Psychiatry Quiz #21: Psychiatric Emergencies

1. A 24-year-old woman is brought to the emergency department by her roommate because she has locked herself in her room for the past 2 days, claiming she can hear voices telling her she is worthless and should harm herself. On examination, the patient appears agitated and reports auditory hallucinations. She has a history of depression but has not been on medication for the past year. Which of the following is the most appropriate initial management? 

Question 1 of 5

2. A 32-year-old man with a history of bipolar disorder is brought to the emergency department after being found wandering on a busy highway. He is speaking rapidly, claiming he has been chosen to save the world and needs to find the president immediately. His family notes he has not slept in 3 days. Which of the following is the most appropriate pharmacological treatment to initiate? 

Question 2 of 5

3. A 27-year-old man is brought to the emergency department by police after being found in a park disoriented and partially clothed. He is agitated, sweating profusely, and has dilated pupils. He exhibits violent behavior towards staff and seems to have hallucinations. Temperature is 39.4°C (102.9°F). Which of the following is the most likely cause of his presentation? 

Question 3 of 5

4. A 45-year-old man with a known history of schizophrenia is brought to the emergency department by his family for aggressive behavior and threatening to harm them. He is currently homeless and has not been compliant with his medications. On examination, he is irritable, responding to internal stimuli, and has poor insight. Which of the following is the most appropriate next step in management? 

Question 4 of 5

5. A 22-year-old college student is brought to the emergency department by her friends after she ingested an unknown quantity of acetaminophen (Tylenol) in a suicide attempt. She is currently alert and expressing regret over her actions. Which of the following is the most immediate step in managing this patient? 

Question 5 of 5


 

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