A 26-Year-Old Woman Is Brought to the Emergency Department Due

question 1662

Multiple Choice

A 26-year-old woman is brought to the emergency department due to an episode of near-syncope.  The patient's husband states that they were at a buffet 20 minutes ago, when she suddenly experienced severe weakness and dizziness.  The patient almost fell, so he helped her sit.  She also had nausea, abdominal cramping, and a generalized itching sensation but no chest pain or shortness of breath.  The patient has no chronic medical conditions and takes no medications.  She is menstruating, and her husband says that she usually has heavy periods.  Temperature is 36.7 C (98.1 F) , blood pressure is 80/50 mm Hg, pulse is 120/min, and respirations are 20/min.  On physical examination, the patient is ill-appearing with flushed skin and warm extremities.  The lungs are clear to auscultation, and cardiac examination is normal except for tachycardia.  The abdomen is soft with mild, diffuse tenderness, and bowel sounds are normal.  ECG reveals sinus tachycardia.  In addition to intravenous fluids, which of the following is the most appropriate next step in management of this patient?

• A)Antistaphylococcal antibiotics
• B)Intramuscular epinephrine
• C)Intravenous proton pump inhibitor
• D)Supportive care only
• E)Synchronized cardioversion
• F)Type O, Rh-negative red blood cell transfusion

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Definitions:

VALS Framework

A tool used in psychographic segmentation that classifies consumers into eight distinct types based on their responses to a questionnaire, focusing on values, attitudes, and lifestyle.

Geodemographic Segmentation

A market research technique that categorizes consumers based on geographic location and demographic information.

Demographic

Pertains to specific characteristics of populations, such as age, gender, income level, and education, which are used for marketing and social research.

Benefit Basis

The underlying advantages or favorable aspects upon which decisions or actions are based.