ACMT Board Review Course Buzzwords Flashcards by Jeremy Lund

Pneumoconiosis with hilar adenopathy, clinically and pathologically identical to sarcoidosis except no eye involvement, lymphocyte transformation test

Berylliosis

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Porphyria, pemba yara, spongiform encephalopathy, outbreak in turkey in 1956

Hexachlorobenzene

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Isolated thrombocytopenia, “bathtub refinished lung” sensitizing agent, largest recognized cause of occupational asthma

Toluene di-isocyanate

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Hepatic angiosarcoma

Vinyl chloride

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Pesticide operator with sterility, altered sex ratio in offspring

Dibromochloropropane (DBCP)

Da balls can’t produce

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Phossy jaw

Yellow phosphorus

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Brown lung, Monday morning tightness, byssanosis

Cotton

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Hypertension, saturnine gout, renal failure, microcytic anemia

Adult lead poisoning

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Silver solderers, proximal RTA, Itai-itai disease in jintsu river basin, acute lung injury, renal failure

Cadmium

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Perforated nasal septum, lung cancer, painless ulcers, “blackjack disease”, type 4 hypersensitivity dermatitis

Chromium

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Hairdresser with hearing loss renal failure, methemoglobinemia

Bromate

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A cute psychosis with elevated chloride level

Bromide

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Solvent, epoxide metabolite, degreasers flush, trigeminal neuralgia

Trichloroethylene

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Viscous rayon, increase rate of atherosclerosis, disulfiram and metam sodium metabolites, basal ganglia toxin, associated with spontaneous abortions, decreased spermatogenesis, craniofacial abnormalities, optic nerve and retinal degeneration

Carbon disulfide

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The percentage of sick people who are identified as having the condition

The likelihood of a test being positive if the condition is present

Sensitivity

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A result of 100% means that the test recognizes all healthy people as healthy

The likelihood of the unaffected individuals correcting having a negative test

Specificity

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Solvent, acute can depression, arrhythmias, aml, Hodgkin’s lymphoma, paroxysmal nocturnal hemoglobinuria

Benzene

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Wastewater treatment worker with sensory and motor distal axonal neuropathy , also has blue discoloration of hands and feet, desquamation and pulmonary irritation

Acrylamide

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Ginger Jake, NTE inhibitor, sensory motor neuropathy, -1960 Morocco disaster

Triorthocresylphosphate

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Mina mats bay

Methyl Mercury

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Bhopal diasaster

Methyl isocyanate

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Lung cancer, beer drinker with cardiomyopathy, classic tetrad

Goiter
Cardiomyopathy
Metabolic acidosis
Polycythemia

Inhibits oxidation of a-KG 59 succinyl-Co-A and pyruvate to acetyl-CoA

Cobalt

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Pulmonary disease-anemia syndrome

Strong respiratory sensitizer

Trimellitic anhydride

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Uranium mining, lung cancer

Radon

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Firefighter with delayed pulmonary edema and smell of freshly mowed hay

Phosgene

Pest control operator with fishy odor, respiratory distress, refractory hypotension, delayed pulmonary edema

Phosphine AKA phosfish

Sewage worker with rapid collapse, mucous membranes irritation, blackened jewelry, sodium nitrite antidote

Hydrogen sulfide

Endoscopy technician with mucous membrane irritation, pulmonary edema, leukemia, sweet odor, N/V

Ethylene oxide

Epping jaundice

Methylenedianiline

Aromatic solvent, acute CNS depression, basal ganglia toxin, hypokalemia, pneumonitis, RTA/renal failure, myopathy, leukoencephalopathy

Toluene

Fungicide with pungent odor, skin and respiratory sensitizer, photoallergic dermatitis

Captafol

1937 sulfanilamide poisoning

Diethylene glycol

Neonatal gasping syndrome

Benzyl alcohol

1986 lake nyos disaster

Carbon dioxide

Eosinophilia myalgia syndrome

L-tryptophan

Koremlu poisoning

Thallium

Explosives/munitions production, spandex fibers, causes severe GI distress and vomits that smells like bitter almonds, retro ulnar and optic neuropathy, methemoglobinemia, hepatitis, aplastic anemia, yellowing of skin hair and dyes

1,3 dinitrobenzene

Oily liquid used in explosives and diisocyanate production, possible weight loss product, uncoupler, optic neuropathy, turns skin yellow

