04-20-2008, 08:26 PM
19. A 60-year-old man comes to the physician because of difficulty sleeping
and concentrating and a 5-kg (10-lb) weight loss over the past 3 months. He also
has become withdrawn. He has had chronic pain since sustaining fractures of the
left lower extremity, pelvis, and several ribs in a motor vehicle collision 2
years ago. He has a previous history of alcohol abuse. He takes a nonsteroidal
anti-inflammatory drug. Which of the following is the most appropriate
pharmacotherapy?
A
) Carbamazepine
B
) Chlordiazepoxide
C
) Disulfiram
D
) Lithium carbonate
*E
) Nortriptyline
and concentrating and a 5-kg (10-lb) weight loss over the past 3 months. He also
has become withdrawn. He has had chronic pain since sustaining fractures of the
left lower extremity, pelvis, and several ribs in a motor vehicle collision 2
years ago. He has a previous history of alcohol abuse. He takes a nonsteroidal
anti-inflammatory drug. Which of the following is the most appropriate
pharmacotherapy?
A
) Carbamazepine
B
) Chlordiazepoxide
C
) Disulfiram
D
) Lithium carbonate
*E
) Nortriptyline