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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 A

Explanation

A. Ventricular tachycardia: Ventricular tachycardia (VT) is identified by a regular, fast rhythm with wide QRS complexes, typically without visible P waves. This rhythm often appears as consecutive, large, uniform waves, which is consistent with what is seen in the diagram.

B. Asystole: Asystole is characterized by a flat line, indicating no electrical activity, which is not present in this strip.

C. Normal sinus rhythm: Normal sinus rhythm would show identifiable P waves, a normal QRS complex, and a regular rate, which are not observed here.

D. Ventricular fibrillation: Ventricular fibrillation appears as chaotic, irregular waveforms with no clear QRS complexes or organization, which does not match the rhythm shown.

Correct Answer is C

Explanation

A. Response to verbal stimuli does not directly assess the function of cranial nerves III, IV, and VI.

B. Affect, feelings, or emotions are related to the assessment of other neurological functions and do not evaluate the ocular cranial nerves specifically.

C. Eye movements are the primary function of cranial nerves III (oculomotor), IV (trochlear), and VI (abducens), which control eye movement and provide essential information about their function.

D. Insight, judgment, and planning relate more to cognitive function and do not directly assess the function of the cranial nerves in question.

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