An 83-Year-Old Caucasian Male with a History of Advanced Colon

question 155

Multiple Choice

An 83-year-old Caucasian male with a history of advanced colon carcinoma with metastasis to the lungs develops right-sided hemiplegia and dysarthria while at home.  His granddaughter calls you at 8:00 p.m., giving you a history compatible with a cerebrovascular event, probably an ischemic stroke.  You know this patient from before.  He is not a hospice patient, and he has always firmly expressed his decision to not be resuscitated.  He has a current, valid DNR (do not resuscitate) order.  Which of the following is the most appropriate next step in the management of this patient?

• A)Give him pain medication and aspirin and follow-up tomorrow in the office.
• B)Admit him to the hospital.
• C)Explain to her that you will arrange for hospice early in the morning.
• D)Tell her the patient's prognosis is poor and leave him at home.

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Definitions:

Lactase Allele

A variant form of the gene responsible for producing lactase, an enzyme that breaks down lactose in milk, determining lactose tolerance or intolerance in individuals.

European Populations

Refers to the human demographic groups that reside in Europe, characterized by distinct historical, cultural, and genetic backgrounds.

Advent Of Agriculture

The period in human history, approximately 10,000 years ago, when humans began to cultivate crops and domesticate animals, leading to settled communities.

H. Naledi

A species of extinct hominin discovered in South Africa, known for its unique mixture of primitive and modern anatomical features.