Which is the most likely diagnosis? A. Acute dystonic reaction B. Strychnine poisoning C. Temporomandibular joint dysfunction D. Tetanus E. Hypocalcaemia ✔️ Correct answer: D – Tetanus # Explanations A. Acute dystonic reaction – Incorrect Usually occurs after dopamine antagonist medications (e.g. metoclopramide). No drug trigger here, and wound history is key. B. Strychnine poisoning – Incorrect Causes severe muscle spasms triggered by stimuli, but is rare and not linked to a contaminated wound
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