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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What clinical presentation and medication is associated with this urinary discoloration?

1. Critical illness requiring intubation and propofol sedation
2. Cyanide toxicity requiring sodium thiosulfate
3. Iron toxicity treated with deferoxamine
4. Refractory vasoplegic shock treated with methylene blue
5. Septic shock treated with vancomycin and cefepime

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What is the most common primary cause of death from ingesting the pictured marine animal?

1. Acute liver failure
2. Acute renal failure
3. Coagulopathy and DIC
4. Respiratory failure
5. Status epilepticus

[Image from Canstockphoto]

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