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Foodborne botulism — ABEM Board MCQ

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HardToxicologyFoodborne botulismABEM Board

A 34-year-old man arrives as ESI 2 after eating home-canned vegetables. He has diplopia, dysarthria, dry mouth, and descending symmetric weakness. Vitals are stable and sensation is normal. Which of the following is the most appropriate next step in management?

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

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Correct answer: D — Arrange botulinum antitoxin and notify public health

Foodborne botulism causes cranial neuropathies and descending paralysis; antitoxin and public health notification are urgent.

Reference: CDC botulism guidance; Goldfrank Toxicologic Emergencies