A 61-Year-Old Man Comes to the Emergency Department Due to 20

question 35

Multiple Choice

A 61-year-old man comes to the emergency department due to 20 minutes of slurred speech while eating lunch at work.  Two months ago, he had an episode of blurry vision in his right eye.  The patient has a history of hyperlipidemia and hypertension and takes amlodipine and hydrochlorothiazide.  He is an active smoker with a 35-pack-year history.
Blood pressure is 155/90 mm Hg and pulse is 78/min.  Oxygen saturation is 94% on room air.  BMI is 31 kg/m².  The lungs are clear to auscultation.  The spleen tip is palpable on inspiration.  There is trace bilateral pedal edema.
Laboratory results are as follows:
Which of the following is the most likely additional finding in this patient?

• A)Hematuria
• B)Low serum erythropoietin
• C)Philadelphia chromosome
• D)Prolonged nocturnal desaturations
• E)Vitamin B₁₂ deficiency

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Definitions:

Metamemory

The ability to think about one’s memory processes.

Memory Organization

The way in which memories are stored and connected in the brain, allowing for efficient recall and use of information.

Elaboration

A memory strategy that involves making connections between two or more things to be remembered.

Metamemory

An individual’s knowledge about their own memory abilities and strategies to aid memory, including the understanding of how memory works.