Stimulants

Question 1

What does cocaine do?

Answer 1

Decrease the reuptake of norepinephrine

Question 2

Crawling sensation under the skin/ nosebleed

Answer 2

Diagnostic for cocaine use

Question 3

What drug will cause hyperthermia,hyponatremia and hypertension and severe dehydration ,for no more than six hours?.

Answer 3

Methylendioxymethalmphetamine (MDMA) (ecstasy)

Question 4

What drug will cause hypothermia hypothermia and hypertension for more than six hours? And no intimate behaviors.

Answer 4

Bath salt (cathinones)

Question 5

Tooth damage, and lung cancer, a complication of which illicit drug

Answer 5

Methamphetamine

Question 6

Patient with chest pain and ST segment elevation, ECG and use of cocaine, how to manage?

Answer 6

Lorazepam and nitroglycerin
Beta blocker is contraindicated !!

Question 7

What’s the mechanism of cocaine resulting in struck and myocardial infraction?

Answer 7

Vasospasm

Question 8

Psychosis , hallucination, and purpuric skin changes and ear discoloration ( purple)

Answer 8

Intravenous cocaine use

Question 9

Nasal septal perforation, irritability, how to test the patient causative drug?

Answer 9

Urine drug testing, cocaine is detectable for 3 to 5 days if used intermittently, and up to 14 days with chronic use

Question 10

What illicit drug can cause stimulant symptoms but it it’s negative in urine toxicology test?

Answer 10

Bath salts

Question 11

What to give to a patient who had cocaine intoxication and presenting with acute kidney injury and rhabdomyolysis? (High CK)

Answer 11

Normal saline 1 L/ hour intravenously

Question 12

Increased thirst and affection, and hyponatremia are the side effects of which illicit drug

Answer 12

MDMA