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Kaplan Qbank USMLE



Author6 Posts
  #1


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



___________________
You become what you think you are!

  #2

IV Lorazepam?

  #3

this is marijuana..isnt it?

patient is not tht agitated..so y lorazepam? why not a?


___________________
You become what you think you are!

  #4

A - wait, observe, offer patient something to eat/drink (obviously he is hungry and thirst ;-), as long as the patient is not agitated/aggressive...

  #5

Injected sclerae = key word for marijuana.
Patient not agitated, A rolling eyes

  #6

Anod








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