KROK 1 2017 – Question 17 · KROK (Medicine) · Pharmacology

During treatment with bismuth preparations a patient with syphilis developed gray spots on his oral mucosa and nephropathy symptoms. What drug is used as an antidote to bismuth preparations poisoning?

  1. A. Methylene blue
  2. B. Naloxone
  3. C. Nalorphine
  4. D. Bemegride
  5. E. Unithiol
Hint

Bismuth poisoning behaves like heavy-metal poisoning, so ask which antidote principle fits it: binding the metal, reversing a receptor effect or restoring a blood-gas defect.

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