Drug Evaluation & Classification  ·  DRE Matrix Rev. 04/2025

The Seven Engines

The matrix is not a hundred and fifty-nine facts to memorize. It is seven engines, and every cell in a column is just that engine leaving a fingerprint. Learn the engine and the column writes itself.

Three questions decide almost every cell

Nine rows look like nine independent facts. They aren't. The rows are really three physiological systems, and each drug category does something specific to each system. Answer these three questions about a category and you can rebuild its entire column from scratch.

1

Does it depress the brainstem?

HGN, VGN and lack of convergence are not "intoxication" tests — they are brainstem tests. Holding your eyes steady at the edge of gaze is done by a small circuit in the pons and cerebellum called the gaze-holding neural integrator. Sedate that circuit and the eye drifts back toward center, then jerks to catch up. That jerk is nystagmus. Only three categories sedate it: Depressants, Inhalants, Dissociative Anesthetics — DID. Nothing else produces HGN. Ever. So the very first thing HGN does for you is delete four columns.

2

Which way does the autonomic engine run?

Pulse, blood pressure, temperature and muscle tone are all downstream of one question: is the sympathetic nervous system flooded or shut off? UP group — Stimulants, Hallucinogens, Dissociative Anesthetics: heart up, pressure up, temperature up, muscles rigid. DOWN group — Depressants, Narcotics: heart down, pressure down, muscles flaccid. Cannabis is a heart-only "up," Inhalants are chaos. Once you know the group, four rows fall at once.

3

What is happening at the iris?

The pupil has two muscles pulling against each other: the dilator (sympathetic, opens it) and the sphincter (parasympathetic, closes it). Push the sympathetic side and the pupil dilates. Push the parasympathetic side hard enough and it goes pinpoint. Reaction to light is then simply how much room is left for the sphincter to move. That single idea explains both pupil rows in one stroke, including the one everybody gets wrong.

The footnote preamble — say it out loud before every column These indicators are the ones most consistent with the category. There may be variations due to individual reaction, dose taken, and drug interactions. The matrix is a probability map, not a promise.
  • Which is why a DRE never speaks in absolutes: never say “never,” and always avoid saying “always.” The matrix is a reference tool. The DRE makes the determination of impairment — the matrix does not.
The nine rows are not the whole exam Part II of the DECP Final Certification Knowledge Exam asks you to recreate the matrix — and “the matrix” means the 63-cell indicator grid plus four more blocks per column: General Indicators, Duration of Effects, Usual Methods of Administration and Overdose Signs. Every category card below now carries its four blocks under the heading The rest of the column, and they are pulled together in Matrix Part II. Onset is not on the printed matrix — it lives inside each drug-category session — but it is included here because it is asked about.
Column 1  ·  Down group

CNS Depressants

The dimmer switch.

HGN present Pupils normal Vitals down Temp normal

The engine

GABA is the brain's brake pedal. Alcohol, benzodiazepines, barbiturates and the Z-drugs all pull that pedal down — they make the GABA-A receptor more effective, so inhibition wins everywhere at once. This is not a targeted drug; it is a global dimmer. Every circuit that has to keep firing to hold something steady starts failing: the gaze integrator can't hold the eye out (HGN, and VGN once the dose is high enough), convergence can't be sustained (LOC), the cardiovascular control centers in the medulla ease off (pulse down, pressure down), and motor tone collapses (flaccid).

Now the two cells people miss. Temperature stays normal — the hypothalamic thermostat isn't a GABA-driven "effort" circuit, it's a set point, and depressants don't move it. And pupils stay normal, because a dimmer switch pushes neither the dilator nor the sphincter; nobody is pulling the iris in either direction, so it sits where it sits. But the light reflex is a multi-synapse loop through a sedated brainstem, so the pupil still closes — just slowly. Size normal, speed slow. That combination is the depressant's quiet signature.

The scene

He walks and talks exactly like a drunk — swaying, slurring, drowsy, disoriented, thick-tongued — but you don't smell it and the PBT reads low. Internal clock on the Modified Romberg runs slow: he calls thirty seconds somewhere past forty. He's uncoordinated on Walk-and-Turn without being agitated about it. He's just... turned down.

On the street

  • Alcohol — the reference depressant, and the reason HGN is taught the way it is.
  • Benzodiazepines — Xanax 6–8 h, Klonopin 6–12 h, Valium, Ativan.
  • Z-drugs — Ambien 4–5 h. Sleep-driving cases live here.
  • Muscle relaxants — Soma (carisoprodol), the classic pupil exception.
  • GHB, barbiturates, Quaaludes, some antidepressants.

How the engine writes the row

RowAnswerBecause
HGNPresentGaze integrator is sedated; the eye can't hold the end position.
VGNPresent
(High Dose)
Vertical gaze-holding is more robust than horizontal — it only fails once the dose is high for that person.
LOCPresentConvergence is sustained effort. Sedation kills sustained effort.
Pupil SizeNormal *Nothing is pulling the iris either way. *Soma, Quaaludes and some antidepressants usually dilate.
Reaction to LightSlowThe reflex arc still works — it's just running through a sedated brainstem.
Pulse RateDown *Medullary cardiovascular drive is suppressed. *Alcohol, Quaaludes and some antidepressants may elevate pulse.
Blood PressureDownSame suppression, plus vasodilation. Everything relaxes.
Body TemperatureNormalThe set point doesn't move. This is the cell that separates depressants from narcotics.
Muscle ToneFlaccidMotor drive is dialed down. Loose, rag-doll, no tremor.

