Substance use: opioids: practice question

A Psychiatry question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Psychiatry · Substance use: opioids

Sample item

Which finding is most typical of opioid intoxication?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Miosis with respiratory depression

Opioid intoxication classically produces CNS depression, respiratory depression and pinpoint pupils. Naloxone reverses opioid effects but its duration may be shorter than that of the opioid.

Option by option

  • A. Mydriasis with hyperthermia

    Mydriasis and hyperthermia suggest stimulant or anticholinergic states.

  • B. Tremor with hypertension

    Tremor and hypertension are more typical of alcohol or sedative withdrawal.

  • C. Diarrhoea with piloerection

    Diarrhoea and piloerection occur in opioid withdrawal.

  • D. Miosis with respiratory depression (correct)

    Correct. Pinpoint pupils and hypoventilation are classic opioid toxicity signs.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Psychiatry question

What is the answer to this Psychiatry question?

The best answer is D, Miosis with respiratory depression. Opioid intoxication classically produces CNS depression, respiratory depression and pinpoint pupils.

Why is "Mydriasis with hyperthermia" not the answer?

Mydriasis and hyperthermia suggest stimulant or anticholinergic states.

Why is "Tremor with hypertension" not the answer?

Tremor and hypertension are more typical of alcohol or sedative withdrawal.

Why is "Diarrhoea with piloerection" not the answer?

Diarrhoea and piloerection occur in opioid withdrawal.

What concept does this question test?

It tests Substance use: opioids in Psychiatry. Naloxone reverses opioid effects but its duration may be shorter than that of the opioid.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Substance use: opioids?

Learn each diagnosis by its core features and its first-line treatment. Then use the flashcards and the other Psychiatry questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.