Q:

A 45 year old woman has diagnosed with MS (multiple sclerosis) and has been started on oral steroids. She is brought to the hosp after having ingested 100 paracetamol tablets 4h ago. She is refusing all medical treatment. What is the next best step?

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A 45 year old woman has recently been diagnosed with MS (multiple sclerosis) and has been started on oral steroids. She is brought to the hosp after having ingested 100 paracetamol tablets 4h ago. She is refusing all medical treatment. What is the next best step?


  1. Observe
  2. Refer to psychiatrist to assess patient’s ability to refuse treatment
  3. Gastric lavage
  4. Activated charcoal
  5. Refer to social worker

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The key is B. Refer to psychiatrist to assess patient’s ability to refuse treatment.

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