The rest of the column — Matrix Part II

General Indicators 11 listed

Disoriented · Droopy eyelids · Drowsiness · Drunk-like behavior · Impaired judgment · Relaxed inhibitions · Slow, sluggish reactions · Thick, slurred speech · Uncoordinated · Unsteady walk · Variety of emotional effects

Usual Methods of Administration 3

Injected · Insufflation · Oral

Overdose Signs

Clammy skin · Coma · Rapid, weak pulse · Shallow breathing

Duration of Effects

Ambien 4–5 h · Klonopin 6–12 h · Xanax 6–8 h · Others: vary

Onset not on the printed matrix

Generally within 30 minutes, with effects lasting 4–8 hours for most depressants of abuse. 7DM S9

Hook — Everything goes down except the two things nobody is touching: the thermostat and the iris.

Hook — "Drunk without the smell." If it looks like alcohol and the PBT says otherwise, you are in column 1 until proven otherwise.

Field rule Strong HGN with a PBT of 0.04 is not a bad test. The gap between the eyes and the breath is itself the evidence — it points at a second substance, usually another CNS depressant. Trust the training and ask about medications.
Column 2  ·  Up group

CNS Stimulants

The gas pedal, stuck down.

No HGN Pupils dilated Light reaction slow Vitals up

The engine

Cocaine and the amphetamines do one thing: they flood the synapse with dopamine and norepinephrine and then block the pumps that would clear it. Norepinephrine is the body's own sympathetic transmitter, so this is a chemical sympathetic storm — the fight-or-flight system held wide open for hours. Heart rate up, blood pressure up, core temperature up (both from central drive and from all that muscle activity), muscle tone rigid, with the tremors and jaw-clenching that come with it.

Critically, this is excitation, not sedation. The brainstem gaze integrator is not depressed — it may even be sharper. So no HGN, no VGN, no lack of convergence. Three clean eye tests with a wide-open pupil is the stimulant eye signature.

Now the cell that trips people: reaction to light is Slow, not Normal. Norepinephrine is clamped onto the alpha-1 receptors of the iris dilator, which is actively pulling the pupil open. When you hit it with the penlight, the sphincter has to constrict against a muscle that is still being told to pull the other way. It gets there, but visibly sluggishly. Dilated and slow — that pairing belongs to stimulants.

The scene

He hasn't stopped talking since you walked up. Eyelid and body tremors, grinding teeth, dry mouth, white pasty residue at the corners, restless — he cannot stand still on the One Leg Stand because standing still is not available to him. Internal clock runs fast: he calls thirty seconds at eighteen. Track the crash phase though — meth coming down looks exhausted, slow, and depressant-like, and that is where opinions get missed.

On the street

  • Cocaine / crackup to 2 h. Short, hot, and gone.
  • Methamphetamineup to 12 h, then a crash that mimics a CNS depressant.
  • Prescription amphetamines — Adderall, Ritalin, Vyvanse.
  • Ephedrine/pseudoephedrine, khat, some "bath salt" cathinones.

How the engine writes the row

RowAnswerBecause
HGNNoneExcitation, not sedation. The gaze integrator is untouched.
VGNNoneSame reason. No brainstem depression, no nystagmus.
LOCNoneConvergence is fine — arguably easier when you're wired.
Pupil SizeDilatedNorepinephrine on alpha-1 receptors of the iris dilator. Textbook sympathetic pupil.
Reaction to LightSlowThe sphincter is fighting an actively pulling dilator. It closes, but you can watch it struggle.
Pulse RateUpDirect sympathetic drive to the heart.
Blood PressureUpVasoconstriction plus increased cardiac output.
Body TemperatureUpCentral drive plus constant muscle activity plus reduced heat loss.
Muscle ToneRigidSustained motor drive. Tense, twitchy, tremoring.

The rest of the column — Matrix Part II

General Indicators 16 listed

Anxiety · Body tremors · Dry mouth · Euphoria · Exaggerated reflexes · Excited · Eyelid tremors · Grinding teeth (Bruxism) · Hyperactivity · Increased alertness · Insomnia · Irritability · Redness to the nasal area · Restlessness · Runny nose · Talkative

Usual Methods of Administration 4

Injected · Insufflation · Oral · Smoked

Overdose Signs

Hallucinations · Psychosis · Violent behavior

Duration of Effects

Cocaine up to 2 h · Methamphetamine up to 12 h

Onset not on the printed matrix

Injected cocaine acts within 15–30 seconds; smoked crack is comparable and the high may last only 15–30 minutes. Taken orally the onset is delayed and the rush much less intense. 7DM S10

Hook — Everything up, eyes clean, pupils wide. The only "slow" thing in the whole column is the pupil's reaction — and that is because it's slow from being wide.

