mrcem2-1636

A 25-year-old male is brought to the emergency department after intentionally ingesting 70 amitriptyline tablets. You administer activated charcoal to the patient. Which other medication, listed as an antidote on the RCEM/NPIS, can be used to treat tricyclic overdose?

mrcem2-1619

A 22-year-old arrives at the emergency department after ingesting a combination of pills 45 minutes ago following a heated dispute with their partner. The patient reports consuming approximately 30 tablets in total, consisting of four or five different types. These tablets were sourced from their grandparents medication, although the patient is uncertain about their specific names. They mention the possibility of one tablet being called bisoprolol. What is the recommended antidote for beta-blocker toxicity?

mrcem2-1620

A 25-year-old woman arrives at the emergency department with swollen lips and a rash all over her body. According to her friend, she had recently consumed a sandwich. Anaphylaxis is suspected. You inquire about her medication use, and she presents a packet of propranolol. In addition to the usual treatment, which drug should be taken into consideration for this patient?

mrcem2-1623

A 45-year-old woman presents with painful bilateral gynaecomastia. She began taking a new medication a few months ago.
Which medication is the SINGLE LEAST likely cause for this adverse drug effect?

mrcem2-1622

A 35-year-old woman is given chloramphenicol for an infection while she is pregnant. As a result of this treatment, the newborn develops a deformity.
Which of the following deformities is most likely to occur as a result of using this medication during pregnancy?

mrcem2-1621

A 28-year-old woman is given an antibiotic while pregnant. As a result, the baby is born prematurely with pale gray skin and cyanosis. The baby also has weak muscle tone, low blood pressure, and difficulty with feeding.

Which of the following antibiotics is the most probable reason for these abnormalities?

mrcem2-1627

A 3-year-old girl has consumed a whole packet of ibuprofen tablets that she discovered in her father’s bag.

Which of the following symptoms of ibuprofen overdose is more frequently observed in children compared to adults?

mrcem2-1626

A 40-year-old woman is prescribed haloperidol for a psychiatric condition in the 2nd-trimester of her pregnancy. As a result of this treatment, the newborn develops a malformation.

Which of the following malformations is the most likely to occur as a result of using this medication during pregnancy?

mrcem2-1625

A 40-year-old man is prescribed a medication for a neurological condition in the 2nd-trimester of his wife’s pregnancy. The baby is born with restlessness, muscle contractions, shaking, and exhibits unsteady, abrupt movements.

Which of the following medications is the most probable reason for these abnormalities?

mrcem2-1624

A 65-year-old patient presents to the emergency department and informs you that they have taken an overdose. The patient states that they are unsure of the exact number of tablets consumed but estimate it to be around 100 aspirin tablets. You are concerned about the severity of the overdose and its potential consequences. Which of the following is an indication for haemodialysis in patients with salicylate poisoning?