UKMLA PLAB AMC USMLE Prometric MCQ

Question Number 0707

Question:
A farmer is exposed to a 10% skin contact burn with formic acid . He becomes rapidly confused and is transferred immediately to hospital. Here is is found to have a metabolic acidosis with a high anion gap. What is the next best treatment of choice?

a) 10% calcium gluconate administered IV
b) sodium bicarbonate 1 mEq/kg IV
c) oral sodium bicarbonate
d) hypertonic intravenous crystalloid fluid
e) hypotonic intravenous crystalloid fluid