A 45-Year-Old Woman Is Brought to the Emergency Department After

question 16

Multiple Choice

A 45-year-old woman is brought to the emergency department after neighbors found her unresponsive at home.  No other history is available.
Temperature is 37 C (98.5 F) , blood pressure is 100/70 mm Hg, pulse is 90/min, and respirations are 16/min.  Pulse oximetry is 96% on room air.  The patient is lethargic but arousable, and her speech is slurred.  She is oriented to person but not place or time.  There are no focal neurologic findings.  The remainder of the physical examination is unremarkable.
Laboratory results are as follows:
Blood alcohol levels are undetectable.
Which of the following conditions is the most likely diagnosis?

• A)Alcohol ketoacidosis
• B)Diabetic ketoacidosis
• C)Isopropyl alcohol ingestion
• D)Salicylate intoxication
• E)Starvation ketosis

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Definitions:

Fiscal Policy

Government policies concerning taxation and government spending to influence the economy.

Reform

The improvement or amendment of what is wrong, corrupt, unsatisfactory, etc., especially through political or social means.

Social Gospel

A Christian intellectual movement that applied Christian ethics to social problems, particularly issues of social justice such as economic inequality, poverty, alcoholism, crime, racial tensions, slums, bad hygiene, child labor, inadequate labor unions, poor schools, and the danger of war.

Hull House

A settlement house founded by Jane Addams and Ellen Gates Starr in 1889 in Chicago, aimed at improving the lives of immigrants and the poor through education, cultural activities, and social services.