Hook — Stimulant HGN does not exist, and a stimulant cannot cancel someone else's HGN. HGN has no antagonistic effect. Nothing reverses it once it's present.

Column 3  ·  Up group

Hallucinogens

Crossed wires above the brainstem.

No HGN Pupils dilated Light reaction normal Vitals up

The engine

LSD, psilocybin and mescaline are serotonin 5-HT2A agonists, and the receptors they hit are concentrated in the cortex — the layers that assemble raw sensation into a coherent picture of the world. The drug doesn't sedate anything and it doesn't add energy the way a stimulant does; it miswires perception. Sounds acquire color, walls breathe, time and distance stop meaning anything. Serotonin also drives sympathetic output, so the vitals come up: pulse up, pressure up, temperature up, tone rigid, pupils dilated.

That is the problem — the vitals column is identical to stimulants. Same four vitals, same pupil size, same three clean eye tests. So the matrix gives you exactly one quiet tiebreaker cell: reaction to light is Normal. Hallucinogen dilation is driven centrally, not by clamping norepinephrine onto the iris dilator, so the sphincter has nothing to fight and the pupil snaps closed the way it should. Dilated + normal reaction = hallucinogen. Dilated + slow reaction = stimulant.

Everything else that separates them is behavioral, and you have to go get it.

The scene

He's dazed, sweating, and not entirely with you. He answers a question you didn't ask. He reports seeing or hearing things that aren't there, or describes senses bleeding into each other. Mood swings from euphoric to paranoid inside a minute. Time and distance estimates are wildly off — and unlike cannabis, he may not be able to tell you where he is at all. Piloerection, disorientation, nausea, poor perception of pain.

On the street

  • LSD6–8 h. The long one; watch for a subject still up hours after the stop.
  • Psilocybinup to 5 h.
  • MDMA / ecstasy1–3 h. Amphetamine backbone, hallucinogenic head; hyperthermia is the danger.
  • Mescaline / peyote, DMT, 2C-series and other psychedelic amphetamines.

How the engine writes the row

RowAnswerBecause
HGNNoneCortical drug. The brainstem gaze circuit is never touched.
VGNNoneSame.
LOCNoneConvergence is a brainstem/midbrain reflex and it holds.
Pupil SizeDilatedSerotonergic sympathetic outflow opens the pupil.
Reaction to LightNormal *Nothing is clamped on the dilator, so the sphincter has free rein. *Certain psychedelic amphetamines may cause slowing.
Pulse RateUpSerotonergic sympathetic drive.
Blood PressureUpSame drive, plus vasoconstriction.
Body TemperatureUpSerotonin moves the hypothalamic set point up. MDMA hyperthermia is the extreme case.
Muscle ToneRigidElevated motor tone; trembling and jaw tension are common.

The rest of the column — Matrix Part II

General Indicators 13 listed

Body tremors · Dazed appearance · Difficulty with speech · Disoriented · Hallucinations · Impaired perception of time and distance · Memory loss · Nausea · Paranoia · Perspiring · Piloerection · Synesthesia · Uncoordinated

Usual Methods of Administration 4

Insufflation · Oral · Smoked · Transdermal

Overdose Signs

Condition similar to heat stroke · Convulsions · Intense bad “trip”

Duration of Effects

LSD 6–8 h · MDMA 1–3 h · Psilocybin up to 5 h

Onset not on the printed matrix

LSD is felt within 30–45 minutes and diminishes over 6–8 hours; peyote/mescaline about half an hour. 7DM S14

Hook — A stimulant column with a normal light reaction and a person who isn't in the same room as you.

Hook — The matrix will not separate hallucinogens from stimulants for you. Your interview will. The hallucination is the differentiator.

Column 4  ·  Up group  ·  officer safety

Dissociative Anesthetics

The severed line.

HGN present Pupils normal Light reaction normal Vitals up

The engine

PCP, ketamine and DXM are NMDA receptor antagonists. NMDA is the receptor that lets the cortex assemble sensory input into "this is happening to me, right now." Block it and you cut the line: the body is awake, moving, and fully capable of hurting you, but the person is not inside it. That is what "dissociative" means, and it is why this is the officer-safety category — pain does not register, so pain compliance does not work.

Here is what makes this column unique in the entire matrix. NMDA blockade suppresses the brainstem gaze integrator exactly the way a depressant does — so you get HGN, VGN and LOC, all present. But PCP also blocks dopamine and norepinephrine reuptake, which drives the sympathetic system up like a stimulant. This is the only column where "eye tests positive" and "all vitals up" occupy the same box. Nothing else in the matrix does that. When you see it, you're done.

And the pupils stay normal, with a normal light reaction — the dissociation happens above the iris, and neither muscle is being pushed. Positive eye tests with an ordinary-looking pupil that reacts crisply is a genuinely strange combination, and it's the one that seals this column.

