mrcem2-1618
A 68-year-old man develops hearing loss and renal impairment after inpatient treatment for urinary sepsis.
Which of the following antibiotics is most likely to have been administered?
Archives: MRCEM Intermediate
mrcem2-1607
A 32-year-old woman becomes pregnant despite being on the oral contraceptive pill. Upon reviewing her medication, you discover that she has epilepsy and her anticonvulsant therapy was recently altered.
Which of the following anticonvulsants is most likely to impact the effectiveness of the oral contraceptive pill?
mrcem2-1608
A 45-year-old with a history of bipolar disorder is brought into the emergency department after intentionally taking an excessive amount of lithium. What acid-base disturbances would you anticipate in a patient who has overdosed on lithium?
mrcem2-1614
A 22-year-old man is brought in by ambulance having taken an overdose of his father’s diazepam tablets.
What is the SINGLE most appropriate initial drug treatment in this situation?
mrcem2-1613
A 35-year-old patient with a history of schizophrenia comes in with side effects from haloperidol, which they were recently prescribed. Upon examination, you observe that they have significant muscle stiffness, a decreased level of consciousness, and a body temperature of 40ºC.
What side effect has manifested?
mrcem2-1612
A 35-year-old patient with a history of schizophrenia comes in with side effects from a medication that he recently began taking for this condition. Upon examination, you observe that he is experiencing severe muscular rigidity, a decreased level of consciousness, and a body temperature of 40ºC.
Which of the following medications is most likely causing these symptoms?
mrcem2-1610
A 30-year-old woman with a history of schizophrenia comes in with a side effect caused by the antipsychotic medication she is currently using.
Which ONE statement about the side effects of antipsychotic drugs is accurate?
mrcem2-1616
A 70-year-old woman experiences a sudden rupture of her Achilles tendon after completing a round of antibiotics.
Which of the following antibiotics is MOST likely to have caused this rupture?
mrcem2-1615
A 35-year-old woman is being evaluated after a benzodiazepine overdose. As part of her treatment, she is given a dose of flumazenil.
Which SINGLE statement about flumazenil is NOT true?
mrcem2-1617
A 21 year old female arrives at the emergency department and admits to ingesting 56 aspirin tablets around 90 minutes ago. She consumed the tablets impulsively following a breakup with her partner but now regrets her decision. She denies experiencing any symptoms. At what point would you initially measure salicylate levels?