QUESTION NO 5 : List of options: Activated charcoal Antivenin Ethanol Flumazenil Gastric lavarge Glutathione Haemodialysis Milk N-Acetylcysteine Naloxone / Naltrexone Please choose the most suitable antidote / intervention for each of the following patients who present with poisoning. You may choose each option once, more than once or not at all. A) A 16 year old girl who presents after taking a one off overdose of paracetamol (12 tablets) approximately six hours ago                      ---Please Select--- Activated charcoal Antivenin Ethanol Flumazenil Gastric lavarge Glutathione Haemodialysis Milk N-Acetylcysteine Naloxone / Naltrexone    B) A recently widowed 60 year old lady who takes 8 of her benzodiazepine tablets                      ---Please Select--- Activated charcoal Antivenin Ethanol Flumazenil Gastric lavarge Glutathione Haemodialysis Milk N-Acetylcysteine Naloxone / Naltrexone    C) A 21 year old man who suffers from chronic depression who attempts to commit suicide by drinking two bottles of antifreeze 2 hours ago                      ---Please Select--- Activated charcoal Antivenin Ethanol Flumazenil Gastric lavarge Glutathione Haemodialysis Milk N-Acetylcysteine Naloxone / Naltrexone    D) A 25 year old woman who presents with pin point pupils, reduced consciousness and respiratory depression, who has multiple needle tracks along her arms                      ---Please Select--- Activated charcoal Antivenin Ethanol Flumazenil Gastric lavarge Glutathione Haemodialysis Milk N-Acetylcysteine Naloxone / Naltrexone    E) A medical student who is bitten by a rattlesnake whilst on a elective in America                      ---Please Select--- Activated charcoal Antivenin Ethanol Flumazenil Gastric lavarge Glutathione Haemodialysis Milk N-Acetylcysteine Naloxone / Naltrexone    F) A 28 year old man who drank a bottle of bleach neat who is over an hour away from the nearest hospital                      ---Please Select--- Activated charcoal Antivenin Ethanol Flumazenil Gastric lavarge Glutathione Haemodialysis Milk N-Acetylcysteine Naloxone / Naltrexone

Question By Mr. Kasun Wanigasooriya MBCHB, MRCS.