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Chapter: 13 / Q: 19
A 62 year old man who was admitted for surgery 3 days ago suddenly becomes confused. His attention span is reduced. He is restless and physically aggressive and picks at his bed sheets. What single aspect of the patients history recovered in his notes is most likely to aid in making the diagnosis?
Chapter: 13 / Q: 20
A 20 year old boy is brought by his parents suspecting that he has taken some drug. He is agitated, irritated and can’t sleep. Exam: perforated nasal septum. Which of the following is the most likely to be responsible for his symptoms?
Chapter: 13 / Q: 21
A 34 year old man with multiple sclerosis has taken an over dose of 100 tablets of paracetamol with intent to end his life. He has been brought to the emergency department for treatment but is refusing all intervention. What is the next step?
Chapter: 13 / Q: 22
A 37 year old woman was admitted for femur fracture repair after a RTA. On the 4th post- operative day she became confused and starts picking on her bed sheets and complains of seeing spiders all over. What is the most likely diagnosis?
Chapter: 13 / Q: 23
A 50 year old man complains of being pursued by the police for a crime he denies committing. He has poor concentration and impaired short-term memory. He admits to drinking large amounts of alcohol for the last 20yrs. What is the most probable diagnosis?
Chapter: 13 / Q: 24
An alcoholic who has completely given up drinking hears voices. What is the most appropriate treatment?
Chapter: 13 / Q: 25
A 62 year old male is brought to the emergency department by his daughter because of his persistent lying. He is a known alcoholic and has been admitted recently with delirium tremens. On questioning, he denies any problem with memory. He knows his name and address and states he was at the bett
Chapter: 13 / Q: 26
A 65 year old known alcoholic is brought into the hospital with confusion, aggressiveness and ophthalmoplegia. He is treated with diazepoxide. What other drug would you like to prescribe?
Chapter: 13 / Q: 27
A 53 year old man was admitted to the hospital for investigation of hemoptysis. 3 days after admission he developed alternating state of consciousness, ataxic gait and some visual problems. What is the most appropriate management of this patient?
Chapter: 13 / Q: 28
A young lady after a heavy bout of drinking last night comes to the emergency department with dizziness, abdominal pain, vomiting blood with cool peripheries. After initial resuscitation, oxygen and fluids, she still continues to bleed with pulse=130bpm and BP=85/58mmHg. What would your next best
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