Opioid intoxication and overdose Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 21-year-old woman is brought to the emergency department by a friend due to a suspected drug overdose. The patient is lethargic and cannot provide a history. The friend states that the patient had a wisdom tooth extracted two days ago. The patient’s prescription bottle for twenty pills of oxycodone-acetaminophen was found with the patient, and only two pills remain in the bottle. Temperature is 37.2 ºC (99.0 ºF), pulse is 60/min, blood pressure is 102/57 mmHg, respiratory rate is 8/min, and SpO₂ is 89% on room air. On physical examination, the patient is lethargic, awakens easily, but falls back to sleep within a few seconds. Pupils are constricted, symmetric, and reactive to light bilaterally. Which of the following medications should be administered at this time?

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Subcutaneous methylnaltrexone

Oral methylnaltrexone

Oral naloxegol

Oral naltrexone

IV naloxone