Neuroleptic malignant syndrome — RCPSC EM MCQ
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Correct answer: C — Stop serotonergic medicines and treat with benzodiazepines plus active cooling
Explanation lettering: C = shown as B · B = shown as C · E = shown as D · D = shown as E
B is correct for serotonin toxicity; benzodiazepines, cooling and withdrawal of serotonergic medicines address the physiology. C retains the interacting drug. D treats the wrong syndrome. E may aggravate thermoregulatory toxicity. A targets the opposite toxidrome.
Reference: Emergency Care BC, Serotonin Toxicity: https://emergencycarebc.ca/sim_cases/serotonin-toxicity/