The scene

The blank stare — a thousand-yard, unblinking, non-responsive gaze — is the single most reported PCP indicator. Behavior is cyclic: calm, then violent, then calm again, with no warning and no trigger. Speech is slow, slurred, sometimes repetitive. There's a chemical or ether-like odor on him. He's sweating profusely. He doesn't react to injury. He may be confused about where he is or fully catatonic. Keep your distance, and get more units.

On the street

  • PCP4–6 h. Sherm, wet, angel dust; often a cigarette dipped in liquid PCP.
  • Ketamineup to 2 h (intranasal ~30–45 min). Note the tell: immediate, pronounced HGN onset.
  • DXM3–6 h. Over-the-counter cough syrup, "robotripping."

How the engine writes the row

RowAnswerBecause
HGNPresentNMDA blockade suppresses the gaze integrator, same endpoint as sedation.
VGNPresentThe grid prints a flat Present here, not Present (High Dose) — VGN is seen most readily with a dissociative. The underlying rule is still dose-dependent for all three DID categories, so don't testify that dissociative VGN is dose-independent.
LOCPresentSustained convergence fails along with everything else the brainstem coordinates.
Pupil SizeNormalNeither iris muscle is being pushed. The dissociation is happening upstream.
Reaction to LightNormalThe pupillary reflex arc is intact and unopposed — it snaps. This cell separates it from depressants and inhalants.
Pulse RateUpThe second mechanism: dopamine/norepinephrine reuptake blockade.
Blood PressureUpSame sympathetic drive. PCP hypertension can be severe.
Body TemperatureUpSympathetic drive plus agitation plus no sense of overheating.
Muscle ToneRigidMarkedly rigid — part of why restraint is so difficult and so dangerous.

The rest of the column — Matrix Part II

General Indicators 14 listed

Blank stare · Chemical odor (PCP) · Confused · Cyclic behavior · Disoriented · Hallucinations · Incomplete verbal responses · Increased pain threshold · Non-communicative · Perspiring · Possibly violent · Sensory distortions · Slow, slurred speech · Slowed responses

Usual Methods of Administration 5

Injected · Insufflation · Oral · Smoked · Transdermal

Overdose Signs

Coma · Seizures

Duration of Effects

PCP 4–6 h · DXM 3–6 h · Ketamine up to 2 h

Onset not on the printed matrix

PCP smoked or injected: 1–5 minutes. Insufflated: within 30 minutes. Oral: 30–60 minutes. 7DM S16

Hook — Depressant eyes bolted onto stimulant vitals. Two engines in one drug — that collision exists in exactly one column.

Hook — Positive eye tests but the pupil looks and behaves completely normal? Column 4.

Officer safety Elevated pain threshold, unpredictable cyclic violence, and rigid musculature in the same subject. Pain compliance is unreliable. Plan the contact before you make it.
Column 5  ·  Down group

Narcotic Analgesics

The pinhole.

No HGN Pupils constricted Light: little or none Only DOWN temp

The engine

Opioids bind mu receptors. Mu activation is inhibitory, but the beautiful part is what it inhibits at the eye: it shuts off the cells that normally restrain the Edinger-Westphal nucleus. Remove the restraint and that nucleus fires flat out, sending maximum parasympathetic drive to the iris sphincter. The sphincter clamps down as hard as it can go — pinpoint pupils.

And that single fact gives you the next row for free. Reaction to light is "how much room is left for the sphincter to move." At pinpoint, there is no room left. Shine the penlight and nothing visible happens — little or none visible. Two cells, one mechanism. That pairing belongs to nobody else in the matrix.

Elsewhere, opioids depress the medulla: respiratory rate down, pulse down, pressure down, tone flaccid. And uniquely, they reset the hypothalamic thermoregulatory set point downward — this is the only category in the entire matrix where body temperature goes DOWN. Learn that cell as a standalone fact; it wins questions. Meanwhile the gaze integrator is largely spared, so no HGN, no VGN, no LOC.

The scene

He is on the nod — droopy eyelids at half mast, head dipping and catching, drifting out mid-sentence and coming back. Speech is a low raspy whisper. He's scratching, constantly, at his face and arms (opioids trigger histamine release). Movement is slow and deliberate, dry mouth, fresh puncture marks. Bring the penlight up in the dark room and the pupil is already a dot and simply doesn't change.

On the street

  • Fentanyl2–3 h. Now the default street opioid; counterfeit "M30" pressed pills.
  • Heroin3–5 h.
  • Methadone6–8 h. Long tail; treatment-program subjects.
  • Prescription opioids — oxycodone, hydrocodone, morphine, codeine, Dilaudid, tramadol.

How the engine writes the row

RowAnswerBecause
HGNNoneMu receptors aren't the gaze integrator's problem. Opioids spare it.
VGNNoneSame.
LOCNoneConvergence holds — which is itself notable in someone this sedated.
Pupil SizeConstrictedEdinger-Westphal is disinhibited; the sphincter goes to maximum. The only constricted column.
Reaction to LightLittle or None
Visible
Already fully constricted — there is nowhere left to go.
Pulse RateDownMedullary depression, alongside the respiratory depression that kills people.
Blood PressureDownReduced sympathetic tone plus histamine-driven vasodilation.
Body TemperatureDownThe set point itself is lowered. The only DOWN temperature in the matrix.
Muscle ToneFlaccidDeeply relaxed. Slack jaw, loose limbs, slumped posture.