Dinitrotoluene

Sweet smelling irritant gas, insect fumigant and heat stabilizer for plastic production, delayed pulmonary toxicity

Epichlorohydrin

Textile finishing agent and used in the synthesis of malathion, vapors result in corneal edema, photophobia, and diplopia, chronic use associated with occupational asthma, hemolytic anemia and pulmonary hemorrhage

Maleic anhydride

Used as an odors t for natural gases, rotten cabbage odor, methemoglobin and hemolytic anemia

Mercaptans

Abdominal pain, hemolytic anemia, Paris green, hematuria, bronze skin

Arsine

Metals that produce non-fibrogenic benign pneumoconiosis (5)

1. Tin (stannosis) 2. Barium (baritosis) 3. Iron (siderosis) 4. Calcium (chalitosis) 5. Melybdenun

Vineyard sprayers lung - interstitial pulmonary fibrosis, histiocytic grabulomas, adenocarcinoma

Copper sulfate - Bordeaux solution

Hard metal pneumoconiosis, pulmonary eosinophilia portends poor prognosis

Tungsten-carbide

Diamond polishers lung

Cobalt

Patient on dialysis who develops somnolence, peri oral numbness, abdominal pain and hyperamylasemia

Manganese sulfate

Worker with osteosclerosis with accompanying nerve root compression. Plain film X-ray reveals ligament calcification and lesions resembling osteoblasts metastasis

Fluorisis cryolite (NaAlFl)

Acroosteolysis (bone resorption at distal phalanx)

Vinyl chloride

Most common medication associated with hypersensitivity pneomonitis

Nitrofurantoin

Middle aged adult with chronic seizure disorder with X-rays demonstrating hilar lymphadenopathy. Biopsy reveals drug-induced lymphoid hyperplasia.

Phenytoin

Elderly male with hepatic angiocarcinoma and pneumococcal sepsisz abdominal X-ray reveals multiplied opacities in the liver and spleen

Thorotrast (thorium dioxide)

Zenobiotic induced aplastic anemia is most often associated with destruction of these progenitor cells

CD34+ progenitor cells

Lymphoma in a Dutch flower bulb worker using a nematode fumigant (also seen in fireman)

Dichloropropene (telon)

Cola colored infant with MRCP, abnormal skull calcification and hypo plastic nails

PCBS PEPSI COLORED BABIES

Metabolite of disulfiram and used in the treatment of nickel carbonyl and platinoid poisoning

Diethylsithiocarbamate (DDC)

4 year old in an antineoplasric drug develops fever, SIADH, necrotic myocardial infarction, and loss of deep Tendon reflexes

Vincristine

Antineoplastic producing hilar adenopathy

MTX

Antineoplastic producing nodular bronchiolitis ollbliterans

Bleomycin

Antineoplastic associated with perforation of the GI tract

Paclitaxol

Antineoplastic associated with hemolytic uremic syndrome

Mitomycin

Metal that is radiolucent on plain film X-ray

Copper

Metal causing parasthesias (pins and needles), ataxia, dysarthria, constructed visual fields, deafness

Methyl Mercury

Pink disease - Mercury teething powders such as calomel

Mercury calomel (HgCl)

Hopewell epidemic, "Kepone shakes", Chessapeake Bay contamination

Chlordecone

Stalinon poisoning, vomiting, transitory paralysis, photophobia, white matter edema

Triethyltin

Golfer with disulfiram reaction at the 18th hole

Thiuram Herbicide

Welder with early Parkinson's Disease

Manganese

Paraket dies while family is cooking in the kitchen

Polymer fume fever

Welder dies after ingesting soldering flux

Zinc chloride

Black henna, black hair dye, angioedema, renal failure, methemoglobinemia, leukemia/bladder cancer

Para-phenylenediamides

Fumigant worker, peanut poisoning, fish odor

Zinc phosphide

Young male chimney sweeper with testicular cancer

Polyaromatic hydrocarbons

Middle aged male stripping paint that develops angina from delayed carbon monoxide poisoning

methylene chloride

Galvanized metal welder, "Monday morning fever", "brass foundry workers argue"

Zinc oxide (metal fume fever)

Mill worker with allergic contact dermatitis, and respiratory sensitization (occupational asthma)

Plicatic acid (western red cedar)

