Substance-Related Disorders

Question 1

Patient will present as → a 69-year-old female who presents to the emergency department with sudden, severe onset epigastric pain that began while she was watching television. On physical exam is an unkempt female with pain upon palpation of the epigastric region. Labs are drawn and the patient has an elevated amylase and lipase.

Answer 1

alcohol-related disorders

Question 2

Thiamine, magnesium, multivitamin, dextrose

Benzodiazepines (if withdrawal)

Answer 2

tx of alcohol-related disorders

Question 3

Patient will present as → a 17-year-old male is brought to your office by his parents due to his behavior – increased appetite, lack of motivation, and paranoia. When interviewing the patient, the physician notes a slowed speech and conjunctival injection.

Answer 3

cannabis-related disorders

Question 4

Patient will present as → a 24-year-old who was brought into the ED and has attempted to assault a nurse several times. He is extremely aggressive and becomes enraged when sudden movements or loud sounds are made.

Answer 4

hallucinogen-related disorders (PCP)

Question 5

antipsychotics (haloperidol)
benzodiazepines
Talking down/supportive counseling

Answer 5

Tx for hallucinogen-related disorders (PCP/LSD)

Question 6

Patient will present as → a 23-year-old male is brought into the ED by his friends at 1 a.m. They are afraid that he is going to hurt himself. They say that he has “been freaking out” and seeing things that are not there. At one point, he tried to ride a bike off the roof of a house. On exam, you see a young man who appears to be in a panic. His gait is abnormal, he has diffuse tremors and his pupils are dilated.

Answer 6

hallucinogen-related disorders (LSD)

Question 7

A young child from low socioeconomic background arrives in the ED with a headache, loss of appetite, rhinorrhea, injected sclera, dizziness, photophobia, or a cough

Answer 7

inhalant-related disorders

Question 8

Patient will present as → a 30-year-old male brought to the ED by his friends who state that he has been unresponsive to verbal cues. On physical exam, he has several needle marks along the antecubital fossa, a respiratory rate of 4/min and small, pinpoint pupils.

Answer 8

opioid-related disorder