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PLAB · GMC
MRCP(UK)
FRCPath · RCPath
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Two in every topic, marked straight away, with the guideline named. Get a plan when you are ready.
Pick an exam and a topic. 2 questions in every topic are open, marked straight away, each with the guideline it comes from. Nothing you type is stored.
Acute and emergency medicine
A 28-year-old woman weighing 58 kg attends the emergency department at 20:00 after intentional self-harm. She says she took 16 paracetamol 500 mg tablets at about 11:00 and another 16 at about 17:00. She is alert, has mild nausea and is otherwise well. A paracetamol concentration taken on arrival is 38 mg/L. ALT is 22 U/L (5–35) and INR is 1.0 (below 1.2). She is medically stable and has no jaundice or abdominal tenderness.
What is the most appropriate management?