Psychosis and Cocaine Use: Treatment Decision
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Questions and Answers

What is the most likely cause of the patient's psychosis?

  • Cocaine use (correct)
  • Alcohol dependence
  • Schizophrenia
  • Concomitant drug use

    • What is a significant finding that rules out primary psychosis or schizophrenia?

  • 90 minutes of observation
  • Concomitant alcohol use
  • No other major physical complaints
  • No history of primary psychosis (correct)

    • What is the most appropriate next step for the medical team?

  • Observe for another 24 hours
  • Prescribe an antipsychotic
  • Start treatment for schizophrenia
  • Refer to a substance abuse specialist (correct)

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