Chapter 22 - [additional] Toxicology Flashcards

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1
Q

A 30-year-old male who ingested an unknown substance begins to vomit. You should:
A. collect the vomitus and bring it to the hospital.
B. apply a bag-mask device.
C. analyze the vomitus and try to identify the poison.
D. suction his oropharynx for no longer than 30 seconds.

A

A. collect the vomitus and bring it to the hospital.

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2
Q

When caring for a patient with a surface contact poisoning, it is important to remember to:
A. prevent contamination of the patient.
B. avoid contaminating yourself or others.
C. let the hospital remove the surface poison.
D. immediately flush dry chemicals with water.

A

B. avoid contaminating yourself or others.

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3
Q

How much activated charcoal should you administer to a 55-pound child who swallowed a bottle of aspirin?
A. 12.5 g
B. 25g
C. 2 g/kg
D. 50g

A

B. 25g

1 g of charcoal per kg of body weight.

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4
Q

After taking Vicodin for 2 years for chronic pain, a 40-year-old woman finds that her usual dosage is no longer effective and goes to the doctor to request a higher dosage. This is an example of:
A. addiction.
B. dependence.
C. tolerance.
D. drug abuse.

A

C. tolerance.

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5
Q

Which of the following effects does drinking alcohol NOT produce?
A. Induction of sleep
B. Slowing of reflexes
C. Inappropriate behavior
D. Increased sense of awareness

A

D. Increased sense of awareness

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6
Q

A 21-year-old male was found unconscious in an alley. Your initial assessment reveals that his respirations are slow and shallow, and his pulse is slow and weak. Further assessment reveals that his pupils are bilaterally constricted. His presentation is MOST consistent with an overdose of:
A. cocaine.
B. an opioid.
C. a stimulant drug.
D. methamphetamine.

A

B. an opioid.

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7
Q

The mnemonic DUMBELS can be used to recall the signs and symptoms of a cholinergic drug poisoning. The “E” in DUMBELS stands for:
A. emesis.
B. erythema.
C. ecchymosis.
D. elevated blood pressure.

A

A. emesis.

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8
Q

Food poisoning is almost always caused by eating food that contains:
A. fungi.
B. viruses.
C. bacteria.
D. protozoa.

A

C. bacteria.

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9
Q

You respond to a local motel for a young female who was sexually assaulted. The patient is conscious but confused. She tells you that the last thing she remembers was drinking beer at a club with her friends the night before. When she awoke, she was in the bed of the motel room. You should suspect that this patient:
Select one:
A.
has a hangover from the night before.
B.
is a frequent and heavy heroin user.
C.
was given flunitrazepam (Rohypnol).
D.
is addicted to a benzodiazepine drug.

A

C.
was given flunitrazepam (Rohypnol).

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10
Q

Activated charcoal may be indicated for a patient who ingested:
Select one:
A.
ethanol.
B.
methanol.
C.
aspirin.
D.
iron.

A

C.
aspirin.

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11
Q

Signs of absorbed poison exposure include all of the following, except:
Select one:
A.
redness of skin in light-skinned people.
B.
liquid or powder on a patient’s skin.
C.
burns, itching, or irritation to the skin.
D.
severe nausea, vomiting, and diarrhea

A

D.
severe nausea, vomiting, and diarrhea

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12
Q

Your paramedic partner administers atropine to a 49-year-old male with bradycardia. Which of the following side effects would you expect the patient to experience?
Select one:
A.
Dry mucous membranes
B.
Excessive lacrimation
C.
Pupillary constriction
D.
A fall in blood pressure

A

A.
Dry mucous membranes

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