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A 3-Year-Old Child Is Admitted to the Emergency Department of a University

Question 5

Multiple Choice

A 3-year-old child is admitted to the emergency department of a university hospital. The child exhibits extreme salivation, lacrimation, tremors, and tachycardia. The slight erythema and mild edema found on the child's hand suggest a spider bite. The mother acknowledges that the child has a fascination with spiders and has seen black widow spiders in the yard. The neurotoxic venom of the black widow spider (i.e., latrotoxin or latrophilin) can increase the flux of calcium ions into the presynaptic terminal. What is the likely outcome of a black widow spider bite?


A) Decreased acetylcholine release from nerve terminals
B) Hyperpolarization of postsynaptic membranes
C) Hyperpolarization of presynaptic membranes
D) Increased acetylcholine release from nerve terminals
E) Inhibition of acetylcholinesterase

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