Who else got this just because it said "all-night dance party?" Applied my knowledge of raves and nothing else.
Wyh on enaswit?g I neam I teg tcsEsay si rpboblya eth gudr fo ichoce ofbree na all hting eacdn ryapt )o(ll ubt tdo'n nerdadsutn hyw teher dolwu be cold eermxtetsii nad no aiwgsnte enwh is FA ti ssya aehrymetihrp dan ?d??boahr?
DMMA si the lnyo clheolanigun atth has ityahpmtsce yitaivct as ti is vidreed rmfo msaeeipntthmmaehh ( olko ta ist anme) ... htat aslpeixn i.eeyvrtngh
Ok I think this is a bad combination of 1) a poorly written question, 2) a potenital miss-understanding by the writer and, 3) a expectation for the recall of esoteric information complicated by the 8 hours which have elapsed since the ingestion
Here's what I think: 1) they done goofed by saying there is no diaphoresis. We have all seen what MDMA does to people's eccrine glands - moreover people drink ...a lot (thus causing the classic low Na which causes seizures) 2) It's weird that he would have tachycardia but none of the other sx of MDMA intoxication 3) I guess we are suppose to know and/ or reason that even though MDMA causes hyperthermia, it also has sympathetic effects (increased release/inhibited repute of adrenaline, norepinephrine, serotonin, and dopamine) which could cause the cold extremities
Sweating is mediated by the sympathetic nervous system, but is through Acetylcholine (Remember - Anti-Muscarinic poisoning = Dry as a bone because no sweating). It all points to NE overdose (mimicked by an amphetamine) --> Tachycardia (NE @ beta-1), Hypertensive (NE @ alpha-1), Pale + Cold = vasoconstriction (NE @ alpha-1)
Key point - sweating will not be stimulated by NMDA.
Not exactly sure why ketamine is NOT the answer (maybe it doesn't lead to peripheral vasoconstrictive properties)? But NMDA does fit the picture!