Non-ST elevation acute coronary syndrome — ACEM Fellowship MCQ

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HardCardiovascular emergenciesNon-ST elevation acute coronary syndromeACEM Fellowship

A patient has ptosis, salivation and fasciculations after suspected funnel-web spider bite. Which treatment is most appropriate?

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Correct answer: C — Funnel-web antivenom with toxicology support

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

B is correct. Ptosis, salivation and fasciculations after a suspected funnel-web bite are signs of systemic envenomation and require antivenom with urgent toxicology input. The other options do not treat systemic funnel-web toxicity.

Reference: NSW Agency for Clinical Innovation: Snake and spider bite clinical tool: https://aci.health.nsw.gov.au/networks/eci/clinical/tools/snake-spider-bite