MRCP UK EXAMINATIONS

CARDIOLOGY

EISENMENGER S SYNDROME

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A 17 year old boy is transported to the ED due to a suspected drug overdose. Upon arrival, he is disoriented with a temperature of 104.8 F.Which of the following is most often associated with hyperthermia?
A
Cocaine
B
Marijuana
C
Amphetamines
D
MDMA
Explanation: 

Detailed explanation-1: -The most common agents responsible for hyperthermia are amphetamine, methamphetamine, MDMA (“ecstasy”), cocaine, and monoamine oxidase inhibitors. Of these, ecstasy has become a major problem because of its recent increased use as a recreational drug by young adults.

Detailed explanation-2: -Hypothermia may be related to drug administration; such medications include beta-blockers, clonidine, meperidine, neuroleptics, and general anesthetic agents. Ethanol, phenothiazines, and sedative-hypnotics also reduce the body’s ability to respond to low ambient temperatures.

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