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A 36-year-old immigrant woman is brought to the ED from her work-place.

A 36-year-old immigrant woman is brought to the ED from her work-place. She was found to be agitated and behaving bizarrely. The patient’s past medical history and medications are unknown. Her BP is 162/92 mm Hg, HR is 140 beats per minute, temperature is 101.8°F, and RR is 18 breaths per minute. On examination, the patient is delirious, tremulous, and has a large goiter. Which of the following is the most appropriate management of this patient?

a. Administer dantrolene.

b. Administer acetaminophen and broad-coverage antibiotics.

c. Protect airway; administer iodine.

d. Administer diazepam.

e. Protect airway; administer acetaminophen, propranolol, and PTU.

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