A 75-year-old man with a 40-pack-year history of smoking and known chronic obstructive pulmonary disease complains of intermittent cough. Physical examination reveals wheezing, which is suggestive of bronchospasm. Which of the following is the most appropriate treatment for this patient?

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Question 1 of 5

A 75-year-old man with a 40-pack-year history of smoking and known chronic obstructive pulmonary disease complains of intermittent cough. Physical examination reveals wheezing, which is suggestive of bronchospasm. Which of the following is the most appropriate treatment for this patient?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

A 23-year-old woman with lifelong epilepsy controlled with medication has just found out that she is pregnant. She has seizures once a month but seem to be controlled at present. Which of the following statements about epilepsy in pregnancy is true?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

A 38-year-old businessman is on a trip to Mexico when he develops diarrhea. He has to give a presentation in a few hours and needs rapid relief. He takes an antidiarrheal preparation containing diphenoxylate. Which of the following describes diphenoxylate’s mechanism of action?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A 54-year-old man with hypertension, alcoholic cirrhosis, and HIV disease is hospitalized for abdominal pain, fatigue, and weakness. His ascites and edema are markedly worse. Physical examination reveals a palpable abdominal fluid wave. Which of the following treatments may be beneficial for this patient?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

A 27-year-old man was prescribed with an antidepressant for his insomnia. He now presents to the emergency department with priapism of 3 h duration. Which antidepressant was he likely taking?

Correct Answer: D

Rationale: is commonly prescribed off-label for insomnia due to its sedative effects and is notoriously associated with priapism, a prolonged and painful erection, due to its α-adrenergic blockade and serotonergic properties. Bupropion has a low incidence of sexual side effects and is stimulating, not sedating. Duloxetine (an SNRI) and sertraline (an SSRI) can cause sexual dysfunction but rarely priapism. Imipramine, a tricyclic antidepressant, has anticholinergic effects but is less linked to priapism than trazodone.

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