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Ruptured ectopic pregnancy — ACEM Fellowship MCQ

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HardOB/GYN emergenciesRuptured ectopic pregnancyACEM Fellowship

A fisher has severe foot pain after stepping on a stonefish. He is stable and has no systemic features. Which initial treatment is most appropriate?

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

Reveal the answer and explanation

Correct answer: DTolerably hot-water immersion and analgesia

Explanation lettering: D = shown as B · E = shown as D · B = shown as E

E is correct. Stable stonefish envenomation is managed with tolerably hot-water immersion, analgesia and monitoring for systemic toxicity. The other first-aid approaches apply to other marine envenomations or do not relieve toxin-related pain.

Reference: NSW Agency for Clinical Innovation: Non-venomous marine stings clinical tool: https://aci.health.nsw.gov.au/networks/eci/clinical/tools/non-venomous-marine-stings