34-year-old Farm in Medicine / Internal Medicine — Case | Infectious Diseases | SMLE Q#20279
SMLE Question #20279
Medicine / Internal Medicine
Infectious Diseases
Objective: OBJ-TOX-001
Last updated: July 2026
A 34-year-old farm worker presents to the emergency department 30 minutes after spraying an organophosphate pesticide in a poorly ventilated greenhouse. He has profuse lacrimation, salivation, sweating, abdominal cramping, and vomiting. Examination shows pinpoint pupils, diffuse wheezing, and visible muscle fasciculations. Which antidote should be given immediately to reverse the life-threatening muscarinic effects?
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