Psychiatry Quiz #20: Drug Intoxications and Addiction

1. A 23-year-old man is brought to the emergency department by his friends after they found him in a state of confusion and agitation, speaking rapidly and unable to sit still. His temperature is 39.2°C (102.6°F), blood pressure is 160/100 mmHg, and pulse is 120/min. Physical examination reveals dilated pupils, dry skin, and involuntary muscle movements. Which of the following substances is most likely responsible for his condition? 

Question 1 of 5

2. A 32-year-old woman is brought to the emergency department with decreased level of consciousness. Her friends report that she has been using heroin. On examination, her temperature is 36.6°C (97.9°F), blood pressure is 90/60 mmHg, pulse is 55/min, and respirations are 8/min. She has pinpoint pupils. Which of the following is the most appropriate initial treatment? 

Question 2 of 5

3. A 28-year-old man presents to the clinic complaining of anxiety, tremors, and sweating. He reports that he drinks about six beers daily and has not had any alcohol for 24 hours. His blood pressure is 140/90 mmHg, pulse is 100/min, and temperature is 37.2°C (99°F). Which of the following is the most likely diagnosis? 

Question 3 of 5

4. A 19-year-old college student is brought to the emergency department after attending a party. He is agitated, aggressive, and reports seeing spiders crawling on the walls, which are not present. His temperature is 38.4°C (101.1°F), blood pressure is 150/95 mmHg, and pulse is 110/min. He has flushed skin and dilated pupils. Which of the following substances is most likely responsible for his condition? 

Question 4 of 5

5. A 45-year-old man with a history of chronic back pain is brought to the emergency department for lethargy and confusion. His family mentions he has been taking acetaminophen with codeine for pain relief. On examination, his temperature is 36.8°C (98.2°F), blood pressure is 110/70 mmHg, pulse is 60/min, and respirations are 10/min. He has pinpoint pupils. Which of the following is the most appropriate next step in management? 

Question 5 of 5


 

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