The rest of the column — Matrix Part II

General Indicators 13 listed

Depressed reflexes · Difficulty concentrating · Droopy eyelids · Drowsiness · Dry mouth · Euphoria · Itching · Nausea · “On the nod” · Puncture marks · Slow, low, raspy speech · Slowed breathing · Slow deliberate movements

Usual Methods of Administration 5

Injected · Insufflation · Oral · Smoked · Transdermal

Overdose Signs

Cold, clammy skin · Coma · Convulsions · Slow and shallow breathing

Duration of Effects

Fentanyl 2–3 h · Heroin 3–5 h · Methadone 6–8 h · Others: vary

Onset not on the printed matrix

Heroin 45 seconds to several minutes · fentanyl extremely rapid, within minutes · oxycodone 10–15 min · hydrocodone 10–30 min · morphine 15–60 min · methadone (oral) 30–60 min. 7DM S17

Hook — Pinpoint that won't budge, and the only temperature that drops. Three cells nobody else in the matrix owns.

Hook — Depressant and narcotic are both DOWN — but the depressant has HGN and normal pupils and normal temp, and the narcotic has none of those. Eyes and temperature split them instantly.

Narcan If naloxone reversed the subject, the impairment involved an opioid — naloxone reverses nothing else. But it wears off faster than the drug does, so re-sedation during your evaluation is a real possibility. Document the time of administration.
Column 6  ·  Mixed

Inhalants

A solvent bath, not a key in a lock.

HGN present Pupils normal Light reaction slow Vitals unpredictable

The engine

Every other category on this page is a key fitting a lock — a molecule shaped to hit one receptor. Inhalants are not. They are lipid-soluble chemicals that dissolve straight into neuronal membranes and disrupt whatever happens to be in them. There is no target. That one fact explains the whole column, including why half of it refuses to commit to an answer.

Because the disruption is general and heaviest where the membranes are busiest, you get brainstem depression exactly like a depressant: HGN present, VGN at high dose, LOC present, reaction to light slow, pupils normal (possibly dilated). If you covered the vitals rows, columns 1 and 6 would be nearly indistinguishable.

The vitals are where it falls apart — and it falls apart because "inhalants" isn't one drug class, it's three. Volatile solvents and aerosols (toluene, gasoline, Dust-Off) irritate and stimulate: blood pressure up. Anesthetic gases (nitrous oxide, ether, halothane) do what anesthetics do: blood pressure down. So the matrix simply prints both. Pulse is Up. Temperature is Up, Down, or Normal. Muscle tone is Normal or Flaccid. Don't read those as sloppy answers — read them as the correct answer to a question with three different chemistries in it. On the drill, "the messy one" is the inhalant column.

The scene

You smell it before anything else — a solvent, paint, or fuel odor that doesn't belong on a person. There's residue on his face, around his mouth and nose, or on his hands. Face is flushed, eyes watering, nose running, possible chemical burns or a rash around the mouth ("huffer's rash"). He's disoriented, confused, and he may already be improving while you're standing there — onset is rapid and so is recovery. Look for the delivery: a rag, a plastic bag, a duster can, whippet cartridges on the floorboard.

On the street

  • Volatile solvents — toluene, gasoline, paint thinner, glue, correction fluid. Hours.
  • Aerosols — spray paint, hair spray, DFE / Dust-Off computer duster.
  • Gasesnitrous oxide (whippets), ether, chloroform, propane, butane.
  • Nitrites — amyl/butyl "poppers."

How the engine writes the row

RowAnswerBecause
HGNPresentGeneral membrane disruption in the brainstem — same endpoint as a depressant.
VGNPresent
(High Dose)
Same dose-dependence as depressants. Vertical fails later than horizontal.
LOCPresentSustained convergence fails.
Pupil SizeNormal *No directed push on either iris muscle. *Possibly dilated.
Reaction to LightSlowDepressed reflex arc, exactly like column 1.
Pulse RateUpIrritation, hypoxia and cardiac sensitization push the rate up across all three sub-types.
Blood PressureUp/DownUp with volatile solvents and aerosols; down with anesthetic gases.
Body TemperatureUp/Down/NormalAll three chemistries pull differently. The matrix declines to guess — and so should you.
Muscle ToneNormal or
Flaccid
Depression of motor tone, but inconsistently and dose-dependently.

The rest of the column — Matrix Part II

General Indicators 12 listed

Bloodshot eyes · Confused · Disoriented · Flushed face · Intense headaches · Muscle weakness · Non-communicative · Odor of substance · Possible nausea · Residue of substance · Slow, thick, slurred speech · Watery eyes

Usual Methods of Administration 1

Inhalation

Overdose Signs

Cardiac arrhythmia · Respiration ceases · Nausea/vomiting · Risk of death

Duration of Effects

Several hours for most volatile solvents · anesthetic gases and aerosols: very short duration

Onset not on the printed matrix

Virtually immediate. That is the whole reason the blood draw cannot wait. 7DM S19

Hook — Depressant eyes, chaos vitals, chemical smell. Nine words, whole column.

