A 35-year-old woman has fatigue, jaundice and elevated AST and ALT in the thousands after taking paracetamol in a suicide attempt. What is the antidote?

Answer and explanation

Correct answer: B. N-acetylcysteine

  1. Step 1: N-acetylcysteine replenishes glutathione in paracetamol hepatotoxicity. Answer: N-acetylcysteine. Why not the others: Naloxone, Flumazenil and Atropine don't fit.

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