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Pharmacology · Emergency drugs
Sample itemWhat is the immediate pharmacological treatment for torsades de pointes with prolonged QT?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Intravenous magnesium sulfate
Intravenous magnesium is used for torsades de pointes, alongside correcting electrolytes, stopping QT-prolonging drugs, and treating instability.
Option by option
A. Atropine eye drops
Eye drops do not treat arrhythmia.
B. Oral vitamin K
Vitamin K reverses warfarin.
C. Protamine infusion
Protamine reverses heparin.
D. Intravenous magnesium sulfate (correct)
Correct: magnesium stabilizes this polymorphic ventricular tachycardia.
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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