A 37-Year-Old Man with a History of Depression, Alcohol, and Polysubstance

question 81

Multiple Choice

A 37-year-old man with a history of depression, alcohol, and polysubstance use comes to the emergency department saying, "I feel awful; I need help."  The patient says he was feeling fine until last night, when he developed abdominal cramps that were initially mild but gradually worsened in intensity.  Since this morning, he has had 4 loose stools with no blood or mucus.  The patient has also had persistent nausea but no vomiting.  He has had no fever.  His medications include paroxetine, clonazepam, and diphenhydramine.  Temperature is 36.6 C (97.8 F) , blood pressure is 144/98 mm Hg, pulse is 88/min, and respirations are 16/min.  Physical examination shows a diaphoretic, thin man in considerable distress.  His pupils are dilated.  This patient's clinical presentation is most consistent with withdrawal from which of the following drugs?

• A)Alcohol
• B)Amphetamine
• C)Clonazepam
• D)Cocaine
• E)Diphenhydramine
• F)Heroin
• G)Paroxetine

---

Definitions:

Managerial Accounting Report

An internal financial report tailored to meet the information needs of an organization's management for decision-making purposes.

Statement of Stockholders' Equity

A financial document that outlines the changes in the equity section of a company's balance sheet over a period, reflecting transactions like stock issuance, dividends, and earnings.

Schedule of Total Manufacturing Costs

This is a detailed statement summarizing the total costs—direct materials, direct labor, and manufacturing overhead—incurred during the production of goods in a specific period.

Annual Report

A comprehensive report on a company's activities, financial performance, and strategies throughout the preceding year, intended for shareholders and potential investors.