMedication reconciliationUSMLE Step 3

A 76-year-old woman is seen 3 days after discharge for heart failure. Her discharge list includes furosemide 40 mg daily, but she has continued taking old 20 mg tablets twice daily plus the new prescription and feels dizzy. Which of the following is the most appropriate next step in management?

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Correct answer: C — Perform medication reconciliation and simplify the regimen

Transitions of care require medication reconciliation to prevent duplications, omissions, and adverse drug events.

Reference: AHRQ medication reconciliation patient safety guidance