Review Question - QID 108957

A 78-year-old woman presents to her primary care provider complaining of shaking of her hands. She reports that her hands shake when she is pouring her coffee in the morning and when she is buttoning her shirt. She has noticed that her tremor improves when she drinks wine or beer at night with dinner. She has a medical history of hypertension, atrial fibrillation, moderate persistent asthma, acute intermittent porphyria, alcohol use disorder, and urinary retention. Her home medications include hydrochlorothiazide, warfarin, bethanechol, low-dose inhaled fluticasone, and an albuterol inhaler as needed. On physical exam, she has an irregularly irregular heart rhythm without any murmurs, rubs, or gallops. She has mild wheezing on pulmonary exam. She has no tremors when her hands are in her lap. A low-amplitude tremor is present during finger-to-nose testing. Her neurological exam is otherwise unremarkable. She is started on the most appropriate first-line medication for this disease. Which of the following conditions may be exacerbated by this medication?