SPEX Practice Test 10

A 52-year-old man is admitted to the hospital after a fall in which he fractured his left distal radius; surgical fixation is planned. He drinks 10 to 12 beers daily, and his last drink was on the morning of admission. Thirty-six hours later, he is anxious, tremulous, sweating, and nauseated. Temperature is 37.6°C (99.7°F), pulse is 116/min, respirations are 20/min, and blood pressure is 162/96 mm Hg. He is oriented to person, place, and time and has no hallucinations. There is a coarse tremor of the outstretched hands. Serum AST is 190 U/L, ALT 88 U/L, albumin 3.9 g/dL, and INR 1.0. He is receiving intravenous fluids and thiamine.