A 23-Year-Old Man with No Prior History of Seizure Is

question 533

Multiple Choice

A 23-year-old man with no prior history of seizure is brought to the emergency department after experiencing a generalized tonic-clonic seizure.  His roommate says that the patient has had a fever and headache for the past 2 days and that today he was talking nonsensically.  The patient works for a fast-food chain and occasionally smokes cigarettes on his breaks.  He does not use alcohol or illicit drugs.  Temperature is 38.6 C (101.5 F) .  MRI of the brain shows swelling of the temporal lobes.  CSF analysis is most likely to reveal which of the following?

• A)A
• B)B
• C)C
• D)D
• E)E

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Definitions:

Physical Dependence

A physiological state of adaptation to a substance, resulting in withdrawal symptoms when the substance is reduced or discontinued.

Psychological Dependence

A condition characterized by an emotional or mental attachment to a substance, behavior, or activity.

Tobacco Smoker

An individual who inhales smoke from burning tobacco products, such as cigarettes, cigars, or pipes.

Pseudo-Insomnia

Is a condition where an individual feels like they have not slept well or enough, despite getting a normal amount of sleep.