Nausea in Pediatrics — 5yo Child | Pediatric Emergency | SMLE Q#705

SMLE Question #705

Pediatrics Pediatric Emergency

Objective: OBJ-OPH-REFERRAL-001

Last updated: February 2026
A 5-year-old boy develops painful neck twisting, upward eye deviation, and repetitive facial grimacing 1 hour after receiving intramuscular metoclopramide for nausea. He is alert but anxious. The movements stop briefly during sleep and then recur when awake. He has no history of seizures or similar episodes. Which of the following is the most appropriate antidote for this medication-induced reaction?

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