Mushrooms of the genus Inocybe contain muscarine or muscarine-related compounds. These quaternary ammonium derivatives bind to postsynaptic receptors, producing an exaggerated cholinergic response. Of the following, the MOST serious complication is

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Question 1 of 5

Mushrooms of the genus Inocybe contain muscarine or muscarine-related compounds. These quaternary ammonium derivatives bind to postsynaptic receptors, producing an exaggerated cholinergic response. Of the following, the MOST serious complication is

Correct Answer: D

Rationale: Bronchospasm is the most severe muscarinic toxicity, leading to respiratory compromise.

Question 2 of 5

A 3-week-old male baby develops a rash involving the face and periorbital area after exposure to sunlight; you suspect neonatal lupus. The NEXT step of management of the baby is

Correct Answer: A

Rationale: Anti-Ro/SSA antibodies are key in diagnosing neonatal lupus and predicting congenital heart block.

Question 3 of 5

One of the following is false about CNS leukemia:

Correct Answer: D

Rationale: All statements are true; CNS leukemia has a poor prognosis, causes increased ICP, is prone to relapse, and can lead to cranial nerve palsies.

Question 4 of 5

Wide fixed splitting of the second heart sound is an auscultatory finding in:

Correct Answer: B

Rationale: ASD causes increased right heart volume, leading to fixed splitting of the second heart sound irrespective of respiration.

Question 5 of 5

Regarding large ventricular septal defect (VSD), one of the following is true

Correct Answer: B

Rationale: A VSD murmur is holosystolic and shares characteristics with mitral regurgitation, typically best heard at the left lower sternal border.

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