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: Forensic Medicine
Not used for treating acute iron poisoning:March 2009 
Select and explain. 
A. Desferrioxamine, B. BAL, C. Magnesium hydroxide, D. Hemodialysis
B: BAL
Answer: B: BAL 
Explanation: Ans. B: BALChelation with desferrioxamine is the mainstay of therapy.It is indicated for serum iron levels >350 mcg/ dL with evidence of toxicity or >500 mcg/ dL regardless of signs or symptoms.Because adsorption to activated charcoal is minimal, whole bowel irrigation is the GI decontamination (polyethylene glycol) is the method of choice.1 percent Magnesium hydroxide solution orallyHemodialysis/exchange transfusion in severe cases.