Question

A 35-year-old man presents with progressive confusion, ataxia and nystagmus. He has a long history of alcohol dependence and poor nutrition. Which is the most appropriate immediate treatment?

Accepted Answer

High-dose IV thiamine before glucose

Answer

High-dose IV glucose before thiamine

Answer

Oral multivitamin only

Answer

IV diazepam infusion

Answer

No specific treatment; symptoms will resolve spontaneously

Practice question

A 35-year-old man presents with progressive confusion, ataxia and nystagmus. He has a long history of alcohol dependence and poor nutrition. Which is the most appropriate immediate treatment?