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Forensic Medicine General 934cd8a3

Drug NOT given in organophosphorous poisoning: September 2012

A
Atropine
B
Pralidoxime
C
Activated charcoal
D
Physostigmine
High-Yield Explanation
Ans. D i.e. Physostigmine Organophosphate poisoning It results from exposure to organophosphates (OPs), which cause the inhibition of acetylcholinesterase (AChE), leading to the accumulation of acetylcholine (ACh) in the body. The effects of organophosphate poisoning on muscarinic receptors are recalled using the mnemonic SLUDGEM: (Salivation, Lacrimation, Urination, Defecation, Gastrointestinal motility, Emesis, miosis) An additional mnemonic is MUDDLES: miosis, urination, diarrhea, diaphoresis, lacrimation, excitation, and salivation. Pyridostigmine is a parasympathomimetic and a reversible cholinesterase inhibitor.

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