A 46-Year-Old Man Comes to the Emergency Department Due to Recurrent

question 45

Multiple Choice

A 46-year-old man comes to the emergency department due to recurrent nosebleeds.  When interviewed for additional history, he becomes belligerent and uncooperative.  The patient has a history of alcohol use disorder and chronic mental illness.  He has been placed in homeless shelters on multiple occasions but has not remained there for any prolonged periods.  Physical examination shows swollen gums, scattered ecchymoses, and hyperkeratosis.  He also has a chronic ulcer on the left lower extremity that does not appear to be infected.  Which of the following mechanisms accounts for this patient's examination findings?

• A)Abnormal oxidative decarboxylation of ketoacids
• B)Abnormal proline hydroxylation
• C)Abnormal transamination
• D)Deficient methionine synthesis
• E)Diminished synthesis of purines

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Definitions:

Ending Meetings

The process of concluding a meeting by summarizing key points, assigning action items, and stating the next steps.

Program Activities

Planned events, tasks, or actions designed to achieve specific goals within a program or initiative.

Creativity

The ability to generate innovative ideas and solve problems in novel ways.

Attention Span

The length of time a person can concentrate on a task without becoming distracted.