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A 54-Year-Old Woman with a History of Depression, Migraine Headaches

question 554

Multiple Choice

A 54-year-old woman with a history of depression, migraine headaches, and fibromyalgia is evaluated at the office at the request of her husband. The couple was returning home from an extended weekend vacation when the patient began behaving strangely. Her husband says she could remember details about herself and their family, but continually asked where they were going even after being told several times. She was anxious and was able to talk and answer questions appropriately. However, she could not remember any new information that she was told during this roughly 8-hour episode. Throughout the event, her husband saw no changes in the patient's ability to walk, write, or speak. He said that the following day she seemed to be back to normal although she did not recall what had happened. The patient has no dizziness, visual difficulties, chest pain, or other concerns.
The patient underwent endoscopy the previous week and was diagnosed with gastroesophageal reflux disease. She is now receiving treatment with a proton pump inhibitor but otherwise has had no recent changes to her medications, which include sertraline and ibuprofen.
Physical examination is unremarkable.
This patient's presentation is most likely a result of which of the following?

Definitions:

Financial Advantage

The benefit gained in economic terms which may include aspects like cost savings, revenue increase, or any other financial gain.

Refined Sugar

Sugar that has undergone processing to remove impurities and is typically found in a granulated or powdered form.

Grinding Machine Time

The amount of time a machine spends in operation to grind materials into smaller pieces or powder in manufacturing processes.

Direct Labor

The labor costs directly attributable to the production of goods or services, excluding indirect labor expenses.