A 35 year old male is brought into the emergency department after being found disoriented and lethargic by a family member. The family member informs you that the patient has a history of depression and that there were multiple empty bottles of aspirin at the patient’s residence. Initial tests are conducted, including a salicylate level. Upon reviewing the salicylate result, you commence the urinary alkalinisation protocol. What is the desired treatment range?
A 35 year old male is brought into the emergency department after being discovered confused and drowsy by a family member. The family member informs you that the patient has a history of depression and that there were multiple empty bottles of aspirin at the patient’s residence. Initial tests are conducted, including a salicylate level. Upon reviewing the salicylate result, you initiate a urinary alkalinisation protocol. Which metabolic imbalance is linked to urinary alkalinisation and necessitates careful monitoring?
A 28 year old woman comes to the emergency department after being bitten on the foot by a snake when she accidentally stepped on it. She explains that the incident occurred while she was walking in a forest. The patient presents a photograph of the snake she took with her phone, and you recognize it as a common European adder (vipera berus). You contemplate administering Zagreb antivenom. What is the most frequently observed complication associated with administering antivenom for adder bites?
A 60-year-old patient with type II diabetes mellitus has ingested an excessive amount of gliclazide.
What are the possible antidotes that can be administered in cases of sulphonylurea poisoning?
A 52-year-old woman with a history of hypertension has ingested an excessive amount of atenolol tablets.
Which of the following antidotes is appropriate for treating beta-blocker overdose?
A 35-year-old man with a history of anxiety and panic disorder has ingested an excessive amount of diazepam.
Which of the following antidotes is appropriate for cases of benzodiazepine poisoning?
A 35-year-old woman with a history of heavy menstrual bleeding has ingested an excessive amount of ferrous sulfate.
What are the possible antidotes that can be administered in cases of iron salt poisoning?
A 62-year-old woman comes in with a gout flare-up after starting a new antihypertensive medication prescribed by her doctor. Which of the following antihypertensives is the LEAST likely to be the cause?
You assess a 62-year-old woman who is currently receiving treatment with a DMARD for severe psoriatic arthropathy. She has been experiencing increasing difficulty breathing during physical activity for the past few months. During the examination, you detect fine bibasal crepitations. You order a chest X-ray, which reveals signs of pulmonary fibrosis.
What is the SINGLE medication she is most likely taking?
A 30-year-old woman is given a medication for a medical condition during her pregnancy. As a result, the newborn is born with a neural tube defect and hemorrhagic disease of the newborn.
Which of the listed medications is the most probable cause of these abnormalities?