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A 75-Year-Old Man Is Brought to the Emergency Department After

question 211

Multiple Choice

A 75-year-old man is brought to the emergency department after a syncopal episode at his assisted living facility. The event occurred an hour ago, when he was eating lunch with other residents of the facility. The patient suddenly slumped over onto the table and awakened spontaneously after about 30 seconds. He appeared pale afterwards but was not confused, and fingerstick blood glucose was normal. Medical history includes hypertension, type 2 diabetes mellitus, benign prostatic hyperplasia, and Alzheimer disease. Temperature is 37 C (98.6 F) , supine and standing blood pressure is 110/68 mm Hg, and pulse is 62/min. The oropharyngeal mucosa is moist and jugular venous pressure is normal. The lungs are clear on auscultation and heart sounds are normal. The patient is hospitalized for observation and is found to have an episodic bradyarrhythmia and atrioventricular block. If this patient's condition is due to a medication, which of the following is the most likely cause?

Definitions:

Goldilocks Rule

suggests finding a balance in tasks or challenges that are neither too easy nor too difficult to maintain motivation and engagement.

Goal-Setting Theory

A theory that emphasizes the importance of setting specific, measurable, achievable, relevant, and time-bound goals to enhance motivation and performance.

Higher-Order Factor

A concept in psychology and statistics referring to a underlying variable that influences several other directly observable variables.

Mechanisms

Processes or structures within systems that contribute to producing particular outcomes, behaviors, or effects.