CCH Emergency & Acute Prescribing 2 — Questions and Answers
Question 1: A child develops sudden high fever (104°F) with delirium, dilated pupils, and a flushed, hot, dry face. Which remedy is most indicated?
- Aconite
- Belladonna (Correct answer)
- Gelsemium
- Arsenicum album
Correct answer: Belladonna
Belladonna covers the classic triad of sudden high fever, flushed dry face, dilated pupils, and delirium.
Question 2: In acute prescribing, which keynote symptom most strongly indicates Ledum palustre for a puncture wound?
- Wound is warm and red
- Part feels hot to the patient
- Wound is cold yet relieved by cold applications (Correct answer)
- Marked swelling with burning pain
Correct answer: Wound is cold yet relieved by cold applications
Ledum puncture wounds are cold to touch and the patient feels relief from cold applications, distinguishing it from other wound remedies.
Question 3: A patient experiences anaphylactic urticaria with intense itching, burning, and edema that pits on pressure and is relieved by cold. Which remedy is indicated?
- Apis mellifica (Correct answer)
- Rhus toxicodendron
- Urtica urens
- Sulphur
Correct answer: Apis mellifica
Apis mellifica matches stinging, burning edema with pitting that is ameliorated by cold applications, mirroring a bee-sting reaction.
Question 4: Which remedy is the first choice in homeopathy for acute food poisoning with violent vomiting and diarrhea, extreme restlessness, and prostration?
- Nux vomica
- Veratrum album
- Arsenicum album (Correct answer)
- Podophyllum
Correct answer: Arsenicum album
Arsenicum album leads in food poisoning with simultaneous vomiting and diarrhea, burning pains, extreme restlessness, and prostration.
Question 5: A patient presents with croup — a loud, hoarse, barking cough that is worse around midnight and triggered by cold, dry wind. Which remedy is best?
- Spongia tosta
- Hepar sulphuris
- Aconite (Correct answer)
- Drosera
Correct answer: Aconite
Aconite addresses croup that comes on suddenly after exposure to cold dry wind, often waking the child near midnight with great anxiety.
Question 6: In acute sunstroke with throbbing headache, hot flushed face, and full bounding pulse, which remedy should be given first?
- Glonoinum (Correct answer)
- Belladonna
- Natrum carbonicum
- Lachesis
Correct answer: Glonoinum
Glonoinum is the primary remedy for sunstroke with intense throbbing or bursting headache, flushed face, and pulsating arteries.
Question 7: Which remedy covers acute sprains with great restlessness — the patient constantly moves to find a comfortable position but is never relieved?
- Bryonia
- Arnica montana
- Rhus toxicodendron (Correct answer)
- Ruta graveolens
Correct answer: Rhus toxicodendron
Rhus toxicodendron is keynoted by restlessness and relief from motion after initial stiffness, fitting acute sprains with constant position-changing.
CCH Emergency & Acute Prescribing 2
A child develops sudden high fever (104°F) with delirium, dilated pupils, and a flushed, hot, dry face.
Which remedy is most indicated?