A 35-Year-Old Man with a History of Bipolar and Substance

question 40

Multiple Choice

A 35-year-old man with a history of bipolar and substance use disorders comes to the emergency department due to depression, auditory hallucinations, and suicidal ideation.  His medications include lithium and escitalopram.  The patient has a history of 5 psychiatric hospitalizations and 2 past suicide attempts, including overdose on his medications and attempted hanging.  He has a history of alcohol, benzodiazepine, heroin, and cocaine abuse.  The patient has been using "anything I can get my hands on" because his depression is unbearable.  He is hospitalized and placed on suicide precautions.  His dose of escitalopram is increased to target his depression, and risperidone is added to treat the hallucinations.  His lithium level is 1.0 mEq/L.  On the second day of hospitalization, the patient reports muscle pains, abdominal cramping, nausea, and diarrhea.  His temperature is 37.2 C (99 F) , blood pressure is 130/85 mm Hg, and pulse is 84/min.  The patient is alert and restless, and his pupils are dilated bilaterally.  Bowel sounds are hyperactive and neurologic examination is normal.  Which of the following is the most likely explanation for his symptoms?

• A)Alcohol withdrawal
• B)Benzodiazepine withdrawal
• C)Cocaine withdrawal
• D)Lithium toxicity
• E)Neuroleptic malignant syndrome
• F)Opioid withdrawal
• G)Serotonin syndrome

Determine the total manufacturing cost per unit based on given data of equivalent units and total costs.

Analyze the impact of beginning work in process on the computation of equivalent units of production.

Calculate units started into production using data on beginning work in process and ending work in process inventories.

Understand the relationship between materials costs, conversion costs, and the total manufacturing cost per unit.

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Definitions:

Federal

Pertaining to the central government of a country, rather than state, local, or provincial authorities.

State

A politically organized body of people under a sovereign government, recognized within a certain territorial area.

Local Laws

Regulations and ordinances that are established and enforced by local government bodies.

Mental Disease

A disorder that affects a person's thinking, emotional state, and behavior, disrupting their ability to work or carry out other daily activities.