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Mr. Sprat is a 21-year-old patient who complains of nasal congestion. He admits to using recreational drugs. On examination, you have noted a septal perforation. Which recreational drug is commonly associated with nasal septum perforation?

A.

heroin

B.

ecstasy

C.

cocaine

D.

marijuana

Answer and Explanation

The Correct Answer is C

A. Heroin use is generally associated with intravenous use and is less commonly linked to nasal septum perforation.  

 

B. Ecstasy (MDMA) is primarily used in tablet form and is not typically associated with nasal use that would cause septal perforation.  

 

C. Cocaine is frequently snorted, which can lead to irritation and damage to the nasal passages and septum, resulting in perforation.  

 

D. Marijuana is usually smoked rather than snorted, and it is not commonly associated with nasal septum perforation.  


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View Related questions

Correct Answer is C

Explanation

A. A BMI of 26 is not classified as obese; obesity typically starts at a BMI of 30.

B. Underweight is defined as a BMI less than 18.5, which does not apply to this client.

C. A BMI of 26 falls within the overweight category, which is defined as a BMI between 25 and 29.9.

D. A healthy weight is classified as a BMI between 18.5 and 24.9, which does not include a BMI of 26.

Correct Answer is C

Explanation

A. Metabolic alkalosis is characterized by a high pH and a high HCO3- level; this does not match the provided values.

B. Metabolic acidosis would show a low pH and a low HCO3-, which does not match the findings.

C. The pH is high (7.45) while the Paco2 is low (30 mm Hg), indicating respiratory alkalosis. The low HCO3- could be a compensatory mechanism but does not change the primary interpretation of respiratory alkalosis.

D. Respiratory acidosis would be indicated by a low pH and a high Paco2, which is not the case here.

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