Question 1

A patient is brought to the emergency department experiencing disorientation, confusion, and fever. The patient describes visual and auditory hallucinations. The patient's spouse states that the patient had several drinks 12 hours prior to passing out. A blood alcohol level is 0.2%. What is the recommended treatment?

A) Benzodiazepines
B) Intravenous fluids and rest
C) Naloxone
D) Phenobarbital

A

Accepted Answer

Benzodiazepines are the treatment of choice for alcohol withdrawal symptoms, which can include disorientation, confusion, fever, and hallucinations.

Question 2

A college student is brought to the emergency department by a roommate who is concerned about symptoms of extreme restlessness, nausea, and vomiting. The provider notes elevations of the pulse and blood pressure and pupillary dilation, along with hyperactive bowel sounds. The provider suspects withdrawal from which substance?

A) Alcohol
B) Cocaine
C) LSD
D) Opioids

D

Accepted Answer

The symptoms described, such as restlessness, nausea, vomiting, elevated pulse and blood pressure, pupillary dilation, and hyperactive bowel sounds, are consistent with opioid withdrawal.

Deck 227: Substance Use Disorders