100 Top Secrets (7)

Question 1

Treatment of benzodiazepine overdose

Answer 1

Flumazenil

Question 2

Treatment of beta-blocker overdose

Answer 2

Glucagon

Question 3

Treatment of carbon monoxide poisoning

Answer 3

Oxygen (hyperbaric if severe)

Question 4

Treatment of cholinesterase inhibitor overdose

Answer 4

Atropine, pralidoxime

Question 5

Treatment of copper/gold poisoning

Answer 5

Penicillamine

Question 6

Treatment of digoxin overdose

Answer 6

Normalize potassium and other electrolytes, digoxin antibodies

Question 7

Treatment of iron overdose

Answer 7

Deferoxamine

Question 8

Treatment of lead poisoning

Answer 8

EDTA, succimer in children

Question 9

Treatment of methanol or ethylene glycol

Answer 9

Fomepizole, ethanol

Question 10

Treatment of muscarinic blocker poisoning

Answer 10

Physostigmine

Question 11

Treatment of opioid poisoning

Answer 11

Naloxone

Question 12

Treatment of quinidine or TCAs

Answer 12

Sodium bicarbonate (cardioprotective)

Question 13

Encephalopathy and/or liver failure in child taking aspirin during a viral infection

Answer 13

Reye syndrome

Question 14

Overdose of this drug causes respiratory alkalosis and metabolic acidosis

Answer 14

Aspirin

Question 15

Brain stem damage/death from overly rapid correction of hyponatremia

Answer 15

Central pontine myelinolysis

Question 16

Treatment of hypokalemia or hypocalcemia

Answer 16

First correct pH

Question 17

When to break doctor-patient confidentiality

Answer 17

Patient asks you to, suspected child abuse, court mandate, protection of threatened person, reportable disease, patient is a danger

Question 18

Cause of false hyperkalemia

Answer 18

Hemolysis

Question 19

False cause of elevated sedimentation rate and alkaline phosphatase

Answer 19

Pregnancy

Question 20

False cause of hypocalcemia

Answer 20

Hypoalbuminemia

Question 21

False cause of hyponatremia

Answer 21

Hyperglycemia

Question 22

Treatment of acetaminophen overdose

Answer 22

Acetylcysteine