Exam Section 3: Item 2 of 50
■ MarkNational Board of Medical Examiners
Comprehensive Basic Science Self-AssessmentTime Remaining:
3 hr 59 min 28 sec
2. A 62-year-old man comes to the physician with a 3-month history of fatigue and depression. He lives alone and has been drinking more (up to6 mixed alcoholic drinks daily)since his wife of 40 years died 6 months ago. He says, "Yeah, I know I've been drinking a lot lately, but I'm so down in the dumps there's nothing else I want to do. I miss her so much." Which of the following responses by the physician is most appropriate?© A) "Anybody in your circumstance would be depressed. Time will help you overcome the loss of your wife."© B) "Drinking isn't going to bring your wife back. You need to get on with your life and put this sad experience behind you."© C) "I know you have been through a lot recently. Have things been so bad recently that you have thought about killing yourself?"© D) "I'd like to start you on some medication for depression. It sometimes takes a few weeks to work."© E) "You seem to be developing an alcohol problem. You need to quit drinking. I can refer you to the local chapter of Alcoholics Anonymous."
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Lab Values Review Help Pause