mrcem2-1671
A 32 year old male with a previous diagnosis of depression is admitted to the emergency department following an intentional overdose of amitriptyline tablets. When would it be appropriate to start administering sodium bicarbonate?
Archives: MRCEM Intermediate
mrcem2-1669
A 32-year-old woman comes to the clinic complaining of palpitations. During an ECG, it is found that she has newly developed QT prolongation. She mentions that her doctor recently prescribed her a new medication and wonders if that could be the reason.
Which of the following medications is most likely to cause QT interval prolongation?
mrcem2-1663
You review a 52-year-old woman who has recently been prescribed antibiotics for a urinary tract infection (UTI). She has a history of COPD and is currently taking salbutamol and Seretide inhalers and Phyllocontin Continus. Since starting the antibiotics, she has been experiencing nausea, vomiting, and abdominal pain.
Which SINGLE antibiotic is she most likely to have been prescribed for her UTI?
mrcem2-1659
A 40-year-old man is brought to the Emergency Department by his wife after overdosing on one of his prescribed medications. He is restless, disoriented, and experiencing visual hallucinations. His heart rate is currently 110 bpm, and his pupils are dilated. It is challenging to gather information from him as he is speaking incoherently. Upon further inquiry, you learn that he has ingested an anticholinergic medication.
What is the antidote for this type of poisoning?
mrcem2-1664
You evaluate a 35-year-old woman who has recently been diagnosed with epilepsy. She has been initiated on an anti-epileptic drug but has subsequently developed a tremor when assuming a certain posture.
Which INDIVIDUAL anti-epileptic medication is most likely to be accountable for this?
mrcem2-1662
A 35-year-old woman with a history of epilepsy presents with a complaint of gum swelling. Upon examination, significant gum hypertrophy is noted.
Which SPECIFIC anti-epileptic medication is she most likely to be prescribed?
mrcem2-1665
A 60-year-old man with a history of hypertension comes to the Emergency Department with an unrelated medical issue. While reviewing his medications, you find out that he is taking ramipril as part of his treatment.
Which ONE of the following medications should be avoided?
mrcem2-1661
A 42-year-old male patient with epilepsy complains of feeling down. You observe that he has rough facial features, gum hypertrophy, and noticeable facial acne. Additionally, he exhibits an unsteady gait while walking.
Which ONE anti-epileptic medication is most likely causing his symptoms?
mrcem2-1660
A 40-year-old man is brought to the Emergency Department by his wife after taking an overdose of one of his prescribed medications. He is agitated, confused, and experiencing visual hallucinations. His heart rate is currently 115 bpm, and his pupils are dilated. Obtaining a history from him is challenging as he is mumbling. Further questioning reveals that he has ingested an anticholinergic drug.
What is the most suitable initial treatment for this patient?
mrcem2-1666
A 62-year-old woman with a history of hypertension comes to the Emergency Department with an unrelated medical issue. While reviewing her medications, you find out that she is taking losartan as part of her treatment.
Which ONE of the following medications should be avoided?