CCH Emergency & Acute Prescribing 3 — Questions and Answers
Question 1: A patient has an acute asthma attack with rattling mucus in the chest, difficulty breathing, and a sensation of suffocation worse at 4–5 AM. Which remedy fits?
- Antimonium tartaricum (Correct answer)
- Ipecacuanha
- Carbo vegetabilis
- Arsenicum album
Correct answer: Antimonium tartaricum
Antimonium tartaricum is characterized by rattling, loose mucus in the lungs that cannot be expectorated, with suffocative breathing worse early morning.
Question 2: Which homeopathic remedy is indicated for acute conjunctivitis with acrid, burning discharge from the eyes but bland nasal discharge?
- Allium cepa
- Euphrasia (Correct answer)
- Pulsatilla
- Natrum muriaticum
Correct answer: Euphrasia
Euphrasia presents with acrid, burning eye discharge causing excoriation, with a bland nasal discharge — the opposite of Allium cepa.
Question 3: A patient has a migraine that begins at the occiput and spreads forward, with heaviness of eyelids, chills up the spine, and no thirst. Which remedy?
- Belladonna
- Gelsemium (Correct answer)
- Iris versicolor
- Sanguinaria
Correct answer: Gelsemium
Gelsemium is strongly indicated by dull, heavy headache starting at the occiput, drooping eyelids, chills along the spine, and thirstlessness.
Question 4: In acute otitis media, which remedy suits a child with a rupture of the eardrum, thick, offensive discharge, and improvement from warmth?
- Pulsatilla
- Hepar sulphuris (Correct answer)
- Mercurius solubilis
- Belladonna
Correct answer: Hepar sulphuris
Hepar sulphuris is indicated when suppuration is well established with offensive discharge and the patient is very sensitive to cold and touch.
Question 5: Which acute remedy is most indicated for a nosebleed consisting of bright red, non-clotting blood that is profuse and comes on after injury?
- Phosphorus (Correct answer)
- Millefolium
- Hamamelis
- Ipecacuanha
Correct answer: Phosphorus
Phosphorus is associated with bright red, profuse hemorrhage from any orifice, including traumatic nosebleeds, where blood does not clot readily.
Question 6: A patient presents with acute cystitis where the urge to urinate is constant and violent, with only a few drops passed, and burning at the end of urination. Which remedy?
- Cantharis (Correct answer)
- Sarsaparilla
- Causticum
- Apis mellifica
Correct answer: Cantharis
Cantharis is the leading remedy for violent, constant urging to urinate with intense burning and cutting pains before, during, and after urination.
Question 7: A patient with an acute disc herniation has pains that shoot down the left sciatic nerve, worse from the slightest motion, and better from complete rest and pressure. Which remedy?
- Rhus toxicodendron
- Colocynthis
- Bryonia (Correct answer)
- Magnesia phosphorica
Correct answer: Bryonia
Bryonia is indicated when any motion at all worsens pain significantly and the patient finds relief only from absolute stillness and firm pressure.
A patient has an acute asthma attack with rattling mucus in the chest, difficulty breathing, and a sensation of suffocation worse at 4–5 AM.
Which remedy fits?