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Prep4USMLE Forum » USMLE Step 2 CK Forum » Psychiatry & Ethics

Nbme Q

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Kamsi
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Topics: 103
Posts: 347

09/25/07 - 01:03 PM

22. A 24-year-old man is brought to the emergency department by police 1 hour after his ex-wife found him stumbling around in the yard. His blood pressure is 100/70 mm Hg, pulse is 90/min, and respirations are 16/min. The pupils are equal and reactive to light; the sclerae are injected. During the examination, he laughs without obvious reason, makes religious statements, and asks if there is anything to eat or drink. Mental status examination shows a broad range of affect; there is no evidence of thought disorder except for mild paranoia. Which of the following is the most appropriate next step in management?

A
) Observation in the emergency department

B
) Intramuscular administration of naloxone

C
) Intravenous administration of 50% dextrose

D
) Intravenous administration of lorazepam

E
) Oral administration of chlorpromazine

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