--- title: 19-year-old woman has seizure at a rave party description: It's Hallucinogen Toxicity Quiz Time with Med-Challenger! image: https://challengercme.com/hubfs/QUIZ%20TIME.png --- [![Med-Challenger-green-logo-1024x244](https://challengercme.com/hubfs/Med-Challenger-green-logo-1024x244.webp) ](https://challengercme.com/) - [SHOP EXAM PREP & CME ](https://challengercme.com/blog/19-year-old-woman-has-seizure-at-a-rave-party#) ### [EMERGENCY MEDICINE](https://challengercme.com/emergency-medicine-exam-review-cme-course) [ABEM exam prep](https://challengercme.com/emergency-medicine-exam-review-cme-course), [MyEMCert](https://challengercme.com/emergency-medicine-myemcert-exam-review-course), etc. ### [FAMILY MEDICINE](https://challengercme.com/family-medicine-exam-review-cme-course) [ABFM exam prep](https://challengercme.com/family-medicine-exam-review-cme-course), [ABFM KSA](https://challengercme.com/family-medicine-moc-ksa-course), etc. ### [INTERNAL MEDICINE ABIM exam prep, MOC points, etc.](https://challengercme.com/internal-medicine-exam-review-cme-course) ### [OBGYN ABOG exam prep, CREOG, etc.](https://challengercme.com/obgyn-exam-review-cme-course) ### [PEDIATRICS ABP exam prep, MOCA-PEDS, etc.](https://challengercme.com/pediatric-medicine-exam-review-cme-course) ### [PEDIATRIC EM](https://challengercme.com/pediatric-emergency-medicine-3rd-edition) [ABP/ABEM exam prep Ed.3](https://challengercme.com/pediatric-emergency-medicine-3rd-edition), [Ed.2](https://challengercme.com/pediatric-emergency-medicine-pack2), etc. ### [SPECIAL PURPOSE / SPEX FSMB exam prep, etc.](https://challengercme.com/special-purpose-exam-review-spex-exam-preparation-course) ### [PHYSICIAN ASSISTANT](https://challengercme.com/physician-assistant-exam-review-cme-course) [PANCE / PANRE](https://challengercme.com/physician-assistant-exam-review-cme-course), [CAQ-EM](https://challengercme.com/pa-caq-em-review-course), etc ### [NURSE PRACTITIONER](https://challengercme.com/family-nurse-practitioner-exam-review-cme-course) [FNP](https://challengercme.com/family-nurse-practitioner-exam-review-cme-course), [ENP](https://challengercme.com/emergency-nurse-practitioner-exam-review-cne-course), [AGNP](https://challengercme.com/adult-gerontology-nurse-practitioner-exam-review-cne-course), [PNCB/CPNP](https://challengercme.com/pediatric-nurse-practitioner-exam-review-cne-course), etc. ### [NURSING / NCLEX NCLEX, CNE, etc.](https://challengercme.com/nursing-certification-nclex-exam-review-cne-courses) ### [STATE-REQUIRED CME / CE State CME requirements, etc.](https://challengercme.com/state-required-cme) ### [JOINT COMMISSION CME](https://challengercme.com/stroke-center-ce-review-course) [Stroke](https://challengercme.com/stroke-center-ce-review-course), [Cardiac](https://challengercme.com/cardiac-center-ce-review-course), [Trauma](https://challengercme.com/trauma-center-ce-review-course), [ALS](https://challengercme.com/advanced-life-support-and-resuscitation-center-ce-review-course), etc. ### [PROFESSIONALISM CME Professionalism review with CME](https://challengercme.com/professionalism-review-course) ### [DERMATOLOGY CME Dermatology review with CME](https://challengercme.com/dermatology-review-course) ### [USMLE STEP 2CK / STEP 3 USMLE exam prep, etc.](https://challengercme.com/usmle-certification-exam-review-clerkship-exams-shelf-exam-review) - [INSTITUTIONS ](https://challengercme.com/atlas-pro-inst) - [BLOG ](https://challengercme.com/blog) - [SUPPORT ](https://support.challengercme.com/knowledge) [SIGN IN ](https://fuse.challengercme.com/sign-in?redirectURL=%2Fuserdash) emergency medicine # 19-year-old woman has seizure at a rave party It's Hallucinogen Toxicity Quiz Time with Med-Challenger! [ Med-Challenger ](https://challengercme.com/blog/author/med-challenger) Dec 1, 2024 [emergency