JH
Forum Senior
Topics: 19
Posts: 76
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This is NBME 1 Q
A 28-year-old woman is hospitalized after taking a massive overdose of acetaminophen tablets in a suicide attempt. She has type 1 diabetes mellitus and major depressive disorder refractory to tricyclic antidepressant therapy. Despite appropriate therapy, she develops rapidly progressive hepatic failure and becomes progressively encephalopathic. On the 6th day of hospitalization, she is comatose. A CT scan of the brain shows mild diffuse swelling. An appropriately crossmatched, size-appropriate donor liver is available. Which of the following is the most appropriate course of action regarding transplantation?
A ) Do not proceed with the transplantation because diabetes mellitus is a contraindication
B ) Do not proceed with the transplantation because hepatic function is likely to return over the next week
C ) Do not proceed with the transplantation because major depressive disorder places the patient at risk for another suicide attempt
D ) Do not proceed with the transplantation because the onset of encephalopathy and CT findings suggest bacterial meningitis
E ) Proceed with the transplantation
I choose E.
What's your opinion?
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| saadtazjam
Forum Elite
Topics: 9
Posts: 160
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http://www.prep4usmle.com/forum/comments.php?id=3...
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| JH
Forum Senior
Topics: 19
Posts: 76
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Thank you! I got it.
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