Adolescent Medicine

Question 1

Which of the following will not manifest with cholinergic syndromes when ingested?

A. Organophosphates
B. Mushroom
C. Barbiturates
D. Physostigmine

Answer 1

C. Barbiturates

Question 2

An unconscious adolescent male was brought in the ED with the following findings: hypotensive, bradycardic, decreased bowel sounds with constricted pupils. What is the most likely cause?
(ch 140 table 140.6 p 1047)

A. Diazepam
B. Cocaine
C. Amphetamine
D. Haloperidol

Answer 2

A. Diazepam

Question 3

A 4 yr old boy was being treated for dry cough and colds of 5 days, without fever. On the 2nd day of treatment, he had an afebrile seizure of 2 mins duration and was immediately rushed in the ER. On PE, he was hypertensive for age, highly febrile with cold clammy extremities due to diaphoresis, with dilated pupils and hyperreflexia. What could be the possible cause of his seizure?

A. Diphenhydramine
B. Phenylpropanolamine
C. Dextrometorphan
D. Phenobarbital

Answer 3

B. Phenylpropanolamine