A 75-year-old female patient comes to the emergency department with altered mental status. She is brought in by her daughter with whom the patient lives. The patient’s daughter said they were watching TV when her mother became unresponsive. On exam the patient withdraws to pain but does not open her eyes or speak. An emergent head CT is done and shows an intracranial bleed. The patient is moved to the ICU and intubated. Further history is obtained from the daughter. The patient has a past medical history of diabetes and a previous stroke. Her medications are metformin and warfarin. The patient is compliant with all of her medications. The daughter says that the patient changed her diet about 1 month ago in response to a diet she saw on a talk show. Which of the following foods is most likely to cause the pathology seen in this patient?
AGrapefruit juice
BSt. John’s wort
CGreen tea
DChili peppers
ESpinach
A professional golfer tees off on the first day of a tournament. On the first hole, his drive slices to the right and drops in the water. He yells at his caddy, then takes his driver and throws it at his feet, blaming it for his poor swing. Notably, the golfer had had a long fight with his wife last night over problems with family finances. The golfer's actions on the course represent which type of defense mechanism?
AIsolation of affect
BRepression
CDisplacement
DSublimation
ERationalization
Please refer to the summary above to answer this question Which of the following is the most appropriate pharmacotherapy? Patient Information Age: 30 years Gender: F, self-identified Ethnicity: unspecified Site of Care: office History Reason for Visit/Chief Concern: "I'm so anxious about work." History of Present Illness: 7-month history of sensation that her heart is racing whenever she gives oral presentations at work she has also had moderate axillary sweating during these presentations and feels more anxious and embarrassed when this happens feels otherwise fine when she is interacting with her colleagues more casually around the workplace Past Medical History: alcohol use disorder, now abstinent for the past 2 years acute appendicitis, treated with appendectomy 5 years ago verrucae planae Medications: disulfiram, folic acid, topical salicylic acid Allergies: no known drug allergies Psychosocial History: does not smoke, drink alcohol, or use illicit drugs Physical Examination Temp Pulse Resp BP O2 Sat Ht Wt BMI 36.7°C (98°F) 82/min 18/min 115/72 mm Hg – 171 cm (5 ft 7 in) 58 kg (128 lb) 20 kg/m2 Appearance: no acute distress Pulmonary: clear to auscultation Cardiac: regular rate and rhythm; normal S1 and S2; no murmurs Abdominal: has well-healed laparotomy port scars; no tenderness, guarding, masses, bruits, or hepatosplenomegaly Extremities: no tenderness to palpation, stiffness, or swelling of the joints; no edema Skin: warm and dry; there are several skin-colored, flat-topped papules on the dorsal bilateral hands Neurologic: alert and oriented; cranial nerves grossly intact; no focal neurologic deficits Psychiatric: describes her mood as "okay"; speech has a rapid rate but normal rhythm; thought process is organized
AClonazepam
BOlanzapine
CSertraline
DVenlafaxine
EPropranolol
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