Chapter 11 Single best answer questions

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. A young male, smelling of alcohol, is brought in to A&E by the police. He is verbally abusive to the staff, especially the nurse in charge, who asks you to see him straight away.
Which of the options below is the MOST APPROPRIATE first step in assessing this patient?

Prescribe some sedatives to calm the patient down. correct incorrect

Order a urine drug screen (UDS). correct incorrect

Ask the patient how many drinks he has had and calculate his weekly units. correct incorrect

Review the medical notes. correct incorrect

Give him an injection of thiamine to avoid delirium tremens. correct incorrect

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. Having interviewed your intoxicated patient, you decide to request a urine drug screen (UDS).
Which of the substances below is NOT usually detected by a UDS?

Cannabis correct incorrect

LSD correct incorrect

Amphetamine correct incorrect

Heroin correct incorrect

Cocaine correct incorrect

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. A confused, middle-aged woman, with a long-standing history of alcohol misuse is brought into A&E by her brother. He tells you that she's been shaky and sweaty for the last two days, and has been terrified of dogs attacking her in her bedroom. He states that there are no dogs in the house.
Which of the options below is MOST LIKELY to have triggered her symptoms?

Subdural haematoma correct incorrect

Sepsis correct incorrect

Benzodiazepine overdose correct incorrect

Alcohol intoxication correct incorrect

Abstinence from alcohol correct incorrect

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. Which of the following options are you LEAST likely to elicit on examination of a patient with Wernicke's encephalopathy?

Confusion correct incorrect

Irreversible anterograde amnesia correct incorrect

Nystagmus correct incorrect

Ataxia correct incorrect

Ophthalmoplegia correct incorrect

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. A 32 year old man is suffering from heroin withdrawal.
Which of the symptoms below is LEAST likely to happen during this process?

Cramps and aches correct incorrect

Death correct incorrect

Nausea and vomiting correct incorrect

Lacrimation correct incorrect

Insomnia correct incorrect