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NBME 20 Answers

nbme20/Block 4/Question#6 (20.0 difficulty score)
A 51-year-old man develops diaphoresis, ...
Alcohol withdrawal🔍

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submitted by neonem(503),
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baja_blast  p. 558 in FA 2019. +  
cp87  p 547 FA 2019. Hallucinations are usually tactile. +  

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

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. +