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MMLU-Pro / 6252 / A previously healthy 15-year-old boy is brought to the emergency department in…

Problem

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question

A previously healthy 15-year-old boy is brought to the emergency department in August 1 hour after the onset of headache, dizziness, nausea, and one episode of vomiting. His symptoms began during the first hour of full-contact football practice in full uniform. He reported feeling weak and faint but did not lose consciousness. He vomited once after drinking water. On arrival, he is diaphoretic. He is not oriented to person, place, or time. His temperature is 39.5°C (103.1°F), pulse is 120/min, respirations are 40/min, and blood pressure is 90/65 mm Hg. Examination, including neurologic examination, shows no other abnormalities. Which of the following is the most appropriate next step in management?

category

health

options

  1. Administer an epinephrine injection
  2. Administer oxygen via a nasal cannula
  3. Perform a lumbar puncture
  4. Immerse the patient in an ice water bath
  5. Apply cold compresses to the forehead
  6. Obtain a CT scan of the head
  7. Administer a dose of ibuprofen
  8. Administer intravenous fluids
  9. Administer sodium chloride tablets
  10. Administer a glucose injection

src

ori_mmlu-professional_medicine

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