mash
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A 15-year-old girl is brought to the emergency room by concerned friends who said she was acting very erratic. Her friends believe that she had been drinking or taking drugs. She is agitated, ataxic, and disoriented. Several people are required to hold her down for a physical examination that reveals tachycardia, hypertension, normal bowel sounds, mydriasis, and nystagmus. Which of the following drugs of abuse is most likely responsible for her symptoms?
(A) Amphetamine
(B) Ethanol
(C) Lysergic acid diethylamide
(D) Heroin
(E) Phencyclidine
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| piter
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(E) Phencyclidine
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| mjl1717
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Yeah PCP the only tip off I saw was the words erratic and nystagmus and they had to hold her down
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| rubensssss
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Erratic,agitated,ataxic and disoriented.
Tachicardia,HTN,Nl BS,mydriasis and Nystagmus
Amphet:agitation,mydriasis, HTN tachicardia,
PCP agitation tachicardia,ataxia
answer (E)
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| bluestar
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amphetamines can also cause HTN and tachcardia, delusion, agitation. so how to diff PCP abuse and amphetamine abuse? and if you could kindly name the mose specific changes in other drug abuse, like pinpoint pupils would be opiods etc. thank you very much!
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| piter
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from my notes "buzword' for dif PCP from amphetamines is nystagmus
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| bluestar
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thank you piter, and could you please name the 'buzword' for other drug abuse? 
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| piter
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well, for LSD - perseptial distortions, also look at the FA behavioral science patr, they have a nice table.
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| bluestar
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thanks for the reply. I already looked at the table at FA but still got confused when looked at real questions. that's why I asked for 'buzword' or shortcut. :oops: anybody could help me with this?
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