What is the primary cause of death following ingestion of the plant pictured?

1. Acute liver failure
2. Arrhythmia
3. Disseminated intravascular coagulation
4. Status epilepticus

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Which medication can be derived from the bark of the pictured tree?

1. Aspirin
2. Atropine
3. Colchicine
4. Quinine

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What agent would most likely be responsible for these ECG findings?

1. Cyclobenzaprine
2. Digoxin
3. Flecainide
4. Sotalol

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Which of the following agents, when injected along with heroin, is associated with the skin changes pictured?

1. Cocaine
2. Fentanyl
3. Methamphetamine
4. Xylazine

Photo by Dr. Matthew Salzman

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The toxin from the golden poison dart frog most resembles which of the following in its mechanism of action?

1. Botulinum toxin
2. Bufotoxin
3. Grayanotoxin
4. Palytoxin
5. Tetrodotoxin

Photo adapted from Wilfried Berns (Wikimedia Commons)

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Which of the following best describes the pictured rash occurring 4 weeks after starting minocycline?

1. Anaphylaxis
2. Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) Syndrome
3. Erythema multiforme
4. Serum sickness
5. Stevens-Johnson Syndrome (SJS)/Toxic Epidermal Necrolysis (TEN)

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