American College of Physicians: Internal Medicine — Doctors for Adults ®

Advertisement

The MKSAP Challenge

From the March ACP Observer, copyright 2004 by the American College of Physicians.

Clinical scenario

A 36-year-old man with long history of heavy alcohol use presents within 24 hours of his last drink. He states that he "needs help with the withdrawal." He denies any other drug use.

On examination, his pulse rate is 120/min and blood pressure is 172/96 mm Hg. He is moderately tremulous and is having visual hallucinations.

What is the most appropriate management?

A. Admit the patient and give clonidine, 1 mg
B. Admit the patient and give diazepam, 20 mg
C. Prescribe outpatient chlordiazepoxide, 50 mg
D. Prescribe outpatient lorazepam, 2 mg
E. Prescribe outpatient atenolol, 50 mg

Answer

Top

This is a printer-friendly version of this page

Print this page  |  Close the preview

Share

 
 

Internist Archives Quick Links

Internal Medicine Meeting Early Registration Discount

Internal Medicine Meeting Early Registration Discount

Register early for Internal Medicine Meeting 2015 in Boston, MA to lock in the lowest possible rate. Learn more or register now!

Are You Using ACP Smart Medicine®?

Are You Using ACP Smart Medicine?

This online clinical decision support tool is a FREE benefit of ACP membership delivering point-of-care access to evidence-based recommendations. Includes more than 500 modules, images and reference tables. Start now or watch the video tour.