08-12-2005, 01:31 PM
Two days after admission to the hospital because of a 3-day history of slurred speech, double vision, and dysphagia, a 24-year-old woman becomes quadriplegic and requires intubation and mechanical ventilation. Her medical history is unremarkable. One week ago, she attended a family picnic: several of her family members have had abdominal cramps and diarrhea since the picnic. Her temperature is 37 C (98.6 F), blood pressure is 120/80 mm Hg, and pulse is 120/mm. Examination shows dry mucous membranes, large unreactive pupils, ophthalmoplegia, and profound facial weakness. There is areflexia, quadriplegia, and no movement of the palate and tongue. Sensation is normal. Babinski™s sign is absent. Which of the following is the most appropriate pharmacotherapy?
r A) Antitoxin
r B) Azathioprine
C) Interferon
r D) Pyridostigmine
E) Riluzole
in pericardial effusion what is accentuated?
A) Cardiac output
B) Fall in systolic arterial pressure with inspiration
r C) Left ventricular end-diastolic pressure
r D) Mitral regurgitation
r E) Ventricular septal wall motion
A 19-year-old college student comes to student health services because of constant worrying since starting his freshman year 6 months ago. He attends college several hundred miles away from his hometown. He reports feeling constantly scrutinized by other students and professors. He feels embarrassed and anxious in class and is in constant fear of blushing. He has started to skip his classes because of his anxiety and worries that he will not be able to complete the school year. He drinks alcohol occasionally because it helps him overcome his fear of being embarrassed in front of others. He does not use illicit drugs. on examination shows no abnormalities. On mental status examination, he is mild anxious but maintain eye contact and shifts uncomfortably in his chair. iVhich of the following is the most appropriate pharmacotherapy
r A) D isulfi ram
r B) Done pezil
C) Fluoxetine
r D) Haloperidol
r E) Methyiphenidate
r F) Vaiproic acid
r A) Antitoxin
r B) Azathioprine
C) Interferon
r D) Pyridostigmine
E) Riluzole
in pericardial effusion what is accentuated?
A) Cardiac output
B) Fall in systolic arterial pressure with inspiration
r C) Left ventricular end-diastolic pressure
r D) Mitral regurgitation
r E) Ventricular septal wall motion
A 19-year-old college student comes to student health services because of constant worrying since starting his freshman year 6 months ago. He attends college several hundred miles away from his hometown. He reports feeling constantly scrutinized by other students and professors. He feels embarrassed and anxious in class and is in constant fear of blushing. He has started to skip his classes because of his anxiety and worries that he will not be able to complete the school year. He drinks alcohol occasionally because it helps him overcome his fear of being embarrassed in front of others. He does not use illicit drugs. on examination shows no abnormalities. On mental status examination, he is mild anxious but maintain eye contact and shifts uncomfortably in his chair. iVhich of the following is the most appropriate pharmacotherapy
r A) D isulfi ram
r B) Done pezil
C) Fluoxetine
r D) Haloperidol
r E) Methyiphenidate
r F) Vaiproic acid