Question of the Day

Study for the USMLE Step 2, daily.

June 20, 2024

A 35-year-old woman is found unconscious in her apartment next to an empty bottle of pills. She is brought to the Emergency Department and given flumazenil, and shortly thereafter regains consciousness. Which of the following drugs did she likely ingest?

Correct Answer: 

A. Diazepam

Explanation:

Flumazenil is a benzodiazepine analog that competitively inhibits the actions of benzodiazepines, like diazepam (choice A). It can reverse benzodiazepine overdose, but there is a risk of withdrawal seizures.

Eszopiclone (choice B) and zolpidem (choice E) are nonbenzodiazepine sedative-hypnotics.

Hydromorphone (choice C) and oxycodone (choice D) are opioids that bind to the mu receptor.

Quick Concepts:

  • Benzodiazepine overdose reversal
    • Flumazenil

Summary:

Flumazenil is a benzodiazepine analog that competitively inhibits the actions of benzodiazepines. It can reverse benzodiazepine overdose, but there is a risk of withdrawal seizures.

Explanation:



Support Step 2 Daily to view full explanation.


$2.99/month


All Questions

Full Explanation

Questions by Email

Quick Concepts

Summary

& more


Sign Up or Login

Lorem ipsum dolor sit amet, consectetur adipisicing elit. Sint blanditiis perspiciatis nesciunt possimus minus molestiae culpa necessitatibus atque ut eveniet id magnam delectus reprehenderit! Ad atque aperiam rerum quas vitae!Lorem ipsum dolor sit amet, consectetur adipisicing elit.

Velit esse nihil iusto ea natus aliquam enim ducimus deleniti vitae quibusdam aperiam voluptatibus necessitatibus nulla id non consectetur commodi! Laborum nam.Lorem ipsum dolor sit amet, consectetur adipisicing elit.

Dolorem non quo laudantium doloremque necessitatibus deserunt sed vero officiis iste asperiores quasi quae nisi ab debitis dignissimos delectus cum repellat quidem.Lorem ipsum dolor sit amet, consectetur adipisicing elit. Modi a deserunt nostrum eos magni porro vel error dolore cupiditate iure sint fugiat rerum accusamus voluptates tenetur doloremque debitis ad reprehenderit?Lorem ipsum dolor sit amet, consectetur adipisicing elit.

Repellendus aut dolorum officia eos commodi sit cumque nulla impedit perspiciatis ipsum odit expedita harum praesentium ducimus id labore deserunt quo repellat.Lorem ipsum dolor sit amet, consectetur adipisicing elit. Odit in voluptas excepturi perspiciatis iste vel laborum sunt nostrum quaerat laboriosam enim amet molestiae fugiat quos illum recusandae cum asperiores.

Repellendus aut dolorum officia eos commodi sit cumque nulla impedit perspiciatis ipsum odit expedita harum praesentium ducimus id labore deserunt quo repellat.Lorem ipsum dolor sit amet, consectetur adipisicing elit.



Step 2 Questions

Sign up for Step 2 Emails