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6526 Pediatrics

After helping his father in the yard, a 14-year-old boy complains of weakness and feels like his muscles are twitching. He begins to drool, and then collapses in a generalized tonic-clonic seizure. Upon the arrival of EMS, his heart rate is found to be 40 beats per minute and his pupils are pinpoint. For the most likely toxic substance involved in the cases above, select the appropriate treatment

AAtropine and pralidoxime (2-PAM)
BN- acetylcysteine (Mucomyst)
CDimercaptosuccinic acid (DMSA, succimer)
DNaloxone (Narcan)
Pediatrics
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6531 Pediatrics

A 7-year-old child presents to the paediatric clinic with amiguous genitalia increasing with age. On examination her height, weight and blood pressure were recorded within normal limits. Labia appeared bifid with 2 separate perineal openings, phallic length was 2.5 cm and no palpable gonads were noted in the inguinal region. USG shows presence of mullerian structures. The most probable diagnosis is-

AClassic Salt-Wasting 21 Hydroxylase deficiency
BSimple virilizing congenital adrenal hyperplasia
CComplete Androgen Insensitivity Syndrome
D5-Alpha Reductase Deficiency
Pediatrics
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