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A 65-Year-Old Man Is Brought to the Emergency Department with New-Onset

question 385

Multiple Choice

A 65-year-old man is brought to the emergency department with new-onset confusion, suprapubic discomfort, and lack of urine output. His past medical history is significant for benign prostatic hyperplasia, hypertension, hyperlipidemia, and type 2 diabetes mellitus complicated by neuropathy. The patient also has a history of chronic insomnia and has been treated with several medications with little benefit. He does not know his current medications. On examination, the patient is afebrile, confused, and oriented only to self. Suprapubic fullness is present, but abdominal examination is otherwise unremarkable. A urinary catheter is placed and immediately drains 1000 mL of urine. Which of the following medications most likely has contributed to this patient's current condition?

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