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Forensic Medicine · Toxicology
Sample itemTransverse white lines on the nails (Mees' lines) are a feature of chronic poisoning with:
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Arsenic
Arsenic causes Mees' lines, raindrop pigmentation, hyperkeratosis of palms and soles, and peripheral neuropathy. Lead causes a blue Burton's line on the gums.
Option by option
A. Arsenic (correct)
Correct.
B. Lead
Lead causes Burton's line and wrist drop.
C. Mercury
Mercury causes gingivitis and erethism.
D. Copper
Copper causes a green line on the gums.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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