Levels of Consciousness and Hallucinations
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Questions and Answers

Which substance can cause a combination of vertical, horizontal, and even rotary nystagmus?

  • Phencyclidine (correct)
  • Primidone
  • Meprobamate
  • Lithium

What is a possible etiology of horizontal nystagmus other than alcohols?

  • Quinine
  • Phenytoin
  • Solvents (correct)
  • Barbiturates

In the context of nystagmus, what finding is associated with MAO inhibitor overdose?

  • Garlic odor
  • Rotten egg odor
  • Burns in the mouth
  • Periodic gaze disturbances (correct)

What substance can be recognized by a bitter almonds odor in cases of poisoning?

<p>Cyanide (C)</p> Signup and view all the answers

Which condition is suggested by severe pallor in the context of skin findings?

<p>Ergot intoxication (B)</p> Signup and view all the answers

What skin finding is associated with atropine and other antimuscarinic agents?

<p>Flushed, hot, and dry skin (A)</p> Signup and view all the answers

What are the important variables in the autonomic physical examination for a poisoned patient?

<p>Blood pressure, Pulse rate, Pupil size, Sweating, Peristaltic activity (D)</p> Signup and view all the answers

How can clinical toxin-pattern recognition be achieved in poisoned patients?

<p>By observing specific symptom complexes associated with certain toxins (D)</p> Signup and view all the answers

What is the purpose of the concept of 'toxidromes'?

<p>To assist clinicians in identifying toxins by specific symptom complexes (C)</p> Signup and view all the answers

What is the definition of 'Lethargic' according to the text?

<p>Drowsy and needing gentle touch to initiate response (D)</p> Signup and view all the answers

In a poisoned patient, what should the clinician focus on regarding the patient's sensorium?

<p>Mental status and level of consciousness (B)</p> Signup and view all the answers

Why is taking a history not always reliable for determining the toxin in a poisoned patient?

<p>The symptoms of poisoning can mimic other medical conditions (D)</p> Signup and view all the answers

Which syndrome is characterized by excessive stimulation causing depolarization blockage, tachycardia followed by bradycardia, and muscle fasciculations followed by paralysis?

<p>Nicotinic-cholinergic syndrome (D)</p> Signup and view all the answers

What is a common symptom of mixed-cholinergic syndrome?

<p>Dilated pupils and dry skin (A)</p> Signup and view all the answers

Which drug category inhibits the parasympathetic nervous system (PNS) by blocking the action of acetylcholine?

<p>Antihistamines (A)</p> Signup and view all the answers

What are the symptoms of anticholinergic syndrome?

<p>Dilated pupils, hot and dry skin, urinary retention (B)</p> Signup and view all the answers

Which type of poisoning can lead to miosis, increased peristaltic activity, and muscle weakness or paralysis?

<p>Organophosphate poisoning (B)</p> Signup and view all the answers

Which of the following medications is least likely to cause seizures due to overdose?

<p>Cocaine (A)</p> Signup and view all the answers

Which type of coma may be mistaken for brain death in cases of deep coma due to opioid or sedative-hypnotic intoxication?

<p>Flaccid coma with absent reflexes (B)</p> Signup and view all the answers

Which adrenergic receptor type is responsible for vasodilation and bronchodilation?

<p>Beta-2 (C)</p> Signup and view all the answers

Which symptom is associated with alpha-adrenergic syndrome in the nervous system?

<p>Hypotension (C)</p> Signup and view all the answers

Which class of drugs is associated with mixed alpha and beta-adrenergic syndrome resulting in dilated pupils and tachycardia?

<p>Amphetamines (A)</p> Signup and view all the answers

In sympatholytic syndrome, which of the following is NOT a characteristic symptom?

<p>Increased heart rate (D)</p> Signup and view all the answers

Which term best describes a patient who responds slowly to external stimulation and needs repeated stimulation to maintain attention and response?

<p>Obtunded (B)</p> Signup and view all the answers

What type of hallucinatory pattern is specific for phencyclidine (PCP) intoxication?

<p>Complex hallucinations (B)</p> Signup and view all the answers

Which drug can cause a unique 'spinal seizure' characterized by generalized seizures in an alert patient?

<p>Strychnine (A)</p> Signup and view all the answers

What motor signs are characteristic of tremors, hyporeflexia, and hyperreflexia?

<p>Tremors, hyporeflexia, and hyperreflexia (A)</p> Signup and view all the answers

Which drug-induced seizures require specific antidotal therapies instead of conventional antiseizure medication?

<p>Strychnine-induced seizures (C)</p> Signup and view all the answers

What type of hallucinatory pattern does a patient typically experience with lysergic acid diethylamide (LSD)?

<p>(Combination of illusions, hallucinations, and pseudohallucinations) (D)</p> Signup and view all the answers

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