Farmer's lung

Thermophilic actinomycetes

irritant gas, warning agent in methylene chloride, component of papite (tear gas), cyclophosphamide metabolite

Acrolein

Urine metabolite of acrylamide used for testing worker exposure

carboxyethyl-cystine

Primary ingrediant in skin cement, skin sensitizer, elevated urine mercapturic acid, pediatric burns

methyl methacrylate

Spain 1981: rapeseed oil contaminated with aniline, diffuse pulmonary infiltrates on x-ray, methemoglobinemia

aniline

Airbag inflation, herbicide, cytochroma alpha-a3 inhibitor

sodium azide

Fumigant, fire extinguisher, lower extremity axonopathy, intoxication resemble's Wernicke's encephalopathy, inferior colliculi lesions, NAC may worsen syndrome

Methyl bromide

Irritant gas with gasoline-like odor, may cause hypotension and bradycardia with inhalation, associated with lymphohematopoetic cancer

1, 3, butadiene

Current pesticide/herbicide but once a mouthwash and toothpaste, methemoglobinemia and Gi distress 3-6 hours after ingestion

sodium chlorate

Hyperthyroid medication that was linked to aplastic anemia, now ground water contaminant

Perchlorates

Tar smarts, pitch warts and squamous cell carcinoma, chronic melanosis, UV phototoxicity, strong carcinogen of lung, bladder, skin, scrotal, oral, stomach

Coal tar products

Ammonia-like odor, rocket fuel and water treatment agent: toxicity tetrad: SLE (skin sensitizer), methemoglobinemia, seizures, hepatitis

Hydrazines

Paint remover and solvent with fishy or ammonia smell that cause severe hepatitis with jaundice and eventual liver failure

Dimethylacetamide

Solvent used in pharmaceutical industry, acrylic fiber production and recovery of CO2 in gasses that may result in skin irritation, severe hepatotoxicity, and disulfiram reactions

N,N-dimethylformamide

Riboflavin inhibition, painful peripheral neuropathy, neuropathy spares CN 1, 5, 8, slope is with sparing of the Axila facial hair and inner 1/3 of eyebrow, reverse sleep cycle

Thallium

Benzene monitoring

Total urine phenol

Toluene monitoring

Urine hippuric acid

Styrene monitoring

Urine mandelic and phenylglyoxylic acid

Lead monitoring

Blood ZPP/FEP

Methyl Mercury monitoring

Blood Mercury

Inorganic Mercury monitoring

Urine Mercury

Polyaromatic HC monitoring

Urine 1-hydroxypyrene

Pily liquor in cold sterilization, sensitizer and occupational asthma

Glutaraldehyde

Used in plastics and rubber, dental fillings and styrofoam. Causes flu-like symptoms and drunkenness activity, peripheral neuropathy and hearing loss chronically

Styrene - styrene syndrome

Chemical associated with highest incidence of lung cancer in the world

Polyaromatic HC

Dentist with vitamin b-12 like deficiency, bone marrow suppression, and pernicious anemia. Histochemistry reveals inactive cobalt and inhibition of methionine synthetase.

Nitrous oxide

Person exposed to a cloud of “red smoke” with delayed pulmonary edema and chemical burns with characteristic yellow discoloration

Nitric acid

Pyrophoric material causing severe thermal and chemical burns (submerge in CuSO4) and exposure may lead to hepatotoxicity and hypocalcemia and increase QT interval

White phosphorus

“Rush” fire in San Fran in 1983 leading to a number of firefighters with methemoglobinemia

Isobutyl nitrate

1978 Jonestown mass suicide

KCN

Only organic phosphorus pesticide that possesses a significant vapor hazard (high vapor pressure)

Dichlorvos (also very hydrophilic - amenable to HD maybe)

Patient presenting after herbicide ingestion with myotonia, myoclonus, hematuria/rhabdo, and cardiac disturbances

Chlorphenoxy herbicide

Fetal syndrome - 10-30%, 25% risk of spontaneous abortion, microcephaly/hydrocephaly, conventional heard disorders, microtia, cleft lip-palate

Fetal isotretinoin

Microcephaly, development delay, telecsnthus, short nose and flat nasal bridge, anteverted nares, long shallow fitrum, thin upper lip, nail displasia

