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147020 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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147024 Medicine

A 36-year-old male comes with a 2-day history of chest pain. The pain has been continuous and does not change with activity. Vital signs show normal BP, mild tachycardia and tachypnea, and an oxygen saturation of 90% on room air. Cardiopulmonary exam is normal. An ECG shows a rate of 106 beats/min, left axis detion, left ventricular hyperophy, PR depression, and T wave inversions in V2 to V5. Troponin and CPK-MB are minimally elevated. What is the most likely diagnosis.

APulmonary embolism
BCostochondritis
CPericarditis
DUnstable angina
Medicine
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