42-year-old Male in Medicine / Internal Medicine — 42yo Man | Psychiatry | SMLE Q#17131
SMLE Question #17131
Medicine / Internal Medicine
Psychiatry
Objective: OBJ-253
Last updated: February 2026
A 42-year-old male physician is brought to the emergency department after being found difficult to arouse in the call room. Coworkers report several months of increasing drowsiness and inattention during shifts. On examination, he is somnolent and arousable only to painful stimuli. He has markedly constricted pupils and shallow, slow respirations. What is the most likely cause of his current condition?
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