08-20-2007, 08:12 PM
19. A 74-year-old woman is admitted to the hospital for treatment of a hip fracture. Her only medical problem is chronic insomnia; she told the nurse, "I have taken sleeping pills for years." Two days after the operation she has a tonic clonic seizure. Vital signs now are: temperature 38.0°C (100.4°F), pulse 110/min and blood pressure 180/100 mm Hg. She is confused, has diaphoresis and is trembling. Which of the following is the most likely diagnosis?
A
) Barbiturate withdrawal
B
) Diphenhydramine withdrawal
C
) Propoxyphene withdrawal
D
) Pulmonary embolus
E
) Stroke
20. You have just returned from a trip out of town and learn that your long-time patient with end-stage chronic obstructive pulmonary disease has been hospitalized and is on a ventilator. On the way to the intensive care unit to visit him, you are informed that the patient has just died. On your way into the patient's room you meet the patient's 68-year-old wife. Which of the following is most appropriate to say to her?
A
) "How do you feel?"
B
) "I am sorry for your loss."
C
) "I know you are upset."
D
) "What happened while I was gone?"
E
) "Your husband didn't suffer."
A
) Barbiturate withdrawal
B
) Diphenhydramine withdrawal
C
) Propoxyphene withdrawal
D
) Pulmonary embolus
E
) Stroke
20. You have just returned from a trip out of town and learn that your long-time patient with end-stage chronic obstructive pulmonary disease has been hospitalized and is on a ventilator. On the way to the intensive care unit to visit him, you are informed that the patient has just died. On your way into the patient's room you meet the patient's 68-year-old wife. Which of the following is most appropriate to say to her?
A
) "How do you feel?"
B
) "I am sorry for your loss."
C
) "I know you are upset."
D
) "What happened while I was gone?"
E
) "Your husband didn't suffer."