Common Sign Of Normal Pressure Hydrocephalus
Order 5998621
26-year-old male with no significant past medical history is brought to the emergency room by his
father and wife. The patient’s boss called his wife, asking why the patient had not shown up for work
over the past 2 days. The patient’s wife was unaware the patient had not been going to work, since he
had been leaving the house on a daily basis, though he had been “saying strange things” for several
months. His vital signs are normal. A urine drug screen is negative. He is not known to abuse alcohol
and has an undetectable blood alcohol level. Upon evaluating the patient, it is clear that he is
experiencing auditory hallucinations as he is having a conversation with someone who is not
physically present. When you introduce yourself, he says that “the CEO of your company is getting
together with the CEO of my company to cut down all the trees.” Which of the following is most
likely true of his underlying condition?
A. He has mania complicated by psychotic features.
B. He abuses LSD, which is not commonly tested on drug screens.
C. His risk of suicide is highest in the early stage of his illness.
D. Visual hallucinations are the most common form of hallucinations.
E. Hallucinations are more common than delusions.
98. Which of the following is the most common sign or symptom in patients with normal pressure
hydrocephalus (NPH)?
A. Ataxia
B. Dementia
C. Papilledema
D. Urinary incontinence
E. Headache
99. What is the duration of action of naloxone?
A. 30 minutes
B. 1 hour
C. 5 hours
D. 10 hours
E. 20 hours
100. Which of the following is the most appropriate initial antihypertensive medication for hypertensive
crises in pregnant patients?
A. Nitroprusside
B. Nitroglycerin
C. Clonidine
D. Labetalol
E. Hydrochlor
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