A 61-Year-Old Farmer Is Brought to the Emergency Department After

question 36

Multiple Choice

A 61-year-old farmer is brought to the emergency department after he was found unresponsive in the barn.  The patient was last seen appearing normal 3 hours ago.  Medical history is unavailable.  The paramedics administered naloxone en route without any subsequent change in mental status.  Blood pressure is 190/110 mm Hg, pulse is 58/min, and respirations are 10/min and irregular.  On physical examination, he does not respond to painful stimuli.  There is no evidence of trauma to the head or neck.  The pupils are midsized and do not respond to light.  Cardiopulmonary examination is normal.  The arms and legs are rigid and held straight out; the toes are pointing downward.  Bilateral extensor plantar reflexes are present.  Which of the following is the most likely diagnosis in this patient?

• A)Acute dystonia
• B)Brain herniation
• C)Scorpion sting
• D)Strychnine poisoning
• E)Tetanus

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Definitions:

Issuance Date

The specific date on which a financial instrument, like a bond or stock, is officially issued and typically made available for sale.

Discount Bond

A bond sold for less than its face value and will mature at its face value, resulting in capital appreciation.

Straight-Line Method

A depreciation technique that applies consistent expense allocation over the useful life of a fixed asset (a rephrased definition of Straight-Line Depreciation).

Semiannually

Occurring twice a year; typically referring to processes or events that happen every six months.