Registered Practical Nurse (RPN) Practice Test

Which substance is identified as the most significant inducer of seizures in cases of substance abuse?

1. Heroin

2. Alcohol

3. Cocaine

4. Marijuana

The correct answer is: Cocaine

Cocaine is identified as the most significant inducer of seizures in cases of substance abuse because it has potent stimulant effects on the central nervous system that can lead to neurological disturbances. The drug increases the release and inhibits the reuptake of certain neurotransmitters, particularly dopamine and norepinephrine, which can heighten excitability in the neuronal pathways and potentially lead to seizure activity. While alcohol can also induce seizures, particularly during withdrawal, its mechanism differs significantly from that of cocaine. Alcohol acts primarily as a depressant which, when abruptly discontinued after heavy use, can lead to withdrawal seizures. However, it does not typically induce seizures during use in the way that cocaine does. Heroin and marijuana are less associated with seizures. Heroin, an opioid, can lead to respiratory depression rather than seizure activity, while marijuana is known for its calming properties and does not frequently cause seizures in a straightforward context of use. Thus, cocaine stands out as the most significant inducers of seizures due to its stimulating effects and the neurochemical activities it promotes within the brain.