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Retired NBME 15 Answers

nbme15/Block 2/Question#3 (reveal difficulty score)
A 2-year-old girl is brought to the emergency ...
Atropine ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +5  upvote downvote
submitted by โˆ—ergogenic22(401)
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vitals and need to be treated first, so atropine and then pralidoxime.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2493390/

important to note that organophosphates become irreversible at a certain point so pralidoxime does still need to be given early

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 +2  upvote downvote
submitted by โˆ—mannan(18)
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You could give pralidoxime but you have to give it second (after atropine) because it temporarily worsens the cholinergic toxidrome (wet picture)

Pra li dox ime an tag M+N

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 +2  upvote downvote
submitted by โˆ—trazobone(97)
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Vitals and need to be treated first, so atropine and then pralidoxime.

RIP Iโ€™m not descrambling this link

Important note that organophosphate becomes irreversible at a certain point so pralidoxime does still need to be given early

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