The goal of CLIA is all of the following except:

During a frontal collision, MOST pneumothoraces occur when:

A) the patient takes a deep breath just before impact and the lungs rapidly decompress at the time of impact. B) the diaphragm rapidly ascends into the chest cavity during impact, causing an increase in intrathoracic pressure. C) the chest strikes the steering wheel, which fractures one or more ribs and causes a perforation injury to one of the lungs. D) the patient is ejected through the windshield, and his or her chest collides with a secondary object outside the vehicle.

Which of the following phenytoin-like drugs should be used with caution in older adults and in patients with a history of cardiac disease?

A) valproic acid B) carbamazepine C) lamotrigine D) none of the above