SPEX Practice Test 15

An 81-year-old woman comes to the office with her daughter because she has fallen twice in the past month. Both falls happened when she got up from bed at night to use the bathroom; each time she felt lightheaded and her vision dimmed before she slid to the floor. She did not lose consciousness and had no chest pain, palpitations, or spinning sensation. Trazodone, 100 mg at bedtime, was started 5 weeks ago for insomnia. She has also taken lisinopril for hypertension, atorvastatin, and levothyroxine for many years at unchanged doses. Temperature is 36.6°C (97.9°F), pulse is 76/min, respirations are 14/min, and seated blood pressure is 134/76 mm Hg. Cardiac examination shows a regular rhythm without murmurs. She has a bruise over the left hip with full range of motion.