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Psychiatry · Substance use: caffeine withdrawal
Sample itemA regular heavy coffee drinker who stops abruptly while fasting for a procedure develops a throbbing headache, fatigue and difficulty concentrating the next morning. Which withdrawal symptom is the most characteristic?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Headache
Caffeine withdrawal commonly causes headache, fatigue, drowsiness, irritability and poor concentration within 12 to 24 hours, due to rebound cerebral vasodilation. It is self-limiting over a few days.
Option by option
A. Hallucinations
Hallucinations are not part of caffeine withdrawal.
B. Seizures
Seizures occur in alcohol and benzodiazepine withdrawal, not caffeine withdrawal.
C. Hypertensive crisis
Hypertensive crisis is not a feature, since withdrawal is not a sympathetic surge.
D. Headache (correct)
Correct. Headache is the hallmark symptom of caffeine withdrawal.
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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