Smile Please !! Here I am with my Hindi Jokes and Chutkule. हिंदी चुटकुले और कार्टून्स
Saturday, 4 May 2013
STANDARD OF USMLE QUESTION and comparision to NEET question !!..............48813
1. STANDARD OF USMLE QUESTION:
A homeless 57-year-old African-American veteran, well known to the emergency department, is brought in by police. He became combative when the police tried to arrest him for harassing a Vietnamese restaurant owner. The police state that the patient insists he has been seeing “those Viet Cong bastards again.” He is a known abuser of alcohol and opioids. On mental status examination, the patient continues to insist that anyone with a gun is “one of the enemy.” The patient, when asked about the incident with the store owner, states that he usually tries to avoid anything that reminds him of the Vietnamese. When he is faced with such reminders, he becomes extremely agitated and behaves in ways he “wishes he didn’t.” A toxicology screen is negative. His temperature is 37.3°C (99.1°F), blood pressure is 140/82 mm Hg, heart rate is 71/min, and respiratory rate is 18/min. Which of the following is the best pharmacotherapy for this patient?