Fetal hydantoin

Microcephaly, small palpebral fissure length, thin upper lip, smooth Phil trim, flattened cheeks and short nose. Risk of brain injury increases as eyes get smaller, philtrum get flatter, and lip gets thinner

Fetal alcohol

Small nose and markedly depressed nasal bridge, brachydactyl, hypoplasia of all distal phalanges, severe shortening of lower extremities, epiphyseal stippling of the sacrum, spine, proximal humeri, and femurs

Fetal warfarin

Parrot fish and tidal xanthid crabs | Inhibits Na/K ATPase, N/V/D, parasthesias, hypocalcemic tenany, CV collapse (second most potent toxin on earth)

Palytoxin

Paralytic shellfish poisoning, Na channel blocker, oysters/red tide, N/V, parasthesias, throat pain, descending paralysis

Saxitoxin

Neurotoxin shellfish poisoning, sodium channel opener, parasthesias, temperature reversal, N/V/D uncommon, tide aerosolized toxin causes conjunctivitis, rhinitis, bronchitis

Brevetoxin

Diarrhetic shellfish poisoning, inhibits protein phosphates disrupting cell metabolism, benign gastric tumors, N/V/D predominate

Okadaic acid

Amnestic shellfish poisoning, CNS glutamate receptor stimulation causing Na channel up regulation and Na/Ca influx g neuronal cell dementia, N/V/D, headaches, ataxia, seizures, associated with eating blue muscles

Domoic acid

Na and Ava channel opening, metallic taste, parasthesias, glove and stocking numbness, hot/cold reversal, sensation of loose teeth, symptoms worse with alcohol

Ciguatoxin

Bacteria-catalyzed decarboxylation of decomposition finfish muscle, sunburn like rash, urticaria, bronchospasm

Scombroid (histamine poisoning)

Sodium channel blocker, perioral parasthesias, numbensss tremor ataxia dysarthria dysphasia respiratory paralysis death 5th most potent toxin

Tetrodotoxin

Japanese vinyl sandal maker with peripheral sensorimotor neuropathy. Nerve biopsy reveals Axonal swelling.

N-hexane

Cicuta spp. Most fatal plant species in North America - 30-70% fatality rate

Water hemlock -

The only form of poisoning caused by bacterial contamination

Scombroid (decarboxylation of histadine in fish muscle to histamine)

St Anthony’s fire, ergotism

Claviceps purpurea

Structural similarity to the herbicide endothall, also known as Spanish fly, produced by the blister beetle

Cantharidin

Profound hypoglycemia, hepatitis with hyperbilirubinemia, acid emus and acidurea without Ketosis

Akee (hypoglycin)

The maximum concentration of a chemical to which a worker may be exposed continuously for up to 15 minutes without danger to health or work efficiency and safety

