Question 10: A 38-year old man has goose-pimples on his skin…
Question 10: A 38-year old man has goose-pimples on his skin, dilated pupils, watery eyes, runny nose, nausea, diarrhea and muscle and joint aches and pains. He is probably experiencing withdrawal from which of the following?
Read DetailsQuestion 4: A 15 year old boy is brought by the police to th…
Question 4: A 15 year old boy is brought by the police to the emergency room. He had been arguing and fighting with one of his neighbors. He reports dizziness, trouble concentrating and visual hallucinations. His conjunctivae are red and there is a red rash around his mouth. His breath has an odd odor, and he has an upper extremity tremor. His Mini-mental State score is 20/30. Of the following, the most likely diagnosis is intoxication with:
Read DetailsQuestion 27: A 50 y/o male is admitted to your detox unit fo…
Question 27: A 50 y/o male is admitted to your detox unit for alcohol withdrawal. He has a history of heavy drinking for many years. As part of your admission laboratory work, you order a comprehensive metabolic profile and CBC. You might expect to see all of the following except:
Read DetailsQuestion 23: Many neurotransmitters are involved in the deve…
Question 23: Many neurotransmitters are involved in the development of drug dependence, both in the acute reinforcing effects of drugs and in the recruitment of the brain stress system. All of the following neurotransmitters have been identified as being involved in the acute reinforcing effects of drugs EXCEPT:
Read DetailsQuestion 22: A young man is brought to the emergency room by…
Question 22: A young man is brought to the emergency room by his friends, who report that the patient was at a fraternity party and was “partying” with other partygoers, when he started “acting weird,” saying he wanted to kill himself. His roommate recalled that the patient has been increasingly depressed since he was injured in a car accident a week ago, especially in the past few days. The patient binges on alcohol occasionally and has been taking “some pain meds” since his accident but does not use other substances. He quit smoking “cold turkey” 2-3 days ago. He has no known history of a mood disorder. On examination, the young man has slurred speech and an ataxic gait. He has nystagmus bilaterally, and his pupils are constricted. When you gently start examining the leg that was injured, he yells, “What are you doing?! Trying to kill me?!” and whimpers in pain. In addition to alcohol intoxication, which of the following are other conditions in your differential diagnosis?
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