CCH Emergency & Acute Prescribing 5 — Questions and Answers
Question 1: A patient has acute laryngitis with complete loss of voice (aphonia) that is worse in the evening and in singers or public speakers. Which remedy is most indicated?
- Causticum
- Phosphorus (Correct answer)
- Argentum nitricum
- Rhus toxicodendron
Correct answer: Phosphorus
Phosphorus is a leading remedy for sudden hoarseness or aphonia, especially in speakers and singers, with rawness and burning in the larynx.
Question 2: Which remedy covers acute gastroenteritis with profuse, painless, watery diarrhea like rice water, with collapse and icy coldness and cold sweat?
- Arsenicum album
- Veratrum album (Correct answer)
- Camphora
- China officinalis
Correct answer: Veratrum album
Veratrum album matches cholera-like states with profuse, watery diarrhea, vomiting, cold sweat, and rapid prostration.
Question 3: In acute prescribing for a dog bite or animal bite wound, which remedy is given alongside Arnica and is specific for bite wounds at risk for infection?
- Ledum palustre (Correct answer)
- Hypericum perforatum
- Calendula officinalis
- Echinacea
Correct answer: Ledum palustre
Ledum palustre is specific for puncture wounds and animal bites, especially to prevent sepsis and tetanus-like states from deep penetrating wounds.
Question 4: A patient has acute sinusitis with thick, yellowish-green discharge, no thirst, worse in a warm room, and better in the open air. Which remedy?
- Kali bichromicum
- Pulsatilla (Correct answer)
- Natrum muriaticum
- Mercurius solubilis
Correct answer: Pulsatilla
Pulsatilla covers the late stage of sinusitis with thick, bland, yellow-green discharge, thirstlessness, and clear improvement in open air.
Question 5: Which acute remedy is most indicated for a blunt eye injury with a black eye, orbital bruising, and soreness of the eyeball?
- Arnica montana
- Symphytum officinale (Correct answer)
- Ledum palustre
- Ruta graveolens
Correct answer: Symphytum officinale
Symphytum officinale (comfrey) is specifically indicated for blunt trauma to the eyeball and orbital bones, complementing Arnica for the bruising.
Question 6: A patient with an acute kidney stone has colicky pain that radiates from the right kidney down to the right thigh, with desire to urinate constantly. Which remedy?
- Colocynthis
- Berberis vulgaris (Correct answer)
- Sarsaparilla
- Lycopodium
Correct answer: Berberis vulgaris
Berberis vulgaris is the premier remedy for renal colic with radiating pains that fan outward from the kidney region in multiple directions.
Question 7: In an acute bee sting reaction in a non-anaphylactic patient, beyond Apis mellifica, which local application or remedy may be useful for rapid swelling and heat?
- Ledum palustre applied topically
- Urtica urens tincture (Correct answer)
- Cantharis cream
- Calendula lotion
Correct answer: Urtica urens tincture
Urtica urens tincture applied locally or taken internally addresses the burning, stinging, and wheal-like swelling of insect bites and minor allergic skin reactions.
CCH Emergency & Acute Prescribing 5
A patient has acute laryngitis with complete loss of voice (aphonia) that is worse in the evening and in singers or public speakers.
Which remedy is most indicated?