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Opioid overdose — USMLE Step 3 MCQ

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ModerateEmergency MedicineOpioid overdoseUSMLE Step 3

A 31-year-old man is found unresponsive with respiratory rate 6/min and pinpoint pupils. Oxygen saturation is 82%. Friends report heroin use. He improves after naloxone. Which of the following is the most likely explanation for this patient's findings?

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Correct answer: BMu-opioid receptor agonism causing respiratory depression

Opioid overdose causes CNS and respiratory depression with miosis and responds to naloxone.

Reference: CDC opioid overdose clinical guidance