Free Psychiatry Board Exam Sample Questions
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Your Free Psychiatry Sample Question
Which of the following is associated with alcohol intoxication?
- A. Anxiety
- B. Diaphoresis
- C. Nystagmus
- D. Seizures
- E. Tactile hallucinations
The Answer and Explanation
Did you get it right? The correct answer is: C
This patient is suffering from fat embolism syndrome, a complication of long bone fractures that becomes symptomatic one or two days after injury. Up to 2% of patients with isolated long bone fractures and up to 10% of patients with multiple fractures suffer from fat embolism syndrome. Early features of fat embolism syndrome include shortness of breath, respiratory distress, and hypoxemia. Confusion, fever, and a petechial rash, as seen in this patient, can also occur. Treatment is supportive. Despite adequate treatment, mortality is around 20% with the most common cause of death being ARDS.
| Blood Alcohol Concentration | Likely Impairment |
| 20-30 mg/dL | Slowed motor performance and decreased thinking ability |
| 30-80 mg/dL | Increase in motor and cognitive problems |
| 80-200 mg/dL | Increase in incoordination and judgment errors, mood lability, and deterioration in cognition |
| 200-300 mg/dL | Nystagmus, marked slurring of speech, and alcoholic blackouts |
| > 300 mg/dL | Impaired vital signs and possible death |
Incorrect Answer Explanations
Answer A: Anxiety, diaphoresis, seizures, and tactile hallucinations are associated with alcohol withdrawal, not alcohol intoxication.
Answer B: Anxiety, diaphoresis, seizures, and tactile hallucinations are associated with alcohol withdrawal, not alcohol intoxication.
Answer D: Anxiety, diaphoresis, seizures, and tactile hallucinations are associated with alcohol withdrawal, not alcohol intoxication.
Answer E: Anxiety, diaphoresis, seizures, and tactile hallucinations are associated with alcohol withdrawal, not alcohol intoxication.
Bottom Line
Nystagmus is seen in alcohol intoxication, whereas hallucinations, autonomic hyperactivity, anxiety, and seizures are seen in alcohol withdrawal.
For more information, see:
DSM-5. Fifth Edition. Alcohol Intoxication.
Kaplan and Sadock’s Synopsis of Psychiatry. Eleventh Edition. Chapter 20.2: Alcohol-Related Disorders.
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