Review Question - QID 108687

A 58-year-old man with a past medical history of hypertension, hyperlipidemia, chronic obstructive pulmonary disease, and tobacco use is brought to the emergency department by his sister for confusion. His sister reports that she and the patient were watching television together when the patient asked her to call their mother, who is deceased. His sister then noticed that he had difficulty walking to the bathroom. She reports that the patient has started drinking more since losing his job several months ago, but she insists that he has not had any alcohol while she was with him today. The patient’s home medications include hydrochlorothiazide, rosuvastatin, and albuterol as needed. His temperature is 97.9°F (36.6°C), blood pressure is 145/93 mmHg, pulse is 82/min, respirations are 12/min, and SpO2 is 96%. On physical exam, he is alert and oriented to person, place, and time. His eyes appear to flick to the right when he is asked to look to the left. The patient’s blood alcohol level is normal. Additional laboratory tests are performed and reveal the following.
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