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A 31-Year-Old Man Is Brought to the Emergency Department by the Police

question 98

Multiple Choice

A 31-year-old man is brought to the emergency department by the police after he assaulted a stranger who he thought was following him. The police report indicates that when the patient was arrested, he was shouting, "You don't understand, I'm the one who needs protection-the Russians are after my secrets!" In the emergency department, the patient is diaphoretic and tremulous. He is very easily distracted and cannot give a clear history. Temperature is 37 C (98.6 F) , blood pressure is 164/102 mm Hg, and pulse is 112/min with a normal rhythm. Extraocular movements are intact, and the pupils are dilated. His speech is loud, rapid, and difficult to interrupt. Which of the following is the most likely diagnosis?

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Definitions:

Thylakoid Membrane

A membrane-bound compartment inside chloroplasts and cyanobacteria, which is the site of the light-dependent reactions of photosynthesis.

Carbon Fixation

The process by which inorganic carbon (principally in the form of carbon dioxide) is converted to organic compounds by living organisms.

Calvin Cycle

A series of biochemical reactions that take place in the stroma of chloroplasts in plants, converting carbon dioxide and water into glucose using ATP and NADPH produced in the light reactions of photosynthesis.

NADPH

A coenzyme known as nicotinamide adenine dinucleotide phosphate plays a crucial role in anabolic reactions by serving as a reducing agent during biosynthetic processes.