Hook — Any cell with a slash in it belongs to inhalants. They own every ambiguous answer on the grid.

Evidence window — this is the urgent one
  • DFE (Dust-Off) can be gone from blood in roughly 25 minutes. Nitrous is similar.
  • Volatile solvents last hours; gases and aerosols last minutes.
  • Draw blood immediately — do not let it wait behind the rest of the evaluation. Mark the tubes, and route nitrous samples to the Mesa lab.
  • The physical evidence at the scene (can, rag, bag, residue) may end up being stronger than your toxicology.
Column 7  ·  Mixed

Cannabis

The convergence miss.

No HGN LOC present Pupils dilated Temp & tone normal

The engine

THC is a CB1 receptor agonist, and where CB1 sits is the whole story. It is dense in the cortex, hippocampus, cerebellum and basal ganglia — memory, attention, time perception, coordination. It is sparse in the brainstem. That is the reason cannabis is famously hard to overdose on (no respiratory center to shut down) and it is the reason cannabis produces no HGN, even in a subject who is visibly, badly impaired.

But convergence is different from nystagmus. Crossing your eyes to track a finger to your nose is not a pure brainstem reflex — it needs cortical attention and sustained voluntary effort, and that is precisely what CB1 disrupts. So you get the pairing that belongs to nobody else on the grid: lack of convergence present, HGN absent. If you learn one thing about column 7, learn that. It is the cleanest single-cell identification in the entire matrix.

CB1 also sits on the presynaptic terminals of the autonomic nerves feeding the heart, so pulse and blood pressure come up — often dramatically, in the first hour. But there's no thermoregulatory push and no motor drive, so temperature is Normal and muscle tone is Normal. Cannabis is the "up in the chest, normal everywhere else" column. Pupils are Dilated (possibly Normal), and the light reaction stays Normal.

The scene

Bloodshot, glassy eyes with dilated pupils and often a greenish coating on the tongue. Eyelid and body tremors. Odor of burnt or raw marijuana. Relaxed inhibitions, disoriented, possible paranoia, impaired short-term memory — he loses the instructions halfway through the test. Time and distance distortion is the driving tell: either extreme speeding because the road feels slower than it is, or crawling twenty under because it feels faster. On Walk-and-Turn, watch the turn specifically — that's where the divided attention breaks down. And in the dark room, look for rebound dilation.

On the street

  • Smoked / vaped3–4 h. Peak impairment is early and steep.
  • Ediblesup to 8 h. Slow onset, long tail, frequent overconsumption.
  • Concentrates — wax, shatter, dabs, distillate carts. Far higher THC than plant material.
  • Synthetic cannabinoids — K2/spice; unpredictable and often far more severe.

How the engine writes the row

RowAnswerBecause
HGNNoneCB1 is sparse in the brainstem. The gaze integrator never gets the message.
VGNNoneSame reason.
LOCPresentConvergence needs cortical attention and effort — the exact thing THC breaks.
Pupil SizeDilated *CB1-mediated autonomic shift opens the pupil. *Possibly normal.
Reaction to LightNormalThe reflex arc is intact and nothing is fighting the sphincter.
Pulse RateUpCB1 on cardiac autonomic terminals. Often the most dramatic finding.
Blood PressureUpFollows the heart rate.
Body TemperatureNormalNo push on the thermostat. This is what separates cannabis from stimulants.
Muscle ToneNormalNo motor drive and no motor suppression. The only flatly "Normal" tone in the matrix.

The rest of the column — Matrix Part II

General Indicators 17 listed

Bloodshot eyes · Body tremors · Disoriented · Drowsiness · Euphoria · Eyelid tremors · Greenish coating on the tongue · Impaired memory · Impaired perception of time and distance · Incomplete verbal responses · Increased appetite · Lack of concentration · Mood changes · Paranoia · Rebound dilation · Relaxed inhibitions · Sedation

Usual Methods of Administration 3

Oral · Smoked · Transdermal

Overdose Signs

Acute anxiety attacks · Excessive vomiting · Possible psychosis

Duration of Effects

Smoked 3–4 h · Edibles up to 8 h

Onset not on the printed matrix

Smoked: felt within minutes, peaking at 10–30 minutes; the high runs about 3 hours and most effects are back to baseline in 3–4. 7DM S21

Hook — LOC present, HGN absent = cannabis. No other column has that pairing. One cell, one answer.

Hook — "Up in the chest, normal everywhere else." Pulse and pressure up; temperature and tone normal.

Draw blood fast — and know why THC is lipophilic: it leaves the bloodstream for fat tissue very quickly. Delay the draw and you capture only the non-impairing metabolites, which prove past use and nothing about impairment now. Also note that measured impairment can outlast the subjective high — the manual cites two Stanford flight-simulator studies (1985 and 1990) in which pilots were still impaired 24 hours after smoking, and in the 1990 study 7 of 9 pilots showed impairment at 24 hours while only one was aware of any drug effect. A subject who says "that was yesterday" has not explained anything away — and neither has one who says he feels fine.

