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Kaplan Qbank USMLE



Author4 Posts
  #1

A 75-year-old man with a 3-year history of progressive cognitive impairment due to dementia, Alzheimer's type, has had nocturnal disorientation for 2 weeks. He lives at home with his wife. He is otherwise healthy and takes no medications. Physical examination shows normal findings. He is disoriented to time and place, has poor short-term memory, is unable to do simple arithmetic, and has a poor understanding of general information. Which of the following is the most appropriate initial step in management?


A) Increase in home nighttime lighting
B) Prescription for chloral hydrate
C) Prescription for diazepam
D) Prescription for haloperidol
E) Use of nighttime mechanical restraints


  #2

A dont know about effect of giving chloral hydrate?

  #3

(a) also, because the rest of them make doubt too much

  #4

a, i think....







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