Question 3: A 23-year old man is brought to the emergency ro…

Question 3: A 23-year old man is brought to the emergency room by the police for belligerent behavior. His speech is slurred, his gait is ataxic, his memory is impaired, and he spits at the examiner. His mood is irritable. There is no odor of alcohol on his breath, and his skin color is normal. Of the following, the most likely diagnosis is

Question 27: A 50 y/o male is admitted to your detox unit fo…

Question 27: A 50 y/o male is admitted to your detox unit for alcohol withdrawal. He has a history of heavy drinking for many years. As part of your admission laboratory work, you order a comprehensive metabolic profile and CBC. You might expect to see all of the following except:

Question 27: A 50 y/o male is admitted to your detox unit fo…

Question 27: A 50 y/o male is admitted to your detox unit for alcohol withdrawal. He has a history of heavy drinking for many years. As part of your admission laboratory work, you order a comprehensive metabolic profile and CBC. You might expect to see all of the following except:

Question 23: Many neurotransmitters are involved in the deve…

Question 23: Many neurotransmitters are involved in the development of drug dependence, both in the acute reinforcing effects of drugs and in the recruitment of the brain stress system. All of the following neurotransmitters have been identified as being involved in the acute reinforcing effects of drugs EXCEPT:

Question 22: A young man is brought to the emergency room by…

Question 22: A young man is brought to the emergency room by his friends, who report that the patient was at a fraternity party and was “partying” with other partygoers, when he started “acting weird,” saying he wanted to kill himself. His roommate recalled that the patient has been increasingly depressed since he was injured in a car accident a week ago, especially in the past few days. The patient binges on alcohol occasionally and has been taking “some pain meds” since his accident but does not use other substances. He quit smoking “cold turkey” 2-3 days ago. He has no known history of a mood disorder. On examination, the young man has slurred speech and an ataxic gait. He has nystagmus bilaterally, and his pupils are constricted. When you gently start examining the leg that was injured, he yells, “What are you doing?! Trying to kill me?!” and whimpers in pain. In addition to alcohol intoxication, which of the following are other conditions in your differential diagnosis?

Question 26:  A 53 year old male presents to the ED complain…

Question 26:  A 53 year old male presents to the ED complaining of confusion and agitation. His vitals are a BP of 148/100, HR of 120, a RR of 12 and a temperature of 101 F. His history is positive for an alcohol use disorder of 25 years and he states that he decided to give it up “cold turkey” 3 days ago. Which one of the following is the most appropriate next step?

The Coffee Bean coffee shop hires Lola to be the store manag…

The Coffee Bean coffee shop hires Lola to be the store manager for one of their 7 stores.  The Coffee Bean agrees to pay Lola a salary plus commission.  The Coffee Bean requires that Lola comply with the company’s standards and that goals should be reached.  Lola is most likely the Coffee Bean’s