A 65-year-old man presents to the dermatology clinic to have a basal cell carcinoma excised from his upper back. The lesion measures 2.3 x 3.2 cm. He has a medical history significant for hypertension and diabetes mellitus type II, for which he takes lisinopril and metformin, respectively. He has had a basal cell carcinoma before which was excised in the clinic without complications. Which of the following modes of anesthesia should be used for this procedure?
AModerate sedation
BPeripheral nerve block
CGeneral anesthesia
DSpinal anesthesia
ELocal anesthesia
A 32-year-old man with a history of alcohol binge drinking and polysubstance use is found down in his hotel room with bottles of alcohol, oxycodone, alprazolam, amphetamine-dextroamphetamine, and tadalafil. When EMS arrives, he appears comatose with pinpoint pupils and oxygen saturation of 80% on room air. He is intubated at the scene and airlifted to the nearest intensive care unit. Body temperature is 95 degrees F (35 degrees C). Creatine phosphokinase is 12,000 U/L. MRI of the brain demonstrates extensive infarcts consistent with acute hypoxic ischemic injury. Which of the following is the likely culprit for his overdose?
AAmphetamines
BPhosphodiesterase-5 (PDE-5) inhibitors
CAlcohol
DBenzodiazepines
EOpioids
A 25-year-old man is brought to the emergency department after his girlfriend discovered him at home in a minimally responsive state. He has a history of drinking alcohol excessively and using illicit drugs. On arrival, he does not respond to commands but withdraws all extremities to pain. His pulse is 90/min, respirations are 8/min, and blood pressure is 130/90 mm Hg. Pulse oximetry while receiving bag-valve-mask ventilation shows an oxygen saturation of 95%. Examination shows cool, dry skin, with scattered track marks on his arms and legs. The pupils are pinpoint and react sluggishly to light. His serum blood glucose level is 80 mg/dL. The most appropriate next step in management is intravenous administration of which of the following?
AFomepizole
BNaltrexone
CMethadone
DNaloxone
EPhentolamine
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