Toxicology USMLE Step 1 Practice Question
A 4-year-old boy is brought to the emergency department with lethargy and diaphoresis after ingesting his grandmother's diabetes medication. Vital signs: BP 90/55, HR 128, RR 22, Temp 36.8°C, SpO2 98%. Fingerstick glucose is 32 mg/dL; serum insulin level is elevated at 45 mIU/L. He denies seizure activity. No evidence of ketoacidosis on initial assessment. Which of the following drugs can be used to reduce recurrent hypoglycemia from this overdose?
Answer choices
- ANaloxone
- BMethylene blue
- CAtropine
- DOctreotideCorrect answer
- EFomepizole
- FDiazoxide
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