Audio Qbank – Q228 – A 28F with perioral tingling

 

A 28-year-old woman is brought to the emergency department because of a one-hour history of perioral tingling, dyspnea, weakness, vomiting, and incoordination. She says “hot feels cold and cold feels hot.” Her symptoms began about 15 minutes after eating mahimahi at a restaurant. The toxin most likely responsible acts on which of the following?

Calcium channels
cAMP
cGMP
Potassium channels
Sodium channels