RUHS, Jaipur, M.Sc Nursing Entrance Exam-2019
Mental Health Nursing
Easy
In the following, which is not a withdrawal symptom of alcohol?
Appeared in: RUHS, Jaipur, M.Sc Nursing Entrance Exam-2019
Explanation
- Cirrhosis of the liver is a late-stage, irreversible scarring of the liver tissue.
- This condition develops over many years of chronic, heavy alcohol consumption due to alcohol's toxic effects.
- It is a long-term medical complication of alcohol abuse, not an acute symptom that appears upon the cessation of drinking.
- The other options are all classic symptoms of the acute Alcohol Withdrawal Syndrome.
Why Other Options Were Wrong
- Option A: Delirium tremens (DTs) is the most severe form of alcohol withdrawal.
- Option B: Rum fits is a colloquial term for generalized tonic-clonic seizures that are a well-known feature of alcohol withdrawal.
- Option D: Alcoholic hallucinosis refers to hallucinations (usually auditory or visual) that occur during alcohol withdrawal.
Related Visual
Clinical Relevance
- Nursing practice connection: Knowing Differentiation between acute alcohol withdrawal symptoms and chronic complications of alcohol abuse helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
- Nurses must be able to distinguish between acute alcohol withdrawal, which is a medical emergency requiring immediate intervention (e.g., benzodiazepines, supportive care), and chronic complications like cirrhosis, which require long-term management and lifestyle changes.
- Failure to recognize and treat alcohol withdrawal can lead to severe morbidity and mortality. Conversely, misattributing signs of chronic disease to withdrawal can delay appropriate care for the underlying condition.
- What if? If a patient with known cirrhosis is admitted for an unrelated surgery and stops drinking, the nurse must monitor for BOTH acute withdrawal symptoms (tachycardia, tremors, agitation) and signs of liver decompensation (jaundice, ascites, encephalopathy), as the stress of withdrawal can worsen the chronic condition.
How to Approach the Question
- First, identify the key phrase in the question: 'not a withdrawal symptom'. This indicates you are looking for the outlier among the options.
- Next, analyze the time course of each option in relation to alcohol use.
- Recall that 'withdrawal' refers to acute symptoms that occur shortly after stopping a substance.
- Evaluate each option: 'Delirium tremens', 'Rum fits', and 'Alcoholic hallucination' are all known to occur within hours to days of alcohol cessation.
- Consider 'Cirrhosis of liver'. This is a disease process that results from damage accumulated over many years of heavy drinking.
- Conclude that cirrhosis is a chronic complication, not an acute withdrawal symptom, making it the correct answer.
Concept Tested & Keywords
- Concept Tested: Differentiation between acute alcohol withdrawal symptoms and chronic complications of alcohol abuse.
- Stem keywords: not, withdrawal symptom, alcohol
- Lead-in keywords: not
- Negative lead-in flag: Question asks to identify the option that is NOT a withdrawal symptom.
Question ID
Q0u51e97riSndrvYWr0sAi
Reference Book
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 891-893
E6 Medicine Davidson Principles Practice 24e p. 1214-1216
Practise the full RUHS, Jaipur, M.Sc Nursing Entrance Exam-2019
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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