The whole grid at once

Color encodes the engine, not the drug: blue = the down group, rust = the up group, violet = mixed. Read down a column to rehearse one engine; read across a row to see which categories that row actually separates.

Indicator Depress. Stim. Halluc. Dissoc. Narcotic Inhalant Cannabis
HGN PresentNoneNonePresentNonePresentNone
VGN Present (High Dose)NoneNonePresentNonePresent (High Dose)None
LOC PresentNoneNonePresentNonePresentPresent
Pupil Size NormalDilatedDilatedNormalConstrictedNormalDilated
Reaction to Light SlowSlowNormalNormalLittle or None VisibleSlowNormal
Pulse Rate DownUpUpUpDownUpUp
Blood Pressure DownUpUpUpDownUp/DownUp
Body Temperature NormalUpUpUpDownUp/Down/NormalNormal
Muscle Tone FlaccidRigidRigidRigidFlaccidNormal or FlaccidNormal
Down group Up group Mixed Neutral / no effect

Matrix footnotes — the six exceptions

DRE average ranges you are measuring against

Say “DRE average range,” not “normal.” A DRE does not know what is normal for the individual in front of him and does not make a medical diagnosis; the ranges below are the values the majority of healthy, non-impaired people fall inside. The further outside the range the finding sits, the more likely it reflects impairment in that function. That distinction is the whole point of the Session 6 handout and it is a question you will be asked on the stand.

Matrix Part II — the four blocks under the grid

Same seven columns, four more rows, and no physiology shortcut for most of it. General Indicators is a memorization job; the count under each column is your checksum. Methods of administration and overdose signs are short enough to be free points, so do not lose them.

Block Depress. Stim. Halluc. Dissoc. Narcotic Inhalant Cannabis
General Indicators (count) 11161314131217
Usual Methods of Administration Injected
Insufflation
Oral
Injected
Insufflation
Oral
Smoked
Insufflation
Oral
Smoked
Transdermal
Injected
Insufflation
Oral
Smoked
Transdermal
Injected
Insufflation
Oral
Smoked
Transdermal
Inhalation Oral
Smoked
Transdermal
Duration of Effects Ambien 4–5 h
Klonopin 6–12 h
Xanax 6–8 h
Others: vary
Cocaine: up to 2 h
Methamphetamine: up to 12 h
LSD 6–8 h
MDMA 1–3 h
Psilocybin: up to 5 h
PCP 4–6 h
DXM 3–6 h
Ketamine: up to 2 h
Fentanyl 2–3 h
Heroin 3–5 h
Methadone 6–8 h
Others: vary
Several hours for most volatile solvents
Anesthetic gases and aerosols: very short
Smoked 3–4 h
Edibles: up to 8 h
Overdose Signs Clammy skin
Coma
Rapid, weak pulse
Shallow breathing
Hallucinations
Psychosis
Violent behavior
Condition similar to heat stroke
Convulsions
Intense bad “trip”
Coma
Seizures
Cold, clammy skin
Coma
Convulsions
Slow and shallow breathing
Cardiac arrhythmia
Respiration ceases
Nausea/vomiting
Risk of death
Acute anxiety attacks
Excessive vomiting
Possible psychosis

Reading the administration row

It is almost the same list five times — Injected, Insufflation, Oral, Smoked, Transdermal — so learn the subtractions rather than the lists. Dissociatives and narcotics get all five. Stimulants drop transdermal. Hallucinogens drop injected. Depressants keep only injected, insufflation and oral. Cannabis drops the two needle-and-nose routes and keeps oral, smoked, transdermal. Inhalants are the one-word column: inhalation.

Reading the overdose row

Overdose signs track the engine, so they are mostly free. The down group stops breathing and goes cold and comatose — depressants and narcotics share clammy skin, coma and shallow breathing, with convulsions added on the narcotic side. The up group overheats or breaks: stimulants go psychotic and violent, hallucinogens go heat-stroke and convulsions, dissociatives go coma and seizures. Inhalants kill by the heart — cardiac arrhythmia, respiration ceases, risk of death — which is the only column that names death outright. Cannabis is the mild one: anxiety, vomiting, possible psychosis.

Two traps in the numbers
  • Ketamine is “up to 2 hours,” not 12. A widely circulated mnemonic sheet prints “4 to 6, 3 to 6, up to 12” for the dissociative column. The Rev. 04/2025 matrix says PCP 4–6, DXM 3–6, Ketamine up to 2. The matrix wins.
  • Do not confuse duration with onset. Onset is not printed on the matrix, so nothing on the page corrects you if you mix them up — inhalants are immediate onset and short duration, edibles are slow onset and long duration, and those are opposite failures.

The five pairs that actually get confused

Nobody mixes up narcotics and stimulants. These five are where the real errors live — each pair shares most of a column, so learn the specific cells that split them and stop worrying about the rest.

Stimulants vs. Hallucinogens

Identical on eight of nine rows: no HGN, no VGN, no LOC, dilated, pulse up, BP up, temp up, rigid.