medicine](https://challengercme.com/blog/tag/emergency-medicine) [Nurse Practitioner](https://challengercme.com/blog/tag/nurse-practitioner) [Personal Education](https://challengercme.com/blog/tag/personal-education) [Question of the Week](https://challengercme.com/blog/tag/question-of-the-week) [quick quiz](https://challengercme.com/blog/tag/quick-quiz) ### < [All Posts](https://challengercme.com/blog) ABEM Exam Prep + CME Med-Challenger Emergency Medicine Pass-guaranteed ABEM exam review with CME built-in. Try it for free. On sale now. [START EM REVIEW](https://fuse.challengercme.com/fulltrial/184) --- ### Share this article [mailto:?subject=Check%20out%20https://challengercme.com/blog/19-year-old-woman-has-seizure-at-a-rave-party&utm_medium=social&utm_source=email%20&body=Check%20out%20https://challengercme.com/blog/19-year-old-woman-has-seizure-at-a-rave-party&utm_medium=social&utm_source=email](mailto:?subject=Check%20out%20https://challengercme.com/blog/19-year-old-woman-has-seizure-at-a-rave-party&utm_medium=social&utm_source=email%20&body=Check%20out%20https://challengercme.com/blog/19-year-old-woman-has-seizure-at-a-rave-party&utm_medium=social&utm_source=email) ### Subscribe ### Subscribe ![19-year-old woman has seizure at a rave party](https://challengercme.com/hubfs/QUIZ%20TIME.png) A 19-year-old woman has a witnessed seizure at a rave party. On arrival of emergency medical services, the patient was postictal and only responsive to painful stimuli. Her friends state that she had been using recreational drugs prior to collapsing. On presentation, she has another generalized tonic clonic seizure that lasts 30 seconds, and she responds to 2 mg lorazepam. Her vitals signs are the following: Temperature (oral): 99°F Heart rate: 120 beats/minute Blood pressure: 130/80 mm Hg Respiratory rate: 20 breaths/minute Oxygen: 95% saturation on 2 L nasal cannula Other findings are as follows: Fingerstick glucose: 90 mg/dL Mental status: Postictal, moans to pain Pupils: 5-6 mm, sluggish Moist mucous membranes Skin: Diaphoretic Hyperactive bowel sounds 2+ clonus bilateral ankles Electrocardiography reveals sinus tachycardia with narrow complexes. What electrolyte abnormality should be considered? - hyponatremia - hyperkalemia - hypocalcemia - hypercalcemia - hypernatremia The correct answer is: hyponatremia   The patient was at a rave party, had seizures, and had physical examination findings consistent with hyperadrenergic toxidrome. Ecstasy (3,4-methylenedioxy-N-methylamphetamine) is a commonly abused "club" drug and causes hyperadrenergic toxicity. It also can cause acute hyponatremia from excess water intake and syndrome of inappropriate antidiuretic hormone. **Reference:** Ly BT, et al. Hallucinogens. In: Marx JA, et al. Rosen's Emergency Medicine. 7th ed., 2009:2010-2018.   This question appears in [Med-Challenger Emergency Nurse Practitioner Exam Review with CME](https://challengercme.com/emergency-nurse-practitioner-exam-review-cne-course) [Try for free and save](https://fuse.challengercme.com/fulltrial/187). Ace your exams and meet your CME/MOC requirements for just $19 a month! 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All rights reserved [Privacy Policy](https://support.challengercme.com/knowledge/what-are-your-terms-of-service-privacy-policy-user-agreement) ```json { "@context" : "https://schema.org", "@id" : "https://challengercme.com/blog#webpage", "@type" : "WebPage", "description" : "The Challenger Medical Education Blog offers informative patient cases, medical certification exam preparation courses and board exam review tips.", "inLanguage" : "en", "isPartOf" : { "@type" : "WebSite", "name" : "Med-Challenger", "url" : "https://challengercme.com/" }, "mainEntityOfPage" : { "@id" : "https://challengercme.com/blog", "@type" : "WebPage" }, "name" : "Challenger