NBME 17 Inhaled glue (NBME Answers)

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Retired NBME 17 Answers

nbme17/Block 3/Question#16 (reveal difficulty score)
A 14-year-old boy is brought to the physician ...
Inhaled glue 🔍 / 📺 / 🌳 / 📖
tags: psych repeat

+7 upvote downvote
submitted by ∗lpp06(41)

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I think inhalants are a new add to FA2020 (at least they weren't in Zanki), so I go to this one by elimination:

eliminated Meth + PCP + Cocaine because they're Stimulants.

eliminated EtOH b/c it would take a long time for cerebellar atrophy to manifest and I doubt a 14yo has been drinking since birth.

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victorlt14 I had the wrong line of thought for I assumed he was presenting on withdrawal or on some sort of post use crash. Also UW states that the effects of inhalants last for 15-40 min. Would you have had to assume he sniffed right prior to the appointment? Or the 2 mo history would be sufficient for persistent impairment? +

+5 upvote downvote
submitted by ∗icedcoffeeislyfe(56)

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Inhalant intoxication= slurred speech, disturbed gait, drowsiness

Inhalant withdrawal= headaches and irritability

usually will present with rash around nose and mouth too

FA2020 pg 570

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mittelschmerz So mad I second-guessed myself on this. Its always PCP or huffing glue smh +2

bingcentipede Think I had UWorld question on this. Apparently in this age group (teens), inhalants like glue are the first drugs they try. Only ever seen this on It's Always Sunny but w/e +7

i_hate_it_here <- +1

chaosawaits They took you, Nightman and you don't belong to them. They left me in a world of darkness without your sexy hands and I miss you Nightman, so baddd... +1

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