Delirium Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 72-year-old woman is brought by ambulance to the emergency department because of confusion. The patient is a professor at the local university and appeared confused during a lecture, prompting students to call an ambulance. Past medical history is significant for hypertension for which the patient takes amlodipine. The patient had two teeth extracted four days ago and has been taking oxycodone 5 mg orally every six hours for pain control. Vital signs are within normal limits. On physical examination, the patient appears confused. She has no focal neurologic deficits. Pupils are miotic but reactive. The lower abdomen is distended without tenderness to palpation. Rectal exam reveals hard, firm stool in the rectal vault. Which of the following findings would be most consistent with a diagnosis of delirium?

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Normal immediate recall of events just prior to the lecture

One-year history of telling family and friends that a government agency is spying on her

Inability to spell the word ‘WORLD’ backwards

History of increasing difficulty remembering words in her lectures for the past year

Lack of interest in usually pleasurable activities for the past 3 months