Final answer:
All options presented (Options 1 to 3) correctly describe the potential effects of pufferfish poisoning, making Option 4, 'All of the above,' the accurate choice.
Step-by-step explanation:
The effects of pufferfish poisoning can indeed be severe and life-threatening. Pufferfish toxin, known as tetrodotoxin, is a potent neurotoxin that affects the nervous system. Option 1 is correct because tetrodotoxin acts as a paralytic agent, impeding the normal function of the nervous system by blocking sodium channels on the neuronal cell membrane, preventing the propagation of nerve impulses. Option 2 is also accurate, as the toxin can cause respiratory failure and death if treatment, such as supportive care and observation, is not administered promptly. Finally, Option 3 is true, as in severe cases, the paralysis caused by the toxin can mimic death to the extent that it could cause a person to appear deceased. Therefore, the correct answer is Option 4, 'All of the above.'