Toxicology USMLE Step 1 Practice Question
A 28-year-old woman with type 1 diabetes accidentally injects 100 units of rapid-acting insulin instead of her usual 10-unit dose. She now presents diaphoretic, confused, and tremulous. Vital signs: BP 142/88 mmHg, HR 118/min, RR 20/min, temperature 36.8°C. Fingerstick glucose is 28 mg/dL. Recent labs show normal serum ketones. She denies alcohol use. Which of the following is the most immediate treatment?
Answer choices
- AMethimazole
- BCalcium gluconate
- CIntravenous dextroseCorrect answer
- DHydroxocobalamin
- EPralidoxime
- FIntravenous glucagon
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