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Forensic Medicine · Poisoning management
Sample itemWhich finding is typical of salicylate toxicity?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Tinnitus with mixed acid-base disturbance
Salicylate toxicity often causes tinnitus and early respiratory alkalosis followed by metabolic acidosis, requiring urgent assessment and treatment.
Option by option
A. Profound miosis with bradypnoea
Miosis suggests opioid toxicity.
B. Tinnitus with mixed acid-base disturbance (correct)
Correct: tinnitus and mixed disturbance are classic.
C. Flaccid paralysis after canned food
Canned-food paralysis suggests botulism.
D. Dry hot skin with absent bowel sounds
Dry skin suggests anticholinergic 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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