The cell
Reaction to Light. Stimulant = Slow. Hallucinogen = Normal.
The scene
Stimulant is wired — talkative, restless, grinding, fast clock. Hallucinogen is elsewhere — dazed, sweating, perceiving things that aren't there.
Don't
Don't try to split these on vitals. You can't. Go to the interview.

Depressants vs. Inhalants

Identical on all five eye and pupil rows: HGN present, VGN high dose, LOC present, pupils normal, light slow.

The cells
Pulse (Down vs. Up), BP (Down vs. Up/Down), Temp (Normal vs. Up/Down/Normal), Tone (Flaccid vs. Normal or Flaccid).
The scene
Chemical odor and residue on the face or hands. Rapid onset and rapid recovery — a depressant subject does not visibly improve while you're writing.
Fast test
Depressant-looking eyes with an elevated pulse should send you looking for a can or a rag.

Depressants vs. Narcotic Analgesics

Both are the DOWN group: pulse down, BP down, muscle tone flaccid, subject sedated and slow.

The cells
HGN (Present vs. None), Pupil (Normal vs. Constricted), Light (Slow vs. Little or None), Temp (Normal vs. Down).
The scene
Depressant walks and talks drunk. Narcotic is on the nod, whispering, scratching.
Fast test
One look in the dark room ends it. Pinpoint and non-reactive is never a depressant.

Dissociative Anesthetics vs. Stimulants

Both are the UP group: pulse up, BP up, temp up, muscle tone rigid.

The cells
All three eye tests (Present vs. None) and Pupil (Normal vs. Dilated).
The scene
Blank stare, cyclic behavior, chemical odor, no pain response — versus talkative, tremoring, restless.
Fast test
HGN with up-vitals is dissociative. Full stop. Nothing else on the grid does both.

Cannabis vs. Stimulants

Both dilated, both pulse up, both BP up, both no HGN or VGN.

The cells
LOC (Present vs. None), Light (Normal vs. Slow), Temp (Normal vs. Up), Tone (Normal vs. Rigid).
The scene
Bloodshot eyes, green tongue coating, marijuana odor, memory loss mid-instruction — versus dry mouth, bruxism, and a mouth that won't stop.
Fast test
Convergence. Cannabis fails it; a stimulant does not.

Filling the grid, in the order that costs the least

When you're drilling the blank matrix, don't work left to right. Work in the order that eliminates the most columns per decision — the same order the eye examination gives you the information in real life.

1

Fill the three eye rows first. They are one decision, not three.

DID — Depressants, Inhalants, Dissociatives — get Present on HGN and LOC. VGN is Present (High Dose) for Depressants and Inhalants but flat Present for Dissociatives. Then add the one exception: Cannabis gets LOC only (DIDC for the LOC row). Everything else is None across all three. That's 21 cells from two mnemonics.

2

Pupil size: CASH makes big eyes.

Cannabis, Amphetamines (stimulants), Hallucinogens = Dilated. Narcotics alone = Constricted. The remaining three — Depressants, Dissociatives, Inhalants — = Normal. Nine cells, one mnemonic.

3

Reaction to light: Narcotics first, then "slow means fighting or sedated."

Narcotics = Little or None Visible — no room left to move. Slow goes to the three with a compromised or opposed reflex: Depressants, Inhalants (sedated arc) and Stimulants (sphincter fighting the dilator). Normal goes to the three where the arc is clean and unopposed: Hallucinogens, Dissociatives, Cannabis.

4

Pulse and blood pressure: two groups plus two specials.

Down = Depressants, Narcotics. Up = Stimulants, Hallucinogens, Dissociatives, Cannabis. Inhalants: pulse Up, BP Up/Down. Those two rows are nearly the same row — write BP by copying pulse and then changing only the inhalant cell.

5

Temperature: the row with the most exceptions. Slow down here.

Up = the three true UP categories: Stimulants, Hallucinogens, Dissociatives. Down = Narcotics only, the single down-temperature in the matrix. Normal = Depressants and Cannabis — the two categories with no thermostat push. Up/Down/Normal = Inhalants. This is where most grid errors happen: cannabis is Up on pulse and BP but Normal on temperature, and the depressant is Down on everything else but Normal here.

6

Muscle tone: it tracks the vitals, with two odd ones out.

Flaccid = the DOWN group, Depressants and Narcotics. Rigid = the UP group, Stimulants, Hallucinogens and Dissociatives. Then the two that don't follow: Cannabis = Normal (up vitals, no motor drive) and Inhalants = Normal or Flaccid.

7

Then fill the four bottom blocks — that is half the Part II score.

Methods of administration and overdose signs are short and go fast. Duration is four numbers per column at most. General Indicators is the long one, and the count is your checksum — 11 · 16 · 13 · 14 · 13 · 12 · 17 across depressants, stimulants, hallucinogens, dissociatives, narcotics, inhalants and cannabis (96 in all). If your cannabis list stops at fifteen, you are missing two, and you know it before the proctor does.

The rules that beat the matrix