Opioid use disorder Quiz: Ace Your Exams

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A 27-year-old man is found unresponsive in the bathroom of a rest stop off the interstate highway. Upon the arrival of emergency services, the patient’s temperature is 35°C (95°F), pulse is 50/min, respirations are 5/min, and blood pressure is 88/60 mmHg. Oxygen saturation is 89%. The patient is obtunded and minimally responsive to pain. Physical examination in the field reveals multiple track marks on the arms bilaterally. The pupils are 1 mm bilaterally. During the paramedic evaluation, the patient suffers a cardiac arrest, and despite aggressive resuscitation measures, the patient dies en route to the hospital. Post mortem toxicology is most likely to reveal which of the following agents as the cause of death?

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