Methamphetamine presentation

• A. Violence, psychotic features, hyperthermia
• B. Seizures only
• C. Calmness and reduced heart rate
• D. Sleepiness and weight gain

Answer: (A)

Methamphetamine acts as a powerful CNS stimulant, driving excessive arousal and autonomic activation. In acute intoxication, this often shows up as agitation or aggression, clear psychotic features such as paranoid delusions or delusional thinking, and overheating due to increased metabolic activity and impaired heat dissipation. This combination—violent or aggressive behavior, psychosis, and hyperthermia—best reflects the characteristic presentation of methamphetamine use and overdose.

Seizures can occur, but they’re not the defining or most consistent feature. Other choices describe signs that are not typical of stimulant intoxication—for example, calmness with a slowed heart rate, or sleepiness and weight gain—whereas meth typically causes insomnia, weight loss, tachycardia, anxiety, and heightened arousal, not calmness or fatigue.