52 MCQs in Forensic Medicine for NEET PG
A 35-year-old agricultural worker is admitted with severe organophosphate poisoning. The attending physician initiates management with atropine, pralidoxime, and supportive care. Regarding the forensic and clinical aspects of organophosphate toxicity, all of the following are true EXCEPT:
A 42-year-old male farmer from Punjab is brought to the emergency department 2 hours after accidental exposure to an organophosphate pesticide during crop spraying. He presents with profuse salivation, lacrimation, pinpoint pupils, muscle fasciculations, and respiratory distress. His wife reports he was conscious when found but rapidly deteriorated. On examination: BP 88/54 mmHg, HR 52/min, RR 28/min, SpO₂ 85% on room air. Pupils are 2 mm bilaterally. Which of the following best explains the mechanism of toxicity in this case?
A 35-year-old farmer is brought to the emergency department with acute onset of excessive salivation, miosis, muscle fasciculations, and respiratory distress 2 hours after exposure to a pesticide spray. Clinical diagnosis of organophosphate poisoning is suspected. Which investigation is most specific for confirming organophosphate poisoning?
A 28-year-old agricultural worker is admitted 2 hours after ingesting an organophosphate compound (parathion) in a suicide attempt. He is conscious, alert, with pinpoint pupils, profuse salivation, and bronchial secretions. Respiratory rate is 24/min with mild wheezing. He has received atropine 5 mg IV and shows good response (pupils dilating, secretions drying). What is the most appropriate next step in management?
A 32-year-old farmer from Punjab is brought to the emergency department 45 minutes after accidental exposure to an organophosphate pesticide (malathion) during crop spraying. He presents with profuse salivation, lacrimation, muscle fasciculations, and pinpoint pupils. Respiratory rate is 28/min with audible bronchospasm. Blood pressure is 110/70 mmHg and heart rate is 92/min. What is the most appropriate immediate next step in management?
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