Q:

A woman presents with history of falls, becomes pale and clumsy. She is hypertensive and takes atenolol, bendroflumethiazide and amlodipine. What investigation is needed?

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A woman presents with history of falls, becomes pale and clumsy. She is hypertensive and takes atenolol, bendroflumethiazide and amlodipine. What investigation is needed?


  1. 24h ECG
  2. 24h BP monitoring
  3. ECG
  4. Echo
  5. CT head

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The key is b. 24h BP monitoring. [All these drugs (particularly prolonged use of thiazide and amlodipine) are well established cause of postural hypotension. So 24 hour BP monitoring should be done].

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