Q:

A 21 year old girl looking unkempt, agitated, malnourished and nervous came to the hospital asking for painkillers for her abdominal pain. She is sweating, shivering and complains of joint pain. What can be the substance misuse here?

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A 21 year old girl looking unkempt, agitated, malnourished and nervous came to the hospital asking for painkillers for her abdominal pain. She is sweating, shivering and complains of joint pain. What can be the substance misuse here?


  1. Alcohol
  2. Heroin
  3. Cocaine
  4. LSD
  5. Ecstasy

All Answers

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The key is B. Heroin. [agitation, nervousness, abdominal cramp, sweating, shivering and piloerection, arthralgia these are features of heroin withdrawal].

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