Try it
Forensic Medicine · Toxicology
Sample itemA toddler accidentally swallows kerosene. Which step should be avoided in management?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Induced vomiting or gastric lavage
Kerosene is a low-viscosity hydrocarbon with high aspiration risk. Vomiting causes aspiration and chemical pneumonitis, which is the main cause of morbidity, so emesis and lavage are contraindicated. Management is supportive, with oxygen as needed and monitoring.
Option by option
A. Induced vomiting or gastric lavage (correct)
Correct. Emesis or lavage increases the risk of aspiration pneumonitis.
B. Supplemental oxygen
Oxygen is appropriate if hypoxic.
C. Observation for respiratory distress
Observation is appropriate because respiratory features may develop.
D. Chest radiograph
A radiograph helps detect pneumonitis.
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.
More Forensic Medicine questions
- ToxicologyTransverse white lines on the nails (Mees' lines) are a feature of chronic poisoning with:
- ToxicologyCherry-red post-mortem lividity is classically associated with poisoning by which agent?
- ToxicologyWhich snake venom is predominantly neurotoxic?
- ToxicologyA jewellery worker is found dead with a smell of bitter almonds from the stomach content…