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MCQ 11: Delirium ManagementAn 80-year-old man with advanced cancer develops acute confusion and agitation. Which of the following is the most appropriate first-line management?A. Start haloperidolB. Administer benzodiazepinesC. Identify and treat underlying causesD. Initiate physical restraintsE. Start antidepressantsAnswer: Identify and treat underlying causesExplanation: In delirium management, the first step is to identify and treat underlying causes such as infection, metabolic disturbances, or medication side effects. Non-pharmacological interventions should be implemented before considering medications. Haloperidol may be used for severe symptoms but is not first-line. Benzodiazepines can worsen delirium and are generally avoided. Physical restraints are a last resort. Antidepressants are not indicated for acute delirium.

