Page 42 - Demo

MCQ 1: TCA Overdose ManagementQuestion:%u2022A 28-year-old woman is brought to the emergency department with drowsiness, dry mouth, and dilated pupils. Her ECG shows prolonged QRS and QT intervals. What is the most appropriate initial management?%u2022Activated charcoal%u2022 Flumazenil%u2022 Sodium bicarbonate%u2022Naloxone%u2022GlucagonAnswer:%u2022 Sodium bicarbonateExplanation:%u2022 This scenario describes a typical presentation of tricyclic antidepressant (TCA) overdose. The prolonged QRS and QT intervals on ECG are characteristic. The initial management should include IV sodium bicarbonate to correct metabolic acidosis and counteract cardiotoxicity. This helps narrow the QRS complex and stabilize cardiac rhythm.