pscy q - medplus254

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16. A 35-year old male executive in seen in the emergency department after being involved in a minor motor vehicle accident. Physical examination is remarkable for a BP of 142/94 P 88 R 18 and T 99.6. There is an area of ecchymosis across his chest that corresponds to the pattern of an air bag inflating and is associated with tenderness but no crepitus. His lungs are clear to auscultation and percussion although he reports some discomfort with deep inspiration. Laboratory studies are remarkable for a blood alcohol level of 0.05 % (50 mg/dl). When asked about this, the patient reports that he always enjoyed “a night out with the boys” but rarely drank during the week. However, over the past year, with increased stress at work, he has begun stopping at a local bar each night for a drink. At first, he would have a single beer before heading home, but over the past month he has needed two or even three beers to feel relaxed. He also has been drinking additional beer throughout the evening. On weekends, he begins drinking beer in the early afternoon and this prevents the afternoon shakiness and anxiety he feels during the week. Which of the following sets of alcohol related syndromes is MOST consistent with this patient's history and presentation?

Tolerance Dependence Withdrawal
a. Present Present Present
b. Present Present Absent
c. Present Absent Present
d. Present Absent Absent
e. Absent Present Present
f. Absent Present Absent
g. Absent Absent Present
h. Absent Absent Absent

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