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Forensic Medicine · Toxicology
Sample itemWhat pupil finding is typical of opioid intoxication?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Pinpoint pupils
Opioid intoxication commonly causes miosis with central nervous system and respiratory depression, although severe hypoxia can alter the pupil appearance.
Option by option
A. Fixed dilated pupils
Fixed dilation is not the typical opioid pattern.
B. Pinpoint pupils (correct)
Correct: opioids commonly produce pinpoint pupils.
C. Unequal traumatic pupils
Unequal pupils suggest ocular or neurologic pathology.
D. Normal pupils always
Pupils are not always normal in opioid toxicity.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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