Q:

A 15-year-old female presented with delusions, paranoia, tachycardia, hypertension

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A 15-year-old female presented with delusions, paranoia, tachycardia, hypertension, hyperpyrexia, diaphoresis,piloerection, mydriasis, and hyperreflexia, later on she developed seizure, hypotension,and dysrhythmia. Of the following,the MOST likely cause is


  1. antidepressant agents
  2. amphetamine
  3. barbiturates
  4. benzodiazepines
  5. edrophonlum

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(B). Patient in the question presented with sympathomimetic syndrome and this syndrome can be caused by cocaine, amphetamine, methamphetamine, and OTC decongestants (phenylpropanolamine, ephedrine, and pseudoephedrine). In caffeine and theophylline overdoses, similar findings, except for the organic psychiatric signs, result from catecholamine release.

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