Q:

A 70 year old woman is admitted with diarrhea, vomiting and dehydration. Examimation: yellow visual halos in her eyes, ECG bradycardia. She has a history of chronic atrial fibrillation. Which drug causes the above mentioned side effects?

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A 70 year old woman is admitted with diarrhea, vomiting and dehydration. Examimation: yellow visual halos in her eyes, ECG bradycardia. She has a history of chronic atrial fibrillation. Which drug causes the above mentioned side effects?


  1. Nifedipine
  2. Ramipril
  3. Atenolol
  4. Lithium
  5. Digoxin

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The key is E. Digoxin. [Digoxin toxicity causes diarrhea, vomiting, dehydration, xanthopsia (yellow halos around light), bradicardia. History of atrial fibrillation is also a clue of digoxin use].

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