USMLE Forum Archives - USMLE Step 3 - drug withdrawal
drug withdrawal
bingousmle - 06-18-10 07:33
A 30-year-old man is brought to the ED by police officers. The patient is agitated, vomiting, and complaining of body aches. He states that he is withdrawing from his medication. His vital signs are BP 160/85 mm Hg, RR 20 breaths per minute, HR 107 beats per minute, and temperature 99.7°F. On examination he is diaphoretic, has rhinorrhea, piloerection, and
hyperactive bowel sounds. Which of the following substances is this patient most likely withdrawing from?
a. Ethanol
b. Cocaine
c. Nicotine
d. Methadone
e. Clonidine
bingousmle - 06-18-10 07:33
A 30-year-old man is brought to the ED by police officers. The patient is agitated, vomiting, and complaining of body aches. He states that he is withdrawing from his medication. His vital signs are BP 160/85 mm Hg, RR 20 breaths per minute, HR 107 beats per minute, and temperature 99.7°F. On examination he is diaphoretic, has rhinorrhea, piloerection, and
hyperactive bowel sounds. Which of the following substances is this patient most likely withdrawing from?
a. Ethanol
b. Cocaine
c. Nicotine
d. Methadone
e. Clonidine
The correct answer and explanation will be available after you answer.
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Re: drug withdrawal babbu5508 - 06-18-10 14:09 My answer is: b.
Piloerection is also a symptom of some diseases, such as temporal lobe epilepsy, some brain tumors, and autonomic hyperreflexia. Goose bumps can also be caused by withdrawal from opiates such as heroin.
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