Other

Question 1

Amphetamine

Answer 1

release and reuptake dopa/norepi

Question 2

Cocaine

Answer 2

reuptake of dopa, norepi, serot

Question 3

etoh

Answer 3

GABAa for alcohol, w/d 6-36h, sz 6-48h, alch hallucinosis 6-48h, DT 48-96h

Question 4

PCP

Answer 4

superhumans, NMDA inh

Question 5

LSD

Answer 5

serotonin

Question 6

arsenic

Answer 6

garlic breath, nail Mees lines, diarrhea then GBS like

Question 7

thallium

Answer 7

GI, AXonal neuropathy, ALOPECIA

Question 8

cyanide

Answer 8

fires/electroplating, competes with O2 on cytochrome oxidase, high venous O2 [red skin], lactic acidosis, abn taste, HA

Question 9

mercury

Answer 9

mine, tremor, ataxia, inflamed gums

Question 10

lead

Answer 10

basophilic stippling, blue gums

Question 11

manganese

Answer 11

parkinsonian, TPN

Question 12

organophosphates

Answer 12

DUMBELS (Defecation, Urination, Miosis, Bronchospasm/Brady, Emesis, Lacrimation, Salivation), atropine + pralidoxime

Question 13

Wallenberg lat med

Answer 13

ipsi Horners, ataxia, face pain/temp, contralateral loss pain/temp/propioception/vibration. PICA

Question 14

Medial medulla

Answer 14

ipsi toungue, contra weak, loss propio/vibra. ASA

Question 15

Hemicrania continua

Answer 15

3m + exacerbations, Indomethacin

Question 16

Paroxysmal hemicrania

Answer 16

<30 mins >5/d. Indomethacin

Question 17

Cluster

Answer 17

15-180 min >5/d over weeks/y, O2/triptans, Verapamil/Li

Question 18

SUNCT/SUNA

Answer 18

100/d <10 min, SUNCT (conjunctival injection + lacrimation) SUNA (one of the 2). AEDs

Question 19

Hypnic

Answer 19

awakens, indomethacin, caff, melatonin