Rosh Psych Eor Exam Questions And Answers 100% Correct

A 20-year-old man presents to the emergency department complaining of being given some "bad stuff" to smoke at a party. The patient exhibits paranoia, avoidance of eye contact, sedation, diaphoresis, vomiting, bradycardia, and hypotension. He complains of extreme muscle pain and states he knows people are thinking evil thoughts about him. A urine toxicology screen is negative. Which of the following substances is most likely causing his symptoms? Bath salts Cannabis Crack cocaine Spice {Ans: Spice smokable, does not show in urine tox screen}A 54-year-old man presents to the emergency department after being found unconscious in the street. He has a history of intravenous heroin use and was given naloxone en route to the emergency department. The patient is alert, irritable, and restless on presentation. Vital signs include a temperature of 98.6°F, heart rate of 115 bpm, and blood pressure of 165/94 mm Hg. You notice pupil dilation, yawning, and piloerection during physical examination. Which of the following is the recommended treatment? Buprenorphine Clonidine Methadone Morphine {Ans: Clondine Alpha-1 adrenergic agonists to tx symptoms of opioid withdrawal (Buprenorphine and Methadone -- opioid replacement therapy = used in unwanted interruption of opioid supply)}A 52-year-old woman presents with concerns for