A 59-year-old man with a history of alcohol excess presents with confusion, ataxia, and ophthalmoplegia (nystagmus and lateral rectus palsy). What is ...

Question

A 59-year-old man with a history of alcohol excess presents with confusion, ataxia, and ophthalmoplegia (nystagmus and lateral rectus palsy). What is the most important immediate treatment to administer?

Accepted Answer

Intravenous Pabrinex (high-potency B vitamins)

Answer

Intravenous lorazepam

Answer

Oral chlordiazepoxide

Answer

Intravenous glucose 50%

Answer

Oral acamprosate

mrcp part 1 MCQ (SBA): Wernicke's Encephalopathy

A 59-year-old man with a history of alcohol excess presents with confusion, ataxia, and ophthalmoplegia (nystagmus and lateral rectus palsy). What is the most important immediate treatment to administer?