Toxicology USMLE Step 1 Practice Question
A 19-year-old woman presents to the emergency department after intentional propranolol overdose. Vital signs show BP 78/52 mmHg, HR 38 bpm, RR 16, temperature 37°C, and SpO2 98% on room air. Physical examination reveals altered mental status and cool extremities. Serum glucose is 45 mg/dL. She denies chest pain. Which pharmacologic intervention is most appropriate for managing her severe toxicity?
Answer choices
- ADesmopressin
- BAtropine eye drops
- CFlumazenil
- DGlucagonCorrect answer
- EPyridostigmine
- FAtropine intravenous
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