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Forensic Medicine · Poisoning management
Sample itemWhich clinical feature is most characteristic of opioid toxicity?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Respiratory depression with pinpoint pupils
Opioid toxicity commonly causes central nervous system depression, slow breathing, and miosis; airway and ventilation assessment is the immediate priority.
Option by option
A. Respiratory depression with pinpoint pupils (correct)
Correct: hypoventilation and miosis are classic opioid signs.
B. Jaundice with pale stools
Jaundice and pale stools suggest cholestasis.
C. Hyperthermia with dilated pupils and dry skin
Dry hot skin and mydriasis suggest an anticholinergic pattern.
D. Severe hypertension with tremor and diaphoresis
Tremor and diaphoresis fit a stimulant or withdrawal pattern.
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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