Q:

A 20 year old boy is brought by his parents suspecting that he has taken some drug. He is agitated, irritated and can’t sleep. Exam: perforated nasal septum. Which of the following is the most likely to be responsible for his symptoms?

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A 20 year old boy is brought by his parents suspecting that he has taken some drug. He is agitated, irritated and can’t sleep. Exam: perforated nasal septum. Which of the following is the most likely to be responsible for his symptoms?


  1. Heroine
  2. Cocaine
  3. Ecstasy/MDMA/amphetamine
  4. Alcohol
  5. Opioids

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The key is B. Cocaine. [drug abuse with perforated nasal septum indicates cocaine abuse].

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