Hepatic encephalopathy 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 63-year-old man is brought to the emergency department by his partner for evaluation of altered mental status. His family reports worsening confusion over the past 24 hours, and the patient is now difficult to arouse. The patient has a history of cirrhosis due to nonalcoholic steatohepatitis. Temperature is 37.8°C (100.0°F), pulse is 110/min, respiratory rate is 22/min, blood pressure is 88/60 mmHg, and oxygen saturation is 87% on room air. The patient appears stuporous and is unable to answer orientation questions or follow commands. The patient appears jaundiced. The abdomen is distended and tender with a positive fluid wave test. Which of the following is the best next step in management?

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Broad-spectrum antibiotics

Computed tomography (CT) head without contrast

Lactulose

Noninvasive positive-pressure ventilation

Endotracheal intubation