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MMLU / A 72-year-old woman with advanced ovarian cancer metastatic to the liver is…

Problem

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question

A 72-year-old woman with advanced ovarian cancer metastatic to the liver is brought to the physician by her son because she cries all the time and will not get out of bed. On a 10-point scale, she rates the pain as a 1 to 2. She also has hypertension and major depressive disorder. She has received chemotherapy for 2 years. Current medications also include oxycodone (10 mg twice daily), hydrochlorothiazide (25 mg/d), and fluoxetine (20 mg/d). She is 165 cm (5 ft 5 in) tall and weighs 66 kg (145 lb); BMI is 24 kg/m2 . Her temperature is 37°C (98.6°F), pulse is 110/min, respirations are 12/min, and blood pressure is 120/80 mm Hg. Examination shows a firm, distended abdomen with moderate tenderness over the liver. On mental status examination, she is oriented to person, place, and time. She has good eye contact but appears sad and cries easily. Which of the following is the most appropriate next step in management?

choices

  1. Reassurance
  2. Assess for suicidal ideation
  3. Begin dextroamphetamine therapy
  4. Increase oxycodone dosage

subject

professional_medicine

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Source and history

task_id
dda98d75-f3dd-54a2-8c19-1f158e8e7126
task_key
all--test--dda98d75-f3dd-54a2-8c19-1f158e8e7126
task_revision_id
1
config / split
all / test

Official source

initial import