skip to main content

Crotalid snakebite — ABEM Board MCQ

Instant feedback + full explanation. One question, done properly.

ModerateEnvironmental emergenciesCrotalid snakebiteABEM Board

A 32-year-old man arrives after a rattlesnake bite to the hand. Triage acuity is ESI 2; BP 132/78 mm Hg, HR 112/min. He has progressive swelling past the wrist, ecchymosis, severe pain, and platelets of 78,000/microL. No tourniquet is present. Which of the following is the most appropriate next step in management?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: C — Administer crotalid antivenom and monitor labs serially

Progressive swelling and coagulopathy after pit viper bite indicate antivenom; incision, suction, and ice are harmful.

Reference: Wilderness Medical Society snakebite guidance