A 50-year-old man with long-standing alcohol use disorder is brought to the emergency department with confusion, ataxia and ophthalmoplegia. What is t...

Question

A 50-year-old man with long-standing alcohol use disorder is brought to the emergency department with confusion, ataxia and ophthalmoplegia. What is the MOST appropriate immediate treatment?

Accepted Answer

Intravenous thiamine before glucose administration

Answer

Intravenous glucose followed by thiamine

Answer

Oral multivitamins only

Answer

Haloperidol for agitation only

Answer

Observe without specific therapy

ca-mccqe1 MCQ (SBA): Wernicke encephalopathy

A 50-year-old man with long-standing alcohol use disorder is brought to the emergency department with confusion, ataxia and ophthalmoplegia. What is the MOST appropriate immediate treatment?