Skin Signs of Drug Use and Abuse

Front

Which substance of abuse can cause a papulopustular acneiform eruption? Options: Cocaine, Marijuana, Heroin, MDMA

Back

MDMA

Front

What is the best course of management? Options: Dupixent, Counseling for drug abuse, Oral Ivermectin, Sun Protection

Back

Counseling for drug abuse

Front

Addictive drugs lead to increased production of the following neurotransmitter?

Back

Dopamine

Front

Madarosis can result from: Injecting heroin, Snorting cocaine, Skin popping, Smoking crack cocaine

Back

Smoking crack cocaine

Front

A patient presents with excoriations, tooth decay, and disfiguring skin ulcers. You suspect drug use with: Volatile Inhalants, Heroin, Methamphetamines, Marijuana

Back

Methamphetamines

Front

A patient presents with wrist pain and edema with overlying tract marks. What is the best imaging modality to assess for a joint infection?

Back

MRI

Answer explanation

MRI is superior to CT in imagine fluid and purulent collections in the joints and tendon sheaths

Both MRI and CT are valuable in confirming soft tissue abscesses

Front

Which wound infection is seen almost exclusively in drug users?

Back

Clostridium Botulinum A

Front

What is the cause of this condition? Options: Chewing tobacco, Huffing glue, Betel palm seeds, MDMA

Back

Betel palm seeds

Answer explanation

Betel palm seeds are used as a stimulant in southeast Asia. Can cause oral submucosal fibrosis and leukoplakia

Front

In IV drug users, necrotizing fasciitis is most likely in which scenario? Options: Edema of the forearm, Erythema of the forearm with purulent drainage, Fluctuance of the hand, Excruciating pain in the lower leg without erythema or fluctuance

Back

Excruciating pain in the lower leg without erythema or fluctuance

Answer explanation

Pain out of proportion to clinical findings is a sign of necrotizing fasciitis

Front

The best laboratory test to distinguish between necrotizing fasciitis and cellulitis is:

Back

Creatinine Kinase