Stel - short term exposure limit

Sulfonylurea known to cause SIADH and disulfiram reactions

Chlorpropamide

Side chain of cephalosporins linked to disulfiram reactions

NMTT - n-methtltetrathiol

Antidysrhthmic with antimuscarnic properties and causes hypoglycemia

Disopyramide

Intoxicants that produce metaphyseal bands on plain fil x-ray

Lead Yellow phosphorus Bismuth Hyper vitaminosis D

5 most common medications linked to lupus-like syndrome

``` CHIMP chlorpropamide Hydralazine INH Methyldopa Procainamide ```

Idiopathic intracranial hypertension (pseudo tumor cerebri)

Vitamin A

Chinese herbal remedy with bufadenalide cardiac steroid

Chan Su

Plant that is a cyp3A4 inducer

At John wort - hypericum perforatum

Pulegone -> methofuran -> hepatitis

Pennyroyal oil (mentha pelugium)

Aspiration pneumonitis, CNS depression, patients urine smells like violets

Terpentine (pine oil)

Essential oil, CNS depression, mild hepatitis, hemorrhagic pulmonary edema

Oil of cloves - eugenol - Eugenia aromatica

Most common cause of medication-induced contact dermatitis

Neomycin

Endocarditis and mistrial vale fibrosis, pulmonary hypertension

Fenfluramine

Disinfectant associated with neonatal vacuoles encephalopathy and cerebral edema

Hexachloraphene

Disinfectant ingestion causingetahilic acidemia due to a decreased renal clearance of H (patient has normal lactate)

Providine iodine

Disinfectant, hypopigmented skin, TD-like syndrome, bradycardia, hypotension, PEG decontamination

Phenol

Rose eye discoloration of eyelids, conjunctivitis, refractory hypotension, reddish discoloration of viscera post-Mortem

Acute selenium toxicity (selenious acid)

Peanut worker who develops liver cancer (hepatoma)

Alfatoxin

Bio marker for benzene exposure

Urine phenol

HIV medication associated with fatal hypersensitivity

Abacavir

Two P450s associated with development of cancer

1A2, 2E1

Enzyme linked to aromatic anticonvulsant hypersensitivity syndrome

Epoxide hydrolase

The only medication induced seizure that will likely respond to phenytoin

Aminopyridine

The only local anesthetic that causes vasoconstriction

Cocaine

Most cardio toxic amide local anesthetic (may cause cardio toxicity before CNS toxicity

Bupivacaine

Most extensively metabolized anesthetic, hepatitis, malignant hyperthermia, acute lung injury from abuse (PO/IV)

Halothane

The only IARC Group 4 drug - probably not carcinogenic to humans

Caprolactam

Patient with ventricular ectopy, blindness, NV, dishonored is tinnitus after drinking tonic water with Cinchona succirubra extract

Quinine

Biventricular tachycardia

Digoxin, aconitine, halogenated hydrocarbons

Patient with an aortic dissection and renal failure that develops altered mental status, seizures, and no metabolic acidosis

Thiocyanate toxicity

Opioid linked to serotonin syndrome, seizures, MPTP, and may not result in milieus in overdose

Meperidine

NSAID linked to aplastic anemia

Phenylbutazone

Patient with hiv with sulfa allergy who develops hemolysis and methemoglobinemia

Dapsone

Patient undergoing elective endoscopy that develops methemoglobinemia during pre-op

Benzocaine

Free radical induced cardiomyopathy with irreversible heart failure

Doxorubicin

Alkylation agent causing hemmhoragic cystitis, MESNA antidote

Cyclophosphamide

Allylating agent causing pulmonary fibrosis and skin hyperpigmentation

Busulfan

6 intoxicants for which urine alkalinizarion enhances drug elimination

``` Salicylate Phenobarbital chlorphenoxy herbicides Methotrexate Chlorpropamide Fluoride ```

Scleritis and uveitis in a patient being treated for hypercalcemia

Bisphosphanates

Peliosis hepatitis

Alkalated anabolic steroids

Black widow spider Painful bite Calcium channel opener Causes release of NE ACH

Latrodectus mactans

``` Brown recluse Painless bite sphingomyelinase D Hyaluronidase Local wound (red white blue) ```

Loxosceles reclusa

Hobo spider Painless bite Local ulcer

Tegenaria agrestis

Box jellyfish Most lethal cnideria Rapid death in minutes Acetic acid/Antivenom

Chironex fleckeri

Irukanji syndrome Hypertension Back spasms

Carukia barnesi

Portuguese man of war Painful linear welts Acetic acid

Physalia physallis

Crown of thorns Pain, paralysis Hot water immersion

Acanthaster planc

Lion fish Pain possible blisters Hot water immersion

Pterosis species

Stonefish Cytotoxic, hemolytic, myotoxic Severe pain, hypotension, hemolysis Hot water, antivenin

Synanceja verrucosa | S. Horrida

Stingray Local pain Vibrio infections Hot water, antibiotics

Dasyatis species

Funnel web spider Massive release of ACH, NE, EPI RAbbit igg antivenin Death historically in peds under 4

Atrax robustus

Fire ant Glucosaminidase, piperidines Wheals, clear vesicles Local care

Solenopsis invecta

Bark scorpion Sodium channel opener Pain, parenthesis, palsies

Centruroidea exilicauda

Colorado river toad Bufadienolide cardiac steroid Bufotenin tryptamines Chan su herbal

Bufo alvarius

Body builder presenting with tachycardia, wide pulse pressure, hypokalemia

Clenbuterol

silo filers disease

Nitric oxides (No, No2)

Basal ganglia toxins

``` CO CArbon disulfide manganese MTPP+ Methanol ```

Remediation level for home radon

11 pc/L

Theee agents associated with perinatal death

ACE inhibitors Cigarette smoking Lead

Most common hydrocarbon used in dry cleaning

PERC | perchloroethylene

Cement worker with contact dermatitis

Chromium 6

OSHA PEL for benzene

1 ppm

OSHA PEL for CO

50 ppm

Azo dye and rubber manufacturing, HCN lab detection agent, methemoglobinemia, associated with bladder cancer (IARC 1)

