Medication-assisted treatment — MCQs

A 42-year-old man is discovered unconscious by local police while patrolling in a park. He is unresponsive to stimulation. Syringes were found scattered around him. His heart rate is 70/min and respiratory rate is 6/min. Physical examination reveals a disheveled man with track marks on both arms. His glasgow coma scale is 8. Pupillary examination reveals miosis. An ambulance is called and a reversing agent is administered. Which of the following is most accurate regarding the reversal agent most likely administered to this patient?

A 44-year-old man presents to the clinic worried about his risk for bladder cancer. His best friend who worked with him as a painter for the past 20-years died recently after being diagnosed with transitional cell carcinoma. He is worried that their long and heavy cigarette smoking history might have contributed to his death. He also reports that he has been feeling down since his friend's death 2 months ago and has not been eating or sleeping as usual. He took time off from work but now is running past due on some of his bills. He feels like he is moving a lot slower than usual. He would like to stop smoking but feels like it's impossible with just his willpower. What side-effect is most likely if this patient were started on his appropriate pharmacotherapy?

A 27-year-old homeless man presents to the emergency department with abdominal pain and vomiting. He has a known history of intravenous drug use and has been admitted to the hospital several times before. On physical examination his temperature is 99°F (37.2°C), blood pressure is 130/85 mmHg, pulse is 90/min, respirations are 19/min, and pulse oximetry is 99% on room air. The patient is in obvious discomfort. There is increased salivation and lacrimation. Pupils are reactive to light and 5 mm bilaterally. Cardiopulmonary exam is unremarkable. There is diffuse abdominal tenderness to palpation with no rebound or guarding. Which of the following interventions would have prevented this patient’s current condition?

A 25-year-old man is brought to the emergency department after his girlfriend discovered him at home in a minimally responsive state. He has a history of drinking alcohol excessively and using illicit drugs. On arrival, he does not respond to commands but withdraws all extremities to pain. His pulse is 90/min, respirations are 8/min, and blood pressure is 130/90 mm Hg. Pulse oximetry while receiving bag-valve-mask ventilation shows an oxygen saturation of 95%. Examination shows cool, dry skin, with scattered track marks on his arms and legs. The pupils are pinpoint and react sluggishly to light. His serum blood glucose level is 80 mg/dL. The most appropriate next step in management is intravenous administration of which of the following?

A 14-year-old teenager is brought to the physician by her mother who seems extremely concerned that her daughter is unable to sleep at night and has become increasingly irritated and aggressive. She has been noticing changes in her daughter's behavior recently. She had no idea what was going on until she found pills hidden in her daughter's room a week ago. Her daughter confessed that she tried these drugs once with her friends and started using them since then. Her mother threw away all the pills and prevented her daughter from seeing her friends. This is when she started to notice her daughter tear often and sweat. She is seeking a quick and effective treatment for her daughter. Which drug was the teenager most likely using?

A 33-year-old woman presents with anxiety, poor sleep, and occasional handshaking and sweating for the past 10 months. She says that the best remedy for her symptoms is a “glass of a good cognac” after work. She describes herself as a “moderate drinker”. However, on a more detailed assessment, the patient confesses that she drinks 1–2 drinks per working day and 3–5 drinks on days-off when she is partying. She was once involved in a car accident while being drunk. She works as a financial assistant and describes her job as “demanding”. She is divorced and lives with her 15-year-old daughter. She says that she often hears from her daughter that she should stop drinking. She realizes that the scope of the problem might be larger than she perceives, but she has never tried stopping drinking. She does not feel hopeless, but sometimes she feels guilty because of her behavior. She does not smoke and does not report illicit drugs use. Which of the following medications would be a proper part of the management of this patient?

A 21-year-old female presents to her psychiatrist for ongoing management of major depressive disorder. She has previously tried cognitive behavioral therapy as well as selective serotonin reuptake inhibitors, but neither treatment has been very effective. She also states that she has been smoking two packs per day for the last three months and would like to stop smoking. Based on these concerns, her psychiatrist prescribes a medication that addresses both depression and smoking cessation. Which of the following if present, would be a contraindication for the drug that was most likely prescribed in this case?

A 17-year-old girl is brought to the physician for the evaluation of fatigue for the past 6 months. During this period, she has had a 5-kg (11-lbs) weight loss. She states that she has no friends. When she is not in school, she spends most of her time in bed. She has no history of serious illness. Her mother has major depressive disorder. She appears pale and thin. She is at 25th percentile for height, 10th percentile for weight, and 20th percentile for BMI; her BMI is 19.0. Her temperature is 37°C (98.6°F), pulse is 65/min, and blood pressure is 110/70 mm Hg. Examination shows dry skin, brittle nails, and calluses on the knuckles. The remainder of the examination shows no abnormalities. Laboratory studies show: Hemoglobin 12.3 g/dL Serum Na+ 133 mEq/L Cl- 90 mEq/L K+ 3.2 mEq/L HCO3- 30 mEq/L Ca+2 7.8 mg/dL Which of the following is the most likely diagnosis?

A 21-year-old woman presents into the clinic worried that she might be pregnant. Her last menstrual period was 4 months ago and recalls that she did have unprotected sex with her boyfriend, despite not having sexual desire. They have since broken up, and she would like to do a pregnancy test. She appears very emaciated but is physically active. She says that she spends a few hours in the gym almost every day but would spend longer if she was to stray from her diet so that she does not gain any weight. Her calculated BMI is 17 kg/m2, and her urine pregnancy test is negative. Which of the following additional findings would most likely be present in this patient?

An 18-year-old female visits your obstetrics clinic for her first prenatal checkup. It's her first month of pregnancy and other than morning sickness, she is feeling well. Upon inquiring about her past medical history, the patient admits that she used to be very fearful of weight gain and often used laxatives to lose weight. After getting therapy for this condition, she regained her normal body weight but continues to struggle with the disease occasionally. Given this history, how could her past condition affect the pregnancy?