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Psychiatry · Substance use: hallucinogens
Sample itemA young man at a party experiences vivid visual hallucinations, synaesthesia (hearing colours) and a distorted body image with preserved orientation. The probable drug is:
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. LSD
LSD is a 5-HT2A agonist that causes perceptual distortions, synaesthesia, depersonalisation and sympathetic arousal. Flashbacks, called hallucinogen persisting perception disorder, may recur after the drug has cleared.
Option by option
A. Heroin
Heroin causes sedation and miosis.
B. LSD (correct)
Correct. LSD produces these perceptual effects.
C. Nicotine
Nicotine is a stimulant without hallucinations.
D. Alcohol
Alcohol intoxication causes disinhibition and incoordination.
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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