A 50-year-old man with a history of alcohol excess presents with confusion, ataxia, and nystagmus. He admits to poor diet and recent heavy drinking. W...

Question

A 50-year-old man with a history of alcohol excess presents with confusion, ataxia, and nystagmus. He admits to poor diet and recent heavy drinking. What is the most important initial treatment?

Accepted Answer

Intravenous Pabrinex (high-dose B vitamins)

Answer

Oral thiamine 100mg TDS

Answer

Intravenous glucose 5%

Answer

Chlordiazepoxide

Answer

Intravenous lorazepam

ukmla MCQ (SBA): Neurology

A 50-year-old man with a history of alcohol excess presents with confusion, ataxia, and nystagmus. He admits to poor diet and recent heavy drinking. What is the most important initial treatment?