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NBME 20 Answers

nbme20/Block 4/Question#6 (reveal difficulty score)
A 51-year-old man develops diaphoresis, ...
Alcohol withdrawal ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: pharm

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submitted by โˆ—neonem(629)
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Alcohol withdrawal leads to a sympathetic-hyperactivity-like syndrome with tremors, HTN, insomnia, GI upset, diaphoresis, and mild agitation 3-36 hours after the last drink. There is a similar, but usually slightly later, overlap of withdrawal seizures 6-48 hours after the last drink.

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baja_blast  p. 558 in FA 2019. +



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submitted by โˆ—neovanilla(57)
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For those curious why it's not D, the way I reasoned it out was that 1. they were referring to opioids, so 2. withdrawal would be

Diarrhea (opposite of constipation that they feel) + nausea Mydriasis (opposite of the miosis) Piloerection Seizures are rare, and they're more associated with alcohol (and also benzos) You may get mild hypertension

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misterdoctor69  The choice said "Narcotic pain medication" not withdrawal to the narcotic pain meds. Adverse effects of narcotics would be constipation, miosis, and respiratory depression. +1



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