This page is dedicated to organizing various examples of standardized exam questions whose answer is cocaine intoxication. While this may seem a odd practice, it is useful to see multiple examples of how cocaine intoxication will be characterized on standardized exams (namely the boards and the shelf exams). This page is not meant to be used as a tradition question bank (as all of the answers will be the same), however seeing the classic “test” characterization for a disease is quite valuable.
Question # 1
A 25 year old man is brought to the emergency department by police after getting into a fist fight at a local pub. He is agitated and complains that his chest hurts. His blood pressure is 175/101 mm Hg, and his pulse is 130/min. On physical exam he is combative and uncooperative. There are no signs of physical injury upon examination. His pupils are dilated and reactive to light bilaterally. Nasal examination reveals mucosal atrophy. An EKG shows signs of myocardial ischemia. What is the most likely diagnosis for this patient?
Question # 2
A 29-year-old woman comes to the clinic with a 1 month history of debilitating anxiety. She states that before a few weeks ago she was a ” chill, laid back gal.” Since that time she explains that she has become “way too anxious”. She notes she is afraid to leave her apartment until she checks that the door is locked at least 7 times. What substance related condition could be the cause of these symptoms?
Question # 3
A 23-year-old woman is found in front of the emergency department. She is agitated and anxious, and she keeps brushing off her arms and legs “to get rid of the spiders.” She grasps at her chest, moaning in pain. Her pupils are dilated, and her blood pressure is elevated. Which of the following substance related conditions is she likely suffering from?
Page Updated: 09.14.2016