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A 27-Year-Old Man Leaves the Men's Room of a Bar

question 63

Multiple Choice

A 27-year-old man leaves the men's room of a bar after smoking an unknown substance. He soon becomes disoriented and belligerent. The man displays uncoordinated, jerky movements of his extremities and assaults a bouncer who tries to calm him. When police and emergency medical services personnel arrive, he fights off 4 officers before being restrained and appears immune to pain. In the emergency department, the patient has visual hallucinations, cannot cooperate with the interview, and alternates between agitation and sedation. He is hypertensive and tachycardic, and examination shows vertical nystagmus. The patient does not cooperate with urine toxicology testing. Several hours later, during questioning by the emergency physician, he does not remember most of the preceding events. Which of the following is the primary mechanism of action of the drug most likely used by this patient?

Definitions:

Cultural Perspective

An approach that considers how cultural beliefs, values, practices, and social norms influence the understanding and interpretation of the world.

Menopause

The phase in a woman's life, typically occurring between 45 and 55 years of age, marking the end of menstrual cycles and reproductive ability.

Genetic Mutation

A permanent alteration in the DNA sequence that makes up a gene, which can affect an individual's traits and potentially be passed down to offspring.

Breast Cancer

A malignant tumor that develops from the breast cells, which can spread to other parts of the body if not treated early.