#may2020mccqe1
A recently widowed 35-year-old woman who has an anxiety disorder, for which she has been treated with alprazolam and imipramine, is brought to the emergency department for a multiple drug overdose. Her daughter states that she may have taken 30-40 tablets of 50-mg imipramine and 35-40 tablets of 1-mg alprazolam. On route to the hospital, she became apneic and was intubated. Her blood pressure is 130/84 mm Hg, and her pulse is 120/min. The patient is unresponsive to painful stimuli, and her pupils react very sluggishly, but there are no other neurologic findings. The ECG shows a normal sinus rhythm with a widened QRS complex. Which of the following is the most appropriate intervention?
(A) DC cardioversion
(B) Flumazenil
(C) Ipecac
(D) Lidocaine bolus
(E) Maintenance of serum pH at 7.5
A recently widowed 35-year-old woman who has an anxiety disorder, for which she has been treated with alprazolam and imipramine, is brought to the emergency department for a multiple drug overdose. Her daughter states that she may have taken 30-40 tablets of 50-mg imipramine and 35-40 tablets of 1-mg alprazolam. On route to the hospital, she became apneic and was intubated. Her blood pressure is 130/84 mm Hg, and her pulse is 120/min. The patient is unresponsive to painful stimuli, and her pupils react very sluggishly, but there are no other neurologic findings. The ECG shows a normal sinus rhythm with a widened QRS complex. Which of the following is the most appropriate intervention?
(A) DC cardioversion
(B) Flumazenil
(C) Ipecac
(D) Lidocaine bolus
(E) Maintenance of serum pH at 7.5
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