Question

A 58-year-old man with chronic heavy alcohol use presents with new-onset confusion and ataxia. Examination reveals nystagmus and ophthalmoplegia. Which is the most appropriate immediate treatment?

Accepted Answer

High-dose intravenous thiamine before glucose

Answer

Haloperidol IM

Answer

Oral multivitamin tablet only

Answer

Insulin infusion

Answer

Lorazepam for presumed anxiety

Practice question

A 58-year-old man with chronic heavy alcohol use presents with new-onset confusion and ataxia. Examination reveals nystagmus and ophthalmoplegia. Which is the most appropriate immediate treatment?