Benzidine

Patient etching glass and wheel cleaning with delayed pain out of proportion to exam, hypocalcemia, hyperkalemia

Vitamin B6 antidote for 4 toxins

INH Gyromitra esculenta Hydrazines Ethylene glycol

The factor by which exposure is reduced by use of a respirator

Protection factor | Ambient/protection factor = exposure

Study design comparing an exposed group to an unexposed group either retro-or prospectively with results expressed as relative risk

Cohort study

Study design comparing an exposed group to an unexposed group at one point in time. Provides prevalence data, results expressed as relative risk

Cross-sectional study

Study design comparing individuals with a specific condition to those do not have the condition and compare exposures or risk factors. Results expressed as odds ratio.

Case control study

Federal agency responsible for conducting research and making recommendations for the prevention of work related injury and illness - has no legal authority

NIOSH

The main federal agency charged with enforcement of safety and health legislation

OSHA

Enacted by Congress in 1980 and created a tax on the chemical and petroleum industries and provided broad federal authority to respond directly to releases or threatened releases of hazardous substances that may endanger public health or the environment

CERCLA | comprehensive environmental response, compensation, and liability act

Federal public agency charged with the responsibility of evaluating the human health effects of exposure to hazardous substances

ATSDR

Characteristics of substances partitioning into breast milk

low molecular weight Non-polar Low protein binding

Risk factors for quinolone induced tendinopathy

``` Age over 60 Non-obese Steroid use Female Renal failure Diabetes ```

Hepatic zone where 2E1 is primarily present and active

Zone 3 | Centeilobular necrosis

Primary toxicity associated with methoxyflurane

Nephrotoxicity

Tetrodotoxin MOA

NA channel blocker

Saxitoxin MOA

Blocks Na channel

Brevetoxin MOA

stimulates Na Channels

Domoic acid MOA

glutamate agonist, analog of glutamic and kainic acid

Okadoic acid MOA

Phosphates a1 and a1 inhibitor

Ciguatoxin MOA

Lowers threshold for opening Na channels

Toxins associated with peripheral neuropathy (5)

``` Acrylamide Methyl bromide Carbon disulfide Styrene Trichloroethylene ```

Occupational intoxicants associated with asthma (5)

``` Maleic acid Trimellitic anhydride Ethtlenediamine Toluene diisocyanate (#1) Diethtlhexyl phthalate ```

Rodenticide producing nausea vomiting bradycardia hyperkalemia

Red squill (digoxin)

Rodenticide producing CNS excitation, irritability, seizures, coma, ventricular dysrhythmias

Tetramine

Rodenticide producing orophyngeal and skin burns, smoking coming and stools, garlic odor, GI and hepatic injury

Phosphorus

Rodenticide producing tremors, myoclonus, depressed mental status

Bromethalin

Toxin used in hospital laundry. Toxicity resulted in 9 neonates ill, 2 deaths. Presented with fever sweating renal failure and acidosis, this agent was also used in various ways including in treating wood to function as preservative, also uncouples oxidative phosphorylation

Pentachlorophenol

Chemicals associated with causing chloracne

Chlorinated aromatic hydrocarbons

Hairdresser hand dermatitis

P-phenylenediamine

International treaty completed in 1987 by 24 nations to control the depletion of the ozone layer. Targeted the decrease of CFCs and halons used in fire extinguishers - halon 1211 and 1301

Montreal protocol

Shoemakers polyneuropathy

N-hexane... same as with methy-n-buyl ketone. All metabolized to 2,5-butanedione

Toluene toxicity (4 major)

Distal RTA MEtabolic acidosis Hypokalemia and associated symptoms Leukoencephalopathy

The only hydrocarbon exposures associated with a chance in CV mortality

Carbon disulfide Associated with accelerated atherosclerotic CAD ALso peripheral neuropathy

Cement eczema

Chromium 6+ | Type 4 hypersensitivity reaction

Wolf-chaikoff effect

Chronic iodine exposure leads to decreased hormone productions the inhibition of organic binding of iodide in the thyroid gland by excess iodide leading to decreased thyroid synthesis

ACMT Board Review Course Buzzwords Flashcards

(226 cards)