🏥 USMLE Exam Prep

A 50-year-old man with a history of chronic alcohol use disorder is admitted to the hospital for pneumonia. On hospital day 2, he develops tremors, agitation, tachycardia (HR 120 bpm), hypertension (BP 160/100 mmHg), and diaphoresis. He reports seeing "bugs crawling on the walls." Which of the following is the most appropriate initial treatment?

A Haloperidol
B Lorazepam
C Phenobarbital
D Naltrexone

✓ Correct Answer: Option B

The patient exhibits severe alcohol withdrawal symptoms, including hallucinations and autonomic instability. Benzodiazepines like lorazepam are the first-line treatment to manage symptoms and prevent complications.

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