A 31-Year-Old Man Is Hospitalized After Sustaining Multiple Injuries During

question 184

Multiple Choice

A 31-year-old man is hospitalized after sustaining multiple injuries during a motor vehicle collision.  The patient is not conscious initially, and no information is available regarding his medical history.  Two days after initial hospitalization, he experiences palpitations and difficulty sleeping.  Shortly thereafter, the patient suffers a generalized tonic-clonic seizure.  When he recovers, he tells the physician that he usually takes medications for anxiety, bipolar disorder, and chronic low back pain.  Temperature is 36.7 C (98.1 F) , blood pressure is 129/82 mm Hg, pulse is 92/min, and respirations are 14/min.  He appears anxious, tremulous, and diaphoretic.  Withdrawal from which of the following medications is the most likely explanation for this patient's presentation?

• A)Lamotrigine
• B)Lithium
• C)Lorazepam
• D)Oxycodone
• E)Quetiapine
• F)Sertraline
• G)Valproate

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Definitions:

High Calorie Foods

Foods that are dense in calories, often containing high levels of fat or sugar and contributing to weight gain if consumed excessively.

Guilty

The state of being responsible for committing a specified or implied offense or crime, legally or morally.

Anorexia Nervosa

A serious mental health disorder characterized by an intense fear of gaining weight, leading to restricted food intake, very low body weight, a strong desire to be thin, and disturbed body image.

Cultures

The sum of attitudes, customs, and beliefs that distinguishes one group of people from another, passed through communication and imitation from one generation to the next.