This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pediatrics
[{'content': 'Iron poisoning in 4 year child, R X includes –a) Stomach lavageb) Desferrioxamine IV 100 mgc) X–ray abdomend) Blood transfusion \nSelect and explain. \nA. a, B. c, C. ac, D. bc', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Iron poisoning\n\nIngestion of a number of ferrous sulphate tablets may cause acute iron poisoning.\n\nClinical features\n\nSevere vomiting \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0\xa0\nGI bleeding\xa0\xa0\xa0\xa0\xa0\nDiarrhea\xa0\xa0\xa0\xa0\xa0\nThere may be severe shock, hepatic & renal failure\xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0\n\nTreatment of Iron poisoning\n\nBecause iron is radio-opaque abdominal radiography may confirm the ingestion. Repeat radiograph may help with assessment of the efficiency of gastric decontamination methods.\nIpecac-induce emesis may be used to remove tablets from the stomach.\nGastric lavage is not recommended in children because of its inefficiency.\nActivated charcoal does not adsorb iron and should not be used.\nWhole bowel irrigation may be of benefit.\nIf tablets adhere to gastric mucosa, removal by endoscopy.\nDesferrioxamine is a specific shelter of iron and is the antidote of choice.', 'role': 'assistant'}]