A 24-Year-Old Man Is Brought into the Emergency Department After

question 988

Multiple Choice

A 24-year-old man is brought into the emergency department after a seizure an hour ago.  The patient's friend, who witnessed the seizure, says, "We were at a party when he fell to the floor suddenly and started to convulse.  He was acting strange before the seizure."  The patient's seizure spontaneously resolved after approximately 2 minutes.  He has no previous history of seizures or medical problems.  Temperature is 37.4 C (99.3 F) , blood pressure is 140/90 mm Hg, and pulse is 98/min.  The patient is somnolent but easily arousable and follows instructions.  Bilateral pupils are equal and reactive.  The lungs are clear on auscultation, and heart sounds are normal.  Muscle strength and deep tendon reflexes are normal.  Bilateral plantar reflexes are downgoing.  Laboratory results are as follows: Electrocardiography shows sinus tachycardia.  Urine toxicology is positive for phencyclidine.  Noncontrast CT scan of the head is normal.  Which of the following is most appropriate to prevent an adverse outcome in this patient?

• A)Intravenous fosphenytoin
• B)Intravenous furosemide
• C)Isotonic saline infusion
• D)Naltrexone therapy
• E)Sodium bicarbonate infusion

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Definitions:

Feminism

A movement aiming to achieve equality of the sexes, especially through the advocacy of women's rights on the basis of the equality of the sexes.

Cultural Relativism

The concept that one should comprehend a person's views and behaviors from the perspective of their unique cultural background, steering clear of judgments based on one's own cultural standards.

Ethnocentrism

The belief in the inherent superiority of one's own ethnic group or culture, often accompanied by a disregard for other cultures.

Culture Shock

A sense of confusion or uncertainty that sometimes occurs when a person is exposed to a new, unfamiliar culture, way of life, or set of attitudes.