mrcem2-1646
A 42-year-old man is brought into the emergency department with suspected methanol poisoning. You collect a blood gas sample. What acid-base disturbance is commonly associated with methanol poisoning?
Archives: MRCEM Intermediate
mrcem2-1639
A 30-year-old woman develops cholestatic jaundice following an adverse drug effect of a new medication she has been prescribed.
Which medication is the LEAST likely to cause this adverse drug effect?
mrcem2-1640
You are overseeing the care of a patient who has received intravenous lipid emulsion. As the patient recovers over the next hour, it is important to continue monitoring for which side effect of this medication?
mrcem2-1643
A 35-year-old man with a history of bipolar affective disorder presents with symptoms suggestive of lithium toxicity.
Which of the following symptoms is MOST likely to be present?
mrcem2-1648
A 35 year old male presents to the emergency department and admits to ingesting 60 paracetamol tablets 9 hours ago. What is the primary intervention for this patient?
mrcem2-1642
A 30-year-old man is diagnosed with a psychiatric disorder during the 3rd-trimester of his partner’s pregnancy and is prescribed medication. As a result of this treatment, the newborn is born with weak muscle tone, difficulties with feeding, hypothyroidism, and an enlarged thyroid gland.
Which of the following medications is the most probable cause of these abnormalities?
mrcem2-1641
A young patient has developed a tremor and is experiencing nausea and vomiting as a result of taking a prescribed medication. Additionally, the patient has developed nephrogenic diabetes insipidus.
Which of the following medications is most likely to be the cause of these symptoms?
mrcem2-1645
A 65-year-old patient with a past medical history of chronic congestive cardiac failure complains of feeling fatigued and generally not well. She is currently on high doses of furosemide as prescribed by her heart failure specialist. Upon reviewing her blood test results, you observe that her electrolyte levels are abnormal.
Which of the following electrolyte imbalances is most likely to be present?
mrcem2-1644
A 15 year old girl is brought to the emergency department by her parents and reveals that she ingested 36 paracetamol tablets 6 hours ago. What is the most accurate explanation for how an overdose of paracetamol leads to liver damage?
mrcem2-1647
You are summoned to the resuscitation room to aid in the care of a 48-year-old woman who was saved from a residential fire. The patient has superficial partial thickness burns on the palms of her hands, which she sustained while attempting to open scorching door handles during her escape from the fire. The fire department rescued her from a bedroom filled with smoke. The paramedics inform you that the patient appeared lethargic at the scene. A blood gas sample is obtained. Which of the following findings would indicate a potential diagnosis of cyanide poisoning?