Question 51 of 100
A 24-year-old man is brought to the emergency department by a friend who reports the patient is "acting crazy" and fighting with an imaginary person. The behavior began after ingesting what appeared to be a pill. The patient is disoriented, agitated, and attempted to strike a security guard but lost his balance. Physical exam reveals both vertical and horizontal nystagmus.What medication is the first-line therapy to treat this patient's intoxication?
· A. Benzodiazepines
· B. Neuroleptics
· C. Opioid antagonist
· D. Sodium bicarbonate
Question 52 of 100
A 20-year-old man presents to the emergency department with acute delirium and agitation. The patient is combative and not able to give a history, but a friend accompanying him states he took "some drug" at a party. Vital signs are temperature 100.1°F, blood pressure 180/90 mm Hg, pulse 120 beats per minute, and respiration 25 breaths per minute. Physical exam reveals hyperhidrosis, generalized tremor, and hyperreflexia. Which of the following is the most likely diagnosis?
· A. Amphetamine intoxication
· B. Benzodiazepine intoxication
· C. Heroin intoxication
· D. Ketamine intoxication
Question 53 of 100
Which of the following is a partial opioid agonist?
· A. Buprenorphine
· B. Methadone
· C. Naloxone
· D. Naltrexone
Question 54 of 100
A 40-year-old man arrives at the emergency room with confusion. He appears to be responding to internal stimuli and imagines that bugs are crawling on his legs. During the clinical interview, he states he has been drinking an average of 10 beers per day and abruptly stopped drinking 24 hours earlier. Vital signs show blood pressure of 215/105 mm Hg and heart rate of 120 bpm.Which of the following is the most appropriate next step in management?
· A. Disulfiram
· B. Lorazepam
· C. Naltrexone
· D. Observe