nbme 6 q - medplus254

[ArchivalUser]

1. A previously healthy 52-year-old man comes to the emergency department because of hiccups for 1 week. He has smoked two packs of cigarettes daily for 30 years. He does not drink alcohol. He is alert and oriented. His temperature is 37 C (98.6 F), blood pressure is 150/95 mm Hg, pulse is 70/min, and respirations are 12/min. Physical and neurologic examinations show no abnormalities. His serum sodium level is 120 mEq/L. An x-ray film of the chest shows a right hilar mass. Which of the following is the most appropriate next step in treatment?

A
) Bisphosphonate therapy

B
) Calcitonin therapy

C
) Calcium therapy

D
) Dexamethasone therapy

E
) 5% Dextrose in 0.225% saline therapy

F
) 5% Dextrose in 0.45% saline therapy

G
) 5% Dextrose in water therapy

H
) Fluid restriction

I
) Hydrocortisone therapy

J
) Lactated Ringer's solution

K
) Mannitol therapy

L
) Potassium therapy

M
) 0.9% Saline therapy

N
) 3% Saline therapy

O
) Sodium bicarbonate therapy

[ArchivalUser]

SIADH ...... Restrict fluid

[ArchivalUser]

if Na less than 120 with confusion and lethargy then Rx hypertonic saline till Na reaches 120

[ArchivalUser]

yes but here pt has nothing expect hicups so restrictive fluid ..right?

[ArchivalUser]

yeah i would go with fluid restriction.

[ArchivalUser]

thanks

[ArchivalUser]

it is HH