Medical Education Blog", "primaryImageOfPage" : { "@type" : "ImageObject", "url" : "https://challengercme.com/hubfs/Webpage%20Featured%20Images/Medical%20Education%20Blog%20-%20Free%20CME%20resources%2c%20certification%20exam%20tips%2c%20clinical%20challenge%20questions%20and%20more.png" }, "publisher" : { "@type" : "Organization", "name" : "Challenger Corporation", "url" : "https://challengercme.com/" }, "url" : "https://challengercme.com/blog" } ``` ```json { "@context" : "https://schema.org", "@type" : "BlogPosting", "about" : [ "Seizure", "Generalized tonic-clonic seizure", "Postictal state", "Hyperadrenergic toxidrome", "MDMA (ecstasy) toxicity", "Hyponatremia", "Syndrome of inappropriate antidiuretic hormone (SIADH)", "Toxicology", "Medical education", "Exam preparation" ], "articleSection" : "Emergency Medicine", "author" : { "@type" : "Organization", "name" : "Challenger Corporation" }, "dateModified" : "2024-12-01T16:00:00.984Z", "datePublished" : "2024-12-01T16:00:00.000Z", "description" : "It's Hallucinogen Toxicity Quiz Time with Med-Challenger!", "headline" : "19-year-old woman has seizure at a rave party", "image" : [ { "@type" : "ImageObject", "caption" : "Med-Challenger Medical Education, a Division of Challenger Corporation", "representativeOfPage" : true, "url" : "https://challengercme.com/logo.png" } ], "inLanguage" : "en-US", "keywords" : [ "seizure", "rave", "MDMA", "ecstasy", "hyponatremia", "SIADH", "hyperadrenergic toxidrome", "lorazepam", "postictal", "emergency nursing", "exam review", "Med-Challenger" ], "mainEntityOfPage" : { "@id" : "https://challengercme.com/blog/19-year-old-woman-has-seizure-at-a-rave-party", "@type" : "WebPage" }, "publisher" : { "@type" : "Organization", "logo" : { "@type" : "ImageObject", "url" : "https://challengercme.com/logo.png" }, "name" : "Challenger Corporation" } } ``` ```json { "@context" : "https://schema.org", "@type" : "QAPage", "mainEntity" : { "@type" : "Question", "acceptedAnswer" : { "@type" : "Answer", "text" : "Hyponatremia. The article notes signs of a hyperadrenergic toxidrome and that ecstasy (MDMA) can cause acute hyponatremia from excess free water intake and syndrome of inappropriate antidiuretic hormone (SIADH), which can precipitate seizures. (Reference in article: Ly BT et al., Rosen's Emergency Medicine.)" }, "name" : "What electrolyte abnormality should be considered?", "text" : "A 19-year-old woman has a witnessed seizure at a rave party. On EMS arrival she was postictal and only responsive to painful stimuli. Friends report recreational drug use. On presentation she has another generalized tonic–clonic seizure lasting 30 seconds and responds to 2 mg lorazepam. Vitals: T 99°F, HR 120, BP 130/80 mm Hg, RR 20, O2 95% on 2 L nasal cannula. Fingerstick glucose 90 mg/dL. Exam: postictal, moans to pain; pupils 5–6 mm and sluggish; moist mucous membranes; diaphoretic; hyperactive bowel sounds; 2+ ankle clonus bilaterally; ECG: sinus tachycardia with narrow complexes. What electrolyte abnormality should be considered? (choices listed in article included hyponatremia, hyperkalemia, hypocalcemia, hypercalcemia, hypernatremia)" } } ``` ```json { "@context" : "https://schema.org", "@type" : "ItemList", "description" : "Exam-style review questions based on this article’s teaching points.", "itemListElement" : [ { "@type" : "ListItem", "item" : { "@type" : "Question", "acceptedAnswer" : { "@type" : "Answer", "text" : "Hyponatremia — Ecstasy (MDMA) can cause acute hyponatremia through excess water intake and syndrome of inappropriate antidiuretic hormone; hyponatremia can precipitate seizures (as described in the article)." }, "name" : "Which electrolyte abnormality is most likely in this patient with seizure after ecstasy use?" }, "position" : 1 } ], "name" : "Practice Questions", "numberOfItems" : 1 } ```