A mother brought her 16-year-old daughter into the Emergency Department for evaluation. The
adolescent was sleeping for over 16 hours in her bedroom today. Over the past half week she was
awake all night along with her friends at the clubs. She was hyperactive, paranoid, and acting “onedge”.
In fact, she was hiding in her car late at night, avoiding the demons that she hallucinated
outside. The prior afternoon, her mother found her scrubbing the entire kitchen floor incessantly until all the tiles were spotless.
On physical exam, she is wide-awake and alert. Vital signs are normal. Mental status and
neurological exam shows no abnormalities. Vertical nystagmus is absent. She admits to drug abuse.
The most likely drug is:
A) Crystal methamphetamine
B) 3,4-methylenedioxy-n-methylamphetamine (MDMA)
C) Phencyclidine (PCP)
D) D-lysergic acid diethylamide (LSD)
Answer
Category:
Psychiatry MCQs
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