POISONING

Question 1

Stage of acetaminophen toxicity where liver enzymes start to rise associated with abdominal pain and tenderness

A. I
B. II
C. III
D. IV

Answer 1

II

Question 2

Blood ethanol concentration: slurred speech, emotional instability, incoordination, slow reaction, slight visual impairment

A. 5mg/dL
B. 50-100mg/dL
C. 100-300
D. 300-500

Answer 2

50-100mg/dL
Mild

Question 3

Blood ethanol concentration: ataxia, slurred speech, decreased attention span
A. 5mg/dL
B. 50-100mg/dL
C. 100-300
D. 300-500

Answer 3

C. 100- 300
Moderate

Question 4

Blood ethanol concentration: Stupor
A. 5mg/dL
B. 50-100mg/dL
C. 100-300
D. 300-500

Answer 4

300-500
Severe

Question 5

Identify the toxic poisons appropriately

Bitter almond odor
Rotten eggs
Wintergreen
Garlic

Answer 5

Bitter almond odor = cyanide
Rotten eggs: sulfur
Wintergreen: methylsalicylate
Garlic: arsenic

Question 6

Organophosophate poisoning symptoms:

Answer 6

DUMBELS

Diarrhea
Diaphoresis
Urination
Miosis
Bronchoconstriction
Emesis
Lacrimation
Salivation

Question 7

Anticholinergic symptoms

Answer 7

Mad as hatter
Dry as bone
Blind as bat
Red as beet

Question 8

Single acute toxic dose for acetaminophen

Answer 8

> 200mg/kg in children
7.5-10g in adol and adults

Question 9

Single acute toxic dose for salicylate

Answer 9

> 150mg/kg
300mg/kg = significant
500mg/kg = fatal

Question 10

Substances that can cause HYPOglycemia

Answer 10

HOBIES

Hypoglycemics - sulfonyureas, meglitinides
Others: quinine, unripe ackee fruit
Beta blockers
Insuline
Ethanol
Salicylate (late)

Question 11

Substances that can cause HYPERglycemia

Answer 11

SCC

Salicylates (late)
Caffeine
Calcium channel blockers

Question 12

Substances that can cause HYPOcalcemia

Answer 12

Ethylene glycol
Fluoride

Question 13

Radioopaque substances on KUB

Answer 13

CHIPPED

Chloral hydrate, calcium carboate
Heavy metals - lead, zinc, barium, arsenic, lithium
Iron
Phenothiazines
Play doh, potassium chloride
Enteric coated pills
